• Journal of Oral Medicine and Pain
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• 제35권1호
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• pp.41-47
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• 2010

구강작열감증후군은 임상적 증상이나 검사실 소견없이 구강점막에 나타나는 작열감을 말하며 중년이후 폐경기 여성에게 높은 발생율을 보인다. 구강작열감증후군에서 보여지는 통증은 자발적이며 뚜렷한 악화요인을 보이고 있지 않다. 통증 유발과 관련해서 치과적 술식, 최근의 질환, 투약(항생제 요법)등을 포함하고 있으며, 작열감이 한 번 시작되면 수년간 지속된다. 대부분의 구강작열감 환자는 국소적 또는 전신적 요인을 가지고 있으며, 구강작열감증후군은 신경병리학적 활성화에서 기원되는 만성구강증상으로 고려할 수 있으며, 정신학적 원인에 대한 역할은 아직은 명확하지 않다. 구강작열감의 신경학적 측면에 대하여 연구가 증가하고 있고 이런 연구는 구강작열감에 중추신경계, 말초신경계가 관여함을 제시하고 있다. 그 중에 하나로 대두 되고 있는 것이 미각에서의 이상이 존재한다는 것이다. 구강작열감증후군에서 supertaster의 존재에 대해 언급하고 있으며, 이는 미각과 유해수용성 기전에 상호작용함을 제시하고 있다. 즉 중추신경계에서 미각과 구강 통증 감각이 연결되어 있고 이것은 구강작열감증후군에서 고삭신경, 설인신경수준에서 미각체계 변형에 의한 말초신경계와 중추신경계가 같이 상호 작용하여 구강작열감증후군을 발생시킴을 보여준다. 이에 본 저자는 만성구강통증으로 여겨지는 구강작열감증후군을 유발하는 요인과 병태 생리를 고찰하여 환자의 진단과 원인 지향적인 치료에 도움을 주고자 한다.

• 대한간호학회지
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• 제20권3호
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• pp.399-413
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• 1990

This descriptive study was under taken to explore relationships among the quality of life, health locus of control and perceived state of health persons with cancer to contribute theoretical understanding about these phenomenon of interest to the quality of nursing care. The subjects of this were 200 persons with cancer (100- in patients and 100- out patients), both male and female, between 30 and 59 years of age. Data were obtained using a convenience sample technique from two university hospitals in seoul from August, 1989, to June, 1990. The instruments used for this study were the Quality of life scale developed by Ro, You - Ja and the Health Locus of Control scale developed by Wallston & Wallston. Data were analyzed using a SAS program for ANOVA, t-test, Schefffe test, Pearson Correlation Coefficients and Stepwise multiple regression. The results were as follows : 1. The scores on the quality of life scale ranged from 95 to 191 with as mean of 147.85(range 47 to 235). The Mean scores(range 1-5) on the different dimensions were family relationships 3.50, relationships with neighbours 3.48, self - esteem 3.17, physical state and function 2.99, economic life 2.93 and emotional life 2.91. 2. Significantly higher scores on the quality of life and demographic characteristics were as follows : the quality of life for women(t＝2.80, p＝ .006), for those without complications(t＝2.54, p＝ .013), and for those who perceived their illness as mild(F＝4.85, p＝ .009). Higher scores on quality of life were correlated with the following : 1) emotional state and the age group 50-59(F＝3.43, p＝ .34). 2) economic life and higher income(F＝6.72, p＝ .002), those without complications(t＝2.68, p＝ .00), and those who perceived their illness as mild(F＝3.11, p＝ .05). 3) self-esteem and marriage(F＝3.64, p＝.028), those without complications(t＝2.18, p＝.03), and those who perceived their illness as mild(F＝7.72, p＝.000). 4) physical state and funciton and the age group 30-39(F＝4.65, p＝.010), those without complications (t＝2.00, p＝.05), and those who perceived their illness as mild(F＝3.38, p＝.04). 5) family relationship and those who live with their spouse(t＝2.82, p＝.005). 3. There was a significant positive correlation between the subjects perceptions of their current state of health and the quality of life score(r＝.4364, p＝.0001). 4. There was no relationship between Locus of control and quality of life in this sample. 5. Stepwise multiple regression analysis showed that: 1) the perception of current health status was the main predictor and accounted for 20.11% of the total variance. 2) sex and educational level accounted for an additional 21.71% of the total variance. 6. The quality of life and the perception of their current health status of these patients with cancer were generally lower than those of healthy adults as noted in previous studies. In conclusion, the quality of life for these cancer patients was generally low especially in regard to their emotional state. The current perceived state of health, sex, complications and perceived degree of illness were important variables relatiog to quality of life.

