• Journal of Gastric Cancer
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• v.2 no.4
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• pp.205-212
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• 2002

Purpose: Malnutrition is a common postoperative complication that occurs after gastric resection. Several causes for malnutrition have been proposed, which include malabsorption and poor oral calorie intake. We performed this study to evaluate whether nutritional counseling would increase oral calorie intake and improve nutritional status in patients who had undergone gastrectomy. Materials and Methods: Twenty-two patients were randomly selected as the study group from among patients who had undergone gastrectomy for early gastric cancer and gastric polyp between October 1999 and December 2000. Body weight, hemoglobin, serum albumin, and serum transferrin were checked before and after the gastrectomy. Oral calorie intake was evaluated by using a 3-day oral-intake diary, and one nutritionist performed outpatient-based nutritional counseling. Eighteen patients who had undergone gastrectomy for the same disease during the same period were selected as the control group. Results: During an average interval of 14.8 months, the study patients received nutritional counseling an average of 3.4 times at an average interval of 4.4 months. The study group took a mean of $2055.6\pm418.1$ Cal per day and the control group $1792.1\pm421.9$ Cal (P=0.05). Sixty-eight percent (15 patients) of the study group patients reached the daily-required calorie intake. Postoperative bodyweights were $64.0\pm9.9$ kg for the study group and $64.3\pm10.8$ kg for the control group (P>0.05). No statistically significant differences were observed among the other. Sixty-five percent of the patients (26 patients) had a weight loss of less than $10\%$ of the preoperative body weight, and $35\%$ had more than a $10\%$ weight loss, but there was no statistical difference between the calorie intakes of these patients. Conclusions: Nutritional counselling increased the oral calorie intake, but nutritional status was not improved. These results suggest that nutritional derangement after gastrectomy cannot be corrected by adequate oral intake itself.

• Journal of Korean Biological Nursing Science
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• v.6 no.1
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• pp.43-52
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• 2004

Purpose : The purpose of this study was to find effects of early oral water intake on thirsty feeling, nausea, and vomiting after ambulatory surgery. Method : Sixty patients who received PET(Pressure Equalizing Tube) insertion surgery under general anesthesia were conveniently sampled and divided into two groups. Experimental group was instructed to drink water after two hours and control group was directed to intake water after three hours postoperatively. Data were collected from May 1, 2002 to August 31, 2002 at ambulatory surgery center of Asan Medical Center. The thirsty feeling, nausea and vomiting score between experimental and control group were compared at the time of recovery, recovering consciousness, 2hr, 3hr, right before discharge and/or 24hr(telephone interview) postoperatively. The collected data were analyzed by SPSS 8.0 statistic program. Result : Result of this study are as follows. 1) There was a statistically significant difference(t=-10.31, p=0.00) in the occurrence of thirsty feeling at the 3hr postoperatively between experimental and control groups. 2) There was a statistically significant difference($x^2=6.66$, p=0.02) in the incidence of nausea during the 2hr postoperatively between experimental and control groups. 3) There was no difference($x^2=0.35$, p=0.55) between groups in vomiting scores. Conclusion : It was generally known that the delay of oral water intake decreases post operative complications. But, this study shows that early oral water intake decreases discomfort of thirsty and there was no adverse effects on the occurrence of postoperative nausea and vomiting.

• Journal of Korean Academy of Nursing
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• v.32 no.2
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• pp.206-219
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• 2002

This study was conducted to investigate nutrient and food choices in gastric cancer patients receiving Cisplatin after surgery. Ten patients were followed from the fist day of the first cycle to the last date of the 6th the cycle of the chemotherapy. The subjects kept daily self record of dietary intake and the period of nausea/vomiting during 6 cycles. Using Computer Aided Nutritional Analysis Program, the degree of Calorie, carbohydrate, protein, fat and fluid intakes according the chemotherapy period. The reseacher developed food intake rating scale, and then three dietitians analysed the oral intakes according to the type of foods. As the results of this study, during the chemotherapy cancer patients are intakes much fewer calorie, protein and fluids than recommended dietary allowance. Oral intake was worsen as treatment proceed. During the chemotherapy periods most of the patients choose fruits, vegitables, steam rice, porridge, yogurt and the beam soup to overcome nausea and vomiting. In order to promote oral intake for chemotherapy patients, the researcher strongly suggest that indiviual food preform should be considered.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.3
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• pp.89-99
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• 2011

Objectives: The aim of this study was to assess an association between nutrient intake and prevalence risk of deciduous dental caries among preschool children. Methods: A total of 922 children aged 3 to 5 years was selected from the database of Fourth Korean National Health and Nutrition Examination Survey(KNHAINS). Data were included socio-demographic characteristics, oral health related behaviour, nutrient intake(carbohydrate, protein, fat, calcium, phosphate, iron, sodium and potassium), and oral health status(dft index). To assess the crude and adjusted associations, logistic regression analysis were applied considering a complex sampling design. Results: Children who were more consumed protein, calcium, phosphate, iron and sodium had slightly lower prevalence risk of deciduous dental caries after adjusting for socio-demographic characteristics and oral health related behaviour. Moreover, prevalence risk of the highest intake of phosphate and sodium(3rd tertiles) was significant lower than that of the lowest intake(1st tertiles). Conclusion: The nutrient intake was slightly associated with the prevalence risk of deciduous dental caries.

