• Imaging Science in Dentistry
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• 제54권1호
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• pp.1-11
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• 2024

Purpose: This study was conducted to investigate the safety of dental imaging in pregnant women with respect to fetal health. Materials and Methods: Searches were conducted of the PubMed, Scopus, and Web of Science databases in May 2023. The inclusion criteria encompassed cross-sectional and longitudinal studies that focused on the analysis of diagnostic dental imaging in pregnant women, as well as studies utilizing phantoms to simulate imaging examinations. The exclusion criteria consisted of reviews, letters to the editor, book chapters, and abstracts from scientific conferences and seminars. Results: A total of 3,913 articles were identified. Based on a review of the titles and abstracts, 3,892 articles were excluded, leaving 21 articles remaining for full-text review. Of these, 18 were excluded, and 4 additional articles were included as cross-references. Ultimately, 7 articles underwent quantitative-qualitative analysis. Three retrospective studies were focused on pregnant women who underwent dental imaging procedures. The remaining 4 studies utilized female phantoms to simulate imaging examinations and represent the radiation doses absorbed by the uterus or thyroid. Conclusion: Few dental radiology studies have been conducted to determine the safe radiation threshold for pregnant women. Additionally, the reviewed articles did not provide numbers of dental examinations, by type, corresponding to this dose. Dental imaging examinations of pregnant women should not be restricted if clinically indicated. Ultimately, practitioners must be able to justify the examination and should adhere to the "as low as diagnostically acceptable, being indication-oriented and patient-specific" (ALADAIP) principle of radioprotection.

• 한국방사선학회논문지
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• 제14권6호
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• pp.801-810
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• 2020

본 연구에서는 PET 검사의 건강보험 적용 및 급여기준 변경 현황을 살펴보고, 지난 10년간 건강보험 이용량을 분석하였다. PET 검사가 건강보험으로 적용된 것은 2006년으로 ¹⁸F-FDG가 최초로 건강보험으로 적용된 이후 여러 가지 방사성동위원소를 이용한 PET 검사가 건강보험으로 적용되고 있다. 2019년 기준 PET 검사 수는 198,651건, 진료금액은 약 883억원이며, 일반적 특성에 따른 검사 수는 남성이 여성보다 많았고, 연령별로는 60대에서 검사수가 가장 많았다. 외래 검사수가 입원 검사수 보다 많았고, 상급종합병원 검사수가 68.2%로 종합병원, 병원보다 월등히 많았다. 검사부위는 토르소 검사가 86.6%로 가장 많았으며, 방사성동위원소는 ¹⁸F-FDG를 이용한 검사수가 93.6%로 가장 많았다. 10년간 건강보험 이용량 변화로는 2010년 부터 2014년까지 꾸준히 증가하였으나 2014년 정부의 건강보험 적용기준 변경에 따라 무증상 장기추적 검사의 인정이 삭제되면서 이용량이 이후 급격히 감소하였다. 정부의 건강보험 적용기준 변경이 건강보험 이용량 변화에 큰 영향을 주는 만큼 향후 지속적인 모니터링이 필요할 것이다.

• 한국산업보건학회지
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• 제27권3호
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• pp.238-244
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• 2017

Objectives: The major objective of this study was to investigate the prevalence of and risk factors for latent tuberculosis infection (LTBI) among employees at a workers' compensation hospital. Methods: Among the 394 employees at Incheon Hospital, 362 were enrolled in the study. An interferon-gamma release assay(IGRA) for diagnosis of LTBI was performed using QuantiFERON$^{(R)}$ TB Gold In-Tube(QFT-IT). Risk factors for LTBI were analyzed using logistic regression analysis. Results: The overall prevalence of LTBI was 32.0%(116/362). The non-medical departments have a significantly high prevalence compared to medical departments(39.7% vs 23.2%). In multivariate logistic regression analysis, experience working in the pneumoconiosis hospital(OR, 3.6; 95% CI, 1.3-10.3) was associated with development of LTBI. Conclusions: Korean guidelines for the management of tuberculosis recommend annual regular health examinations for TB and LTBI for health care workers(HCWs). Considering the high prevalence of and risk factors for LTBI among non-HCWs, it suggests a need for annual regular health examinations for TB and LTBI for all employees at workers' compensation hospitals, including pneumoconiosis hospitals.