• Journal of Nutrition and Health
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• 제40권3호
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• pp.259-269
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• 2007

Recently, dietary pattern analysis was emerged as an approach to examine the relationships between diet and risk of chronic diseases. This study was to identify groups with population who report similar dietary pattern in Korean genome epidemiology study (KoGES) and association with several chronic diseases. The cohort participants living in Ansung and Ansan (Gyeonggi province) were totally 10,038. Among those, 6,873 subjects with no missing values in food frequency questionnaire were included in this analysis. After combining 103 food items into 17 food groups, 4 dietary factors were obtained by factor analysis based on their weights. Factor 1 showed high factor loadings in vegetables, mushrooms, meats, fish, beverages, and oriental-cereals. Factor 2 had high factor loadings in vegetables, fruits, fish, and factor 3 had high factor loadings in cereal-oriental, cerial-western and snacks. Factor 4 showed positive high factor loadings in rice and Kimchi and negative factor loadings in mushrooms and milk and dairy products. Using factor scores of four factors, subjects were classified into 3 clusters by K-means clustering. We named those 'Rice and Kimchi eating' group, 'Contented eating' group, and 'Healthy and light eating' group depending on their eating characteristics. 'Rice and Kimchi eating' group showed high prevalence in men, farmers and 60s. 'Contented eating' group and 'Healthy and light eating' group had high prevalence in women, people living in urban area (Ansan Citizen), with high-school education and above, and a monthly income of one million won and more. 'Contented eating' group appeared lower distribution proportion in the sixties and 'Healthy and light eating' group does higher in the fifties. 'Contented eating' versus 'Rice and Kimchi eating', odds ratio for hypertension, diabetes, metabolic syndrome and obesity significantly decreased after adjusting age and sex (OR=0.64, 0.73, and 0.85 respectively, 95% CI). Although our results were from a cross-sectional study, these imply that the dietary patterns were related to diseases.

• 복식
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• 제53권6호
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• pp.145-159
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• 2003

The purpose of this study was to classify body type for ready-to-wear sizes. The subjects were 300 women ages of 18-24. they were measured direct anthropometry. The body types for sizing system were divided by Rohrer Index. KS drop value and ISO drop value. The results of this study were as follows. 1. By adapting the Rohrer Index. we classify 3 types from anthropometric measurements. The thin type covered 39.3%, the standard type 51.0% and the obesity type 18.7%. The characteristics of clusters were as follows. Thin type was characterized by tall. slender type and slim. The standard type was characterized by middle sized. The obesity type was characterized by short. fat type. and large bust. 2. By adapting the KS system drop value. we classify 3 types from anthropometric measurements. The H type(drop 0) covered 25.6%. the N type(drop 6) 65.2% and the A type(drop 12) 9.2%. Type H was slightly tall large bust. and curved from waist to hip. Type A was slightly thin. large hip and smaller bust than type N. Principal factor components were bust size. The height could be divided into three groups. The Petite(l50cm) covered 5.5%. the Regular(l60cm) 64.7% and the Tall(l70cm) 29.8%. Through the crosstab of height and body type. we extracted regular height by N type 46.2% the largest cell. The body type was the higher order of N type. H type and A type. The tall was the higher order of Regular. Tall and Petite. 3. By adapting the ISO system drop value. we classify 3 types from anthropometric measurements. The H type(drop 0) covered 15.0%. the M type(drop 6) 41.0% and the A type(drop 12) 44.0%. Type H was slightly short. slightly fat and large bust. Type A was slightly tall. slight thin than type M. The height could be divided into three groups. We adjust the height section after allow for height distribution. The Short(152cm) covered 12.8%. the Regular(160cm) 66.9% and the Long(168cm) 20.3%. Through the crosstab of height and body type, we extracted regular height by M type 29.3% the largest cell. The body type was the higher order of M type, A type and H type. The tall was the higher order of Regular, Long and short.