• Journal of Korean Academy of Nursing
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• v.30 no.3
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• pp.720-730
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• 2000

Malnutrition is a common problem in cancer patients. In addition anticancer drugs used in chemotherapy as a major therapeutic mode are famous as the side effect like nausea, vomiting, which lead the patients to malnourished state. This study was to determine the relationship of anorexia, nausea, vomiting and oral intake and identify the influence these side effects on the nutritional status in patients receiving chemotherapy. To assess the nutritional status, anthropometry such as weight, height, body mass index(BMI), body fat proportion, and triceps skinfold thickness, and biochemistry test such as hemoglobin and lymphocyte were measured at the pre- and post- chemotherapy and the readmission time, all three times. During chemotherapy, anorexia, nausea, and vomiting using a VAS or 5-point scale and 24 hour oral intake using a food record were measured daily. Forty-nine patients knowing their diagnosis and receiving chemotherapy were recruited from an oncological ward in a general hospital for 5 months and they were reduced 31 at readmission time for a next chemotherapy. The results were as follows. Most subjects (93.6%) were in the 4th stage of cancer and 57.1% of subjects were in the first or the second chemotherapy. In most subjects(82.6%), their weight was decreased 10.7% than as usual. The degree of anorexia, nausea, and vomiting was significantly higher and the amount of oral intake was significantly less during the chemotherapy than at the pre-chemotherapy. Weight, BMI, triceps skinfold were reduced more at the post- chemotherapy than the pre-chemotherapy and were recovered the nearly same but less level at the readmission time. Body fat proportion was increased at the post chemotherapy and then decreased at the readmission phase. Hemoglobin and the number of lymphocyte were below normal at the pre-chemotherapy and more reduced at the readmission time. Anorexia, nausea, and vomiting were related positively and oral intake was negatively related with nausea and vomiting. The nutritional status at the post- chemotherapy and the readmission time was explained 20% over by the side effect like anorexia, nausea, vomiting and oral intake during the chemotherapy. The significant nutrition predictors at the post- chemotherapy were vomiting and the significant predictors at the readmission time were anorexia, vomiting, and oral intake. These results indicated the patients receiving chemotherapy were continued to deteriorate the nutritional status. Therefore nurse should have knowledge how much the nutritional status can be affected and assess the nutritional status periodically and try to find out the intervention for side effects from the series of chemotherapies.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.45 no.3
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• pp.135-140
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• 2019

Objectives: This study sought to investigate the association between the systemic intake of proton pump inhibitors (PPI) and the early failure of dental implants. Materials and Methods: A retrospective cohort study involving 1,918 dental implants in 592 patients (69 implants in 24 PPI users and 1,849 implants in 568 nonusers, respectively) was conducted. The effect of PPI intake on the osseointegration of dental implants was evaluated using patientand implant-level models. Results: Among 24 PPI users, two patients experienced implant failure, one of whom had three and the other of whom had one failed implant, respectively. Thus, the rate of failure for this population was 8.3%. Separately, 11 nonusers each experienced one implant failure, and the failure rate for these patients was 1.9%. Fisher's exact test revealed statistically significant differences between PPI users and nonusers at the implant level (P=0.002) but failed to show any significance at the patient level (P=0.094). The odds of implant failure were 4.60 times greater among PPI users versus nonusers. Dental implants that were placed in patients using PPIs were found to be 4.30 times more likely to fail prior to loading. Conclusion: The findings of this study suggest that PPI intake may be associated with an increased risk of early dental implant failure.