• 치위생과학회지
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• 제17권3호
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• pp.250-256
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• 2017

The purpose of this study was to examine the influence of maternal socioeconomic status, maternal oral health behaviors, and oral health behaviors of children, on the prevalence of early childhood caries in children aged 5 years. The Korean National Health and Nutrition Examination Survey data collected between 2007 and 2014 were applied to this study, and the study sample included 824 children who received oral examinations and participated in the health behavior survey. The factor that affected the prevalence of early childhood caries were confirmed by maternal and child factors. The data were analyzed using multiple linear regression. The mothers' age, income level, and job status affected the prevalence of early childhood caries. There was a significant difference in the analysis considering the factors of motherhood and children in the prevalence of early childhood caries according to mother's age, education level, income level, and the child's oral examination. The prevalence of early childhood caries was higher in children who received oral examinations than in those who did not. When the mother's educational level was higher than college education, it was found that the index of child, i.e., there was a difference in the prevalence of early childhood caries according to the mother's educational and income levels. These results indicate that maternal socioeconomic characteristics are correlated with the oral health of children. Therefore, oral health education programs that include mothers for the prevention of early dental caries in children may improve the dental health of children. In addition, specific oral health policies are necessary to address the differences in the oral health between the income groups.

• 지역사회간호학회지
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• 제15권4호
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• pp.618-627
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• 2004

Purpose: To investigate the dental health status of kindergarten children according to their oral health behavior. Method: The subjects were 172 kindergarten children aged 5. A structured questionnaire was used for dental health behavior and oral health status were examined by dentist and bacteria in salivary. Result: 1. Mean score of oral health behavior of children was 4.69 points (SD1.65) with the highest score being 13. No significant differences were observed according to sex, except using tooth paste. A total 71.5% of subjects brushed their tooth twice a day, 9.9% of them once a day, 18.6% of them three times a day, 19.2% of children brushed their teeth after breakfast and lunch, 89.5% of then after dinner, 5.8% of them before going to bed, 18.6% of children brushed correctly, 79.7% of them used tooth paste with fluorine, 3.5% of them regularly examined oral cavity, 84.4% of them took cariogenic food without any restrain, 67.1% of them were observed with oral cavity by their mother. 2. Streptococcus mutans and lactobacilli in the saliva was $3.66({\times}106CFU/m{\ell})\;and\;1.05({\times}103CFU/m{\ell})$, respectively. No significant differences were observed according to sex, while lactobacilli were significantly lower in those children who had regular dental examinations. 3. The index of plaque was 1.56 and the boys were significantly higher than the girls. The mean dft was 4.99. No significant differences were observed according to sex, while the children whose oral cavity was observed regular were significantly lower than those who were not observed. Conclusion: As a whole the practice of oral health behavior of the kindergarten children was poor, and regular dental examinations and oral cavity observations affect their dental health status. These results suggest that intensive dental health education was needed not only for the pre-school children but also their parents and teachers.

• 대한방사선기술학회지:방사선기술과학
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• 제3권1호
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• pp.7-14
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• 1980

• 대한영상의학회지
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• 제81권6호
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• pp.1537-1540
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• 2020

• 한국콘텐츠학회논문지
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• 제11권2호
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• pp.331-340
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• 2011

본 연구의 목적은 건강검진 수검자들을 대상으로 예방과 예방적 의료서비스에 미치는 공통요인을 비교 분석, 요인별 분석에 따른 원하는 건강검진 항목의 비중을 분석하여 각각의 상대적인 검진으로 예방과 치료에 소요되는 비용절감을 할 수 있도록 기초자료를 제공하고자 시도하였다. 이 조사는 건강검진 수검자를 대상으로 2010년 04월 01일부터 05월31일까지 설문조사하여 707명을 분석한 결과는 다음과 같다. 남성의 경우 연령이 높을수록, 배우자와 함께 사는 사람은 건강검진과 암검진, 예방접종을 많이 받으며, 민간의료보험 가입자, 본인건강상태 좋을수록, 학력이 높을수록 건강검진, 암검진, 예방접종을 적게 받으며, 여성의 경우 연령이 높을수록, 임금근로자는 건강검진과 암검진을 많이 받고, 민간의료보험 및 고학력 일수록 건강검진, 암검진과 예방접종을 적게 받았다. 건강상태 및 배우자와 함께 사는 사람은 암검진과 예방접종을 많이 받는 것으로 나타났다.

• Safety and Health at Work
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• 제4권2호
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• pp.77-83
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• 2013

There is still a considerable burden of occupational diseases and injuries in the world. It is not well known which interventions can effectively reduce the exposures at work that cause this burden. The objective of this article is to summarize evidence from systematic reviews of interventions to prevent occupational diseases and injuries. We included systematic reviews of interventions to reduce the incidence of work-related cancer, dust-related diseases, occupational asthma, chronic obstructive pulmonary disease, noise induced hearing loss, back pain, and occupational injuries. We searched Medline and Embase with predefined search strategies to locate systematic reviews of these interventions. We found 23 systematic reviews of which the results are also applicable to low- and middle income countries. Effective measures to reduce exposure leading to work-related cancer, dust-related diseases, asthma, chronic obstructive pulmonary disease, noise, and injuries are available. However, better implementation of these measures is needed. Regulation, enforcement of regulation, and incentives for employers are effective interventions to achieve this goal. There is evidence that feedback and rewards for workers help in reducing occupational injuries. There is no evidence in many studies that back pain can be prevented. Personal protective equipment technically has the potential to reduce exposure but this is difficult to put into effect. There is no evidence in the studies regarding the effectiveness of education and training, preventive drugs, or health examinations. There is evidence that the implementation of technical measures enforced by regulation can prevent occupational diseases and injuries. For other interventions such as education or health examinations, there is no evidence that supports their effectiveness. More systematic reviews are needed in the area of injury prevention.

• 대한임상검사과학회지
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• 제55권4호
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• pp.276-283
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• 2023

산업안전보건연구원에서는 현재 2005년 미국흉부학회(American Thoracic Society, ATS)와 유럽호흡기학회(European Respiratory Society, ERS)의 폐활량검사 표준화가이드를 준용하여 근로자건강진단 폐활량검사를 평가하고 있으며, 2019년 ATS/ERS가이드의 적용을 검토하고 있다. 새로운 평가기준에 따른 결과를 현재 결과와 비교해보고 우리나라 근로자건강진단에 적용하는 것이 적절한지 확인하기 위해 특수건강진단기관으로부터 수집한 325건의 폐활량검사 결과를 검토하였다. 외삽용적, 보정오차, FIVC 등의 평가기준을 더 엄격하게 적용하였음에도 검사의 신뢰성 점수가 상승한 기관이 더 많았다. 주요원인은 FEV1, FVC의 적합성과 재현성을 분리하여 판단함과 동시에 점수를 ATS 등급에 따라 차별 부여하므로 감점 폭이 감소했기 때문으로 파악된다. 새로운 기준을 적용하면 현재 부적합하다고 판단하는 자료의 활용이 가능하므로 검사자와 판정의사의 결과선별과 해석에 대한 이해도를 높인다면 검사자와 수검자 모두가 검사에 대한 부담감을 줄이면서 신뢰성 있는 결과를 얻을 수 있을 것으로 기대한다.