• 한국치위생학회지
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• 제11권5호
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• pp.671-683
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• 2011

Objectives : The purpose of this study was to examine the oral health knowledge and actual oral health care of the selected subjects, their decision making about prosthetic treatment, the state and characteristics of their prosthetic treatment and their satisfaction with prosthetic treatment in an attempt to provide some information on the improvement of the quality of life related to oral health and the promotion of oral health. Methods : The subjects in this study were 250 people who received education in two different lifelong education institutions in the city of Busan. After a survey was conducted from May 23 to June 15, 2011, the answer sheets from 217 respondents were analyzed. Results : 1. As for the general characteristics of the respondents, the men(52.1%) outnumbered the women. Those who were in their 60 and up(47.5%) made up the largest age group, and the married people(65.4%) outnumbered the unmarried ones. By occupation, the company employees(20.3%) made up the biggest group. By education, the greatest group was high-school graduates(36.1%). By monthly mean income, the biggest group gained an income of 2.01 million won or more(36.9%). As to medical security, community-based insurance was most prevailing (36.9%). In terms of health promotion, the largest group worked out to stay fit(52.4%). 2. Regarding oral health knowledge, they had a good knowledge about the cause of dental caries(56.7%), but they weren't well aware of the right time for regular dental checkup(47.9%). In relation to oral health care, regular scaling wasn't prevailing(16.9%). 3. Regarding connections between the general characteristics and satisfaction with prosthesis, the less-educated respondents expressed significantly more dissatisfaction(p=0.015). By monthly mean income, those who had a smaller income were dissatisfied in general(p=0.028). Conclusions : The findings of the study illustrated that it's required to spread awareness of the importance of oral health among people in general, and that differentiated incremental oral health care should be provided for different age groups. In order to raise the satisfaction of patients with prosthesis, how to relieve their pain and anxiety and how to adjust prosthetic treatment cost properly should carefully be considered. In addition, the government should take measures to offer assistance for the low-income classes in preparation for an increase in the elderly population.

• Journal of Oral Medicine and Pain
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• 제34권1호
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• pp.49-54
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• 2009

편평태선은 작고 편평한 다각형의 구진을 피부나 점막에 보이는 만성 염증성 질환으로 편평태선을 유발하는 원인은 명확하지는 않으나, 피부나 점막에서의 항원변화가 세포매개성 면역반응을 유도하여 발생하는 것으로 생각되어진다. 구강편평태선은 초기에는 양성 병소로 생각되었으나 세계보건기구에 의해 전암 병소로 분류되었다. 구강편평태선이 악성화되는 단계는 명확하게 밝혀지지 않았으며, 편평태선등의 만성 염증성 질환은 구강암 발생에 있어 일반적인 위험 요인(예: 흡연, 음주)과 관계없이 악성 발현을 보인다. 구강편평태선의 악성전이는 여러 문헌에서 논란을 보이나, 0.5%에서 5%까지 보고되었다. 구강편평태선의 악성 전이는 특정 임상적 양상, 과각화나 미란성에서 더 높은 비율로 발생한다. 구강편평태선의 악성 전이는 예후가 불량하므로 예후의 개선과 조기 진단을 위하여 임상가는 일년에 최소 일회에서 2회까지 추적 조사를 해야 한다. 본 증례 보고에서는 중년의 여성에게서 십수년간 지속된 구강편평태선에서 발생한 편평상피암종을 살펴봄으로써, 임상가가 유념해야 할 구강편평태선의 악성 변이에 대한 고찰 및 진단시와 추적 조사시에 고려사항을 고찰하자고 한다.

• 디지털융복합연구
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• 제14권11호
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• pp.589-596
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• 2016

본 연구의 목적은 비만 중년여성을 대상으로 12주간의 걷기운동 후 복부 지방 감량 정도의 차이와 대사증후군 위험인자 개선 간의 관련성을 조사하는데 있었다. 걷기 운동 프로그램은 주당 3회 12주간 실시하였다. 12주간의 걷기운동 후 피험자들의 복부 내장지방 감량 정도의 차이에 따라 복부 내장지방 감량이 많은 상위 25% 집단(n=8)과 복부 내장지방 감량이 적은 하위 25%(n=8)으로 집단을 구분하였다. 12주간의 걷기 운동 프로그램 전후 복부내장지방 감량 정도에 따른 집단 간 대사증후군 위험인자(허리둘레, 중성지방, 고밀도지단백 콜레스테롤, 공복시혈당, 혈압)는 차이가 없는 것으로 나타났다. 결론적으로, 12주간의 걷기 운동 실시 후 총 복부 지방과 내장지방의 감량 정도는 허리둘레, 혈압(SBP, DBP)과 정적인 상관관계가 나타났고, 피하지방의 감량 정도는 허리둘레와 혈압(SBP)과 정적인 상관관계가 나타났다.