• Journal of the Korean Society of School Health
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• v.5 no.1
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• pp.101-110
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• 1992

We investigated each 50 students in the primary school its 1st year student(boys & girls) on the conditions of oral hygiene between urban and rural children centering around the dental caries. The purpose of this study is to promote national oral health and to offer the basic data on the oral health level of community. We got conclusion as follows : 1. Sex : The prevalence rate of dental caries between the rural and urban children showed high to the urban children. 2. Education Level of Parents : When the educational background of father is high, the prevalence rate of dental caries showed high(P<0.01). The educational background of mother has not influenced on the prevalence rate. 3. Economic Level of Home : When the economic level of home is high, the prevalence rate of dental caries is high(P<0.01). 4. Intake Frequency of Eating Between Meals : The average intake frequency of eating between meals a day of urban children was $2.3{\pm}0.76times$, the average intake frequency of eating between males a day of urban children was $2.79{\pm}0.82times$(P<0.01). 5. Brushing Frequency : The average brushing a day of rural children was $2.48{\pm}0.82times$, urban children was $2.34{\pm}0.71times$, and when the brushing frequency is high, the prevalence rate of dental caries showed low(P<0.01). 6. Brushing Time : The rural children and urban children had no difference, but brushing time had influenced on the prevalence rate(P<0.01). 7. Kinds of Drinking Water: The kinds of drinking water had not influenced on the prevalence rate of dental caries. 8. Amount of Pocket Money : The urban children is the more amount of pocket money than the rural, when the amount of pocket money is lots, the prevalence rate of dental caries showed high(P<0.01). 9. Average Intake Frequency a day for the caries food of eating between meals of rural children was 2.91 times and urban children was 3.47 times. The average intake frequency a day for the caries food of eating between meals had influenced on the prevalence rate dental caries. In the point of view for the oral health, the urban children is bad than the rural children in the actual conditions of intake. The education of oral health for parents has demanded, the necessity of oral control for the children of the improvement effectively as the methods to maintain the oral health level.

• Journal of Korean society of Dental Hygiene
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• v.20 no.1
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• pp.29-39
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• 2020

Objectives: This study was to examine the association of sugar-containing snacking habits with dental caries and periodontal diseases. Methods: This study was conducted on 2,807 adults who answered both oral examination and food intake frequency survey in the data of 2015 Korea National Health and Nutrition Examination Survey. The intake frequency of sugary snacks was selected from 17 kind of snacks, which had high sugar content and could affect oral disease. We used the complex sample logistic regression using SPSS 23.0 confirmed the correlation of sugary snack intake frequency and oral diseases. Results: 16.9% of all adults had a sugary snack at least three times a day. 20.7% of dental caries patients and 25.8% of people with periodontal diseases consumed sugary snacks more than three times a day. Especially, periodontal diseases were 1.51 times higher(p=0.008) in three or more consuming snacks group than that who ingested sugary snacks less than six times a week, by correcting the general characteristics and oral health behaviors. Conclusions: Oral health in adults affects oral health in old age, so from a public health perspective, integrated intervention is required to manage the self-cultivation health and to create correct eating habits.

• Journal of Korean society of Dental Hygiene
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• v.13 no.3
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• pp.525-534
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• 2013

Objectives : This study aimed to improve school health program by investigation of several variables through educational diagnostic factors which influence the level of subjective oral health perception and DMFT of students on the basis of PRECEDE model. Methods : A total of 286 high school students in Busan completed the self-reported questionnaire from September 3 to 28 in 2012. Results : 1. Social and epidemiologic diagnosis suggested that the level of subjective oral health perception of male students was not better than that of female students and DMFT number of the male was more than that of the female(p<0.001)(p<0.001). 2. Oral health diagnosis indicated that once a day tooth brushing group showed lower level of oral health perception(p<0.001) and high DMFT number(p<0.001). 3. Predisposing factor of educational diagnosis implied that more than 4 times a day snack intake group and sweet diet and soda friendly group showed lower level of oral health perception and high DMFT number(p<0.001). 4. Tooth brushing of the reinforcing factors had the most important effect on the level of oral health perception and the number of dental caries. Daily snack intake was the most important effect on DMFT number. Conclusions : The informed consent from each family was the important factor in implementing PRECEDE model. School health program improved oral health care. Oral health program can correct the risk oral health behavior in children and adolescents.

• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.71-79
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• 2014

Objectives: The purpose of this study was to investigate the oral health behaviors of multicultural family adolescents and native family adolescents to use as the basis for the oral health care. Methods: The data included a subset of the Korean Youth Health Behavior Online Survey, self-administered, targeting 72,435 middle school and high school students in 2013. The questionnaire was composed of respondents characteristics, oral eating behavior, drinking, smoking, oral health behavior, oral symptoms. Results: 1. 35.7% of the multicultural adolescents were bad economic level and 26.5% of the multicultural adolescents perceived their oral health status to be poorer than native adolescents. 2. 51.1% of multicultural adolescents was 5 times more likely to intake milk and 15.5% of multicultural adolescents cookie intake was higher than native adolescent. 3. 29.9% of multicultural adolescents always brushed their teeth more in a week than native adolescents. 4. Bleeding gums and oral odor symptoms in multicultural adolescents were 24.6%, 28.0% higher than native adolescents. Conclusions: This finding suggests that the multicultural adolescent need health education including oral health food habit, oral health care, early dental visit for prevention, early treatment.