• 치위생과학회지
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• 제15권3호
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• pp.333-339
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• 2015

본 연구는 성인의 치아우식증에 영향을 미치는 관련요인을 알아보고자 제6기 1차년도(2013년) 국민건강영양조사중 건강설문 검진조사, 영양조사를 완료한 10,113명 중 만 19세 이상의 성인과 영구치우식 유병자 여부 카테코리에 대한 정보가 갖춰진 4,843명을 최종 분석대상자로 복합표본분석을 실시하였으며, 연구결과는 다음과 같다. 사회 경제적 특성에 따른 치아우식증 유병률은 성별에서 남자가 여자보다 높았으며(p<0.001), 연령별로는 30대, 20대, 40대, 60대 이상, 50대 순으로 나타났다(p<0.05). 교육수준에 따라서는 고졸, 중졸, 대졸 이상 순으로 나타났고(p<0.05), 월 소득수준은 '하'인 경우 가장 높게 나타났다(p<0.001). 건강관련 생활양식에 따른 치아우식증 유병률은 흡연자가 비흡연자보다 높게 나타났으며(p<0.001), 비만의 경우 정상보다 다소 높았으며(p<0.05), 구강검진을 받지 않은 경우가 받는 경우보다 높았다(p<0.001). 일일 칫솔질 횟수가 증가할수록(p<0.05), 치실, 치간칫솔을 사용하는 경우 치아우식증 유병률이 감소하는 것으로 유의하게 나타났다. 치아우식증 여부를 종속변수로 로지스틱 회귀분석을 실시한 결과 치아우식증에 영향을 미치는 변수로는 성별, 연령, 소득수준, 흡연, 구강검진, 치실사용 등으로 나타났다. 이상의 결과를 종합해 보면 한국 성인의 사회 경제적 요인 및 생활양식은 치아우식증에 영향을 미치는 것으로 확인되었으며, 성인의 치아우식증 예방 및 구강건강을 향상시키기 위해서는 건강한 생활습관을 실천할 수 있는 구강건강교육 및 실천 프로그램의 개발이 필요하다고 생각되었다.

• 대한간호학회지
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• 제25권3호
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• pp.538-548
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• 1995

Exercises are achievement oriented, the process is frequently perceived as hard and difficult Participants drop out from exercise programs in the middle of the training period. Dance movement, which is the deliberate and systematic use of movement, is enjoyable during the movement and provides opportunities for persons to express them-selves. Regular long term dance movement may in-duce a training effect with a decreased drop out rate. Dance movement could be one way to attain wellness, however, there have been few studies to evaluate both physiological and psychological aspects of dance movement. This study focused on evaluating the effects of dance movement training on body weight, resting blood pressure and heart rate, limb circumference and strength, stress response and subjective feelings. This quasi-experimental study was designed as a nonequivalent control group pre test -post test study. Ten healthy fe-male subjects, aged between 19 and 31 years volunteered for an eight week dance movement program. Ten healthy female subjects, between 19 and 21 years of age paticipated as controls. None of the subjects had performed regular physical activity for six months prior to the study. Dance movement was created with reference to Heber's movement guide. The Dance movement program consisted of approximately 30 minutes of dance, three days per week, for eight weeks. During each 30 minute work out, there were approximately 5 minutes of warm-up dancing, 20 minutes of conditioning dance and 5 minutes of cool-down dancing. The intensity for the conditioning phase was at between 60% and 65% of age-adjusted maximum heart rates. Body weight, resting blood pressure and heart rate, circumference of mid upper arm, mid thigh and mid calf, muscle strength of upper and lower limb, physical and psychological response to stress were measured prior to, and following the experimental treatment. Body weight was measured by digital weight scale(Kyung In Corp., Korea). Resting systolic and diastolic blood pressure were measured by sphygmomanometer, Resting heart rate was measured for one minute in a relaxed sitting position using the radial artery. Circumference of mid upper arm, mid thigh and mid calf was determined by tape measure. Muscle strength of the upper extremities was measured by a grip dynamometer (Takei Corp. No.1857, Japan) and that of the extremities was measured by the length of time the leg could be held at 45° Physical and psychological responses to stress were measured using the Symptoms of Stress (SOS)Scale. Paticipants in the dance movement were interviewed by the facilitator following the eight weeks, and their thematic responses about the dance movement were recorded. Following the eight week dance movement train-ing, body weight decreased significantly, circumference of mid thigh and mid calf increased. The length of time leg - raising could be held tended to increase following the dance movement training. Resting systolic and resting heart rate showed a tendency to decrease. Total mean score of stress response tended to de-crease, and mean score of habitual patterns, do-pression, anxiety / fear, anger and cognitive disorganization decreased remarkably following the eight week dance movement. Thematic responses about the dance movement were positive following the training.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제41권6호
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• pp.306-316
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• 2015

Objectives: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. Materials and Methods: A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. Results: The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. Conclusion: This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures.