• Title/Summary/Keyword: Oral exam

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The Effect of Dongchimi Juice Containing Kimchi Lactobacillus on the Oral Health of Patients at a Long-Term Care Hospital: Comparison with Chlorhexidine Solution (요양병원환자에게 적용한 김치유산균 함유 동치미즙의 구강간호효과: 클로르헥시딘 용액과의 비교)

  • Lee, Seung-Ah;Lee, Dongsuk
    • Journal of Korean Academy of Nursing
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    • v.47 no.4
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    • pp.540-550
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    • 2017
  • Purpose: The aim of this study was to identify the effect of Dongchimi juice containing kimchi Lactobacillus as an oral hygiene agent and to compare it with that of chlorhexidine solution (0.12% dilution). Methods: This study employed a pretest-posttest experimental design in which a single group of patients was exposed to two different treatments over a period of time. The study included 32 patients hospitalized at a longterm care hospital in Korea. Data were collected between August 12, 2016 and September 28, 2016. The patients first used chlorhexidine solution as an oral care agent for 1 week. After an interval of 2 weeks, they used Dongchimi juice for 1 week. Each agent was applied 2 times a day depending on the protocol. The oral status of the patients was measured using Beck's Oral Exam Guide (OEG) scores. The number of pathogens in the oral cavity was counted by culture, and the patients' subjective satisfaction score for each oral agent was measured using a visual analogue scale. T-test and Mann-Whitney test were performed to identify significant differences between Dongchimi juice and chlorhexidine solution by using PASW Statistics for Windows, Version 18.0 (SPSS Inc., Chicago, IL, USA). Results: The OEG score was not statistically different with the use of chlorhexidine solution and Dongchimi juice. However, decreasing number of pathogens and the subjective satisfaction score were higher with Dongchimi juice than with the chlorhexidine solution. Conclusion: These findings support the use of Dongchimi juice containing kimchi Lactobacillus as an oral hygiene agent for Korean patients.

Neck dissection for oral squamous cell carcinoma: our experience and a review of the literature

  • Rani, Pooja;Bhardwaj, Yogesh;Dass, Praveen Kumar;Gupta, Manoj;Malhotra, Divye;Ghezta, Narottam Kumar
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.6
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    • pp.299-305
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    • 2015
  • Objectives: This article describes our experience with neck dissection in 10 patients with oral squamous cell carcinoma. Materials and Methods: Between January 2007 and October 2009, 10 patients underwent primary surgery for the treatment of squamous cell carcinoma of the oral cavity. For patients with $N_0$ disease on clinical exam, selective neck dissection (SND [I-III]) was performed. In patients with palpable cervical metastases (N+), modified radical neck dissections were performed, except in one patient in whom SND (I-III) was performed. The histopathologic reports were reviewed to assess the surgical margins, the presence of extra-capsular spread, perineural invasion, and lymphatic invasion. Results: On histopathologic examination, positive soft tissue margins were found in three patients, and regional lymph node metastases were present in five of the ten patients. Perineural invasion was noted in five patients, and extra nodal spread was found in four patients. Regional recurrence was seen in two patients and loco-regional recurrence plus distant metastasis to the tibia was observed in one patient. During the study period, three patients died. Seven patients remain free of disease to date. Conclusion: Histopathological evaluation provides important and reliable information for disease staging, treatment planning, and prognosis. The philosophy of neck dissection is evolving rapidly with regard to the selectivity with which at-risk lymph node groups are removed. The sample size in the present study is small, thus, caution should be employed when interpreting these results.

Effect of perceived stress on general health and oral health status in elderly: results from the Korea national health and nutrition examination survey 2014 (노인의 스트레스 인지가 전반적인 건강상태 및 구강건강상태에 미치는 영향)

  • Choi, Eun-Sil;Cho, Han-A
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.899-910
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    • 2017
  • Objectives: This study was conducted to identify the rates of perceived stress of elderly people over 65 years old and to confirm the influence of stress on general health and oral health status. Methods: Using data from the National Health and Nutrition Survey for 2014, 1,472 people over 65 years of age were selected as final subjects. Stress was used as an independent variable and dependent variables were included physical health (perceived health status), mental health (depression), and oral health (perceived oral health status). The following confounding variables were adjusted for the current study: demographic characteristics (gender, age, education level, house income) and health - related characteristics (drinking, smoking, exercise, frequency of tooth brushing, using oral care product, dental exam, comorbidity, restrict activity). Complex sampling analysis was applied and logistic regression was performed to determine the effects of stress on physical health, mental health and oral health status. Odds ratio (OR) and 95% confidence interval (95% Confidence Interval, 95% CI) were calculated. Results: Logistic regression indicated that stress was significantly associated with low physical health (OR=2.18, 95%CI: 1.49-3.20), low mental health (OR=8.68, 95%CI: 4.98-15.11), low oral health (OR=1.53, 95%CI: 1.06-2.21) after adjusting for confounding variables. Conclusions: The perceived stress of the elderly was found to be related to the general health and oral health status. Therefore, it is necessary to evaluate stress as a predictor of health risk for the health promotion of the elderly on multidisciplinary assessment and continuous evaluation. In addition, health support policies should be provided to achieve good health status for elderly.

A Study on Cognition of Applicants for the Sports Coaching Certificate System : Focusing on the Practical and Oral Certifying Test for the Sports Coaching Certificate (체육지도자 자격제도에 대한 응시자들의 인식 연구: 실기·구술 자격검정을 중심으로)

  • Ahn, Jai-Han;Kim, Mi-Suk;Kim, SeungHyun
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.461-473
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    • 2016
  • The purpose of this study is to analyze cognition of applicants about the national sports coaching certificate examination. In order to collect data an online survey was conducted against those who attended the practical and oral examination for the sports coaching certificate. SPSS Version 18.0 was used to analyze frequency of the collected 2,895 samples, the factors of measuring methods in the study, difference of applicants' cognition on the certificate system, and difference of applicants' cognition on the practical and oral examination. Results from this study indicates that the applicants' cognition on the sports coaching certificate system differs according to ages, educational levels, and sports related majors at college, and that the applicants' cognition on the practical and oral examination for the sports coaching certificate is also different according to gender, age, educational level, and sports related majors at college. This study suggests development directions for the future sports coaching system by comprehending of the study results.

A CASE REPORT OF THE SIALOLITHIASIS ON THE SUBMANDIBULAR GLAND (악하선 타석증의 치험례)

  • Kim, Mi-Sook;Ryu, Soo-Jang
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.4
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    • pp.458-463
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    • 2000
  • The Sialolithiasis is one of the most common disease that is found in the submandibular gland and they can be usually observed in the extra glandular area. As the lumen of Wharton's duct is larger and more expandable than that of Stensen's duct, the symptom of them is initially painless. As increasing their size, the sign and symptom are pain and sudden enlargement of gland. It can be observed with clinical exam and the scintigraphy. After removal of sialoliths, the majority of them can get the recovery of function. Our department performed the transoral sialolithotomy and the extraoral sialoadenectomy for three patients of sialolithiasis and all of them showed no complication after operation.

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Bivariate odd-log-logistic-Weibull regression model for oral health-related quality of life

  • Cruz, Jose N. da;Ortega, Edwin M.M.;Cordeiro, Gauss M.;Suzuki, Adriano K.;Mialhe, Fabio L.
    • Communications for Statistical Applications and Methods
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    • v.24 no.3
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    • pp.271-290
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    • 2017
  • We study a bivariate response regression model with arbitrary marginal distributions and joint distributions using Frank and Clayton's families of copulas. The proposed model is used for fitting dependent bivariate data with explanatory variables using the log-odd log-logistic Weibull distribution. We consider likelihood inferential procedures based on constrained parameters. For different parameter settings and sample sizes, various simulation studies are performed and compared to the performance of the bivariate odd-log-logistic-Weibull regression model. Sensitivity analysis methods (such as local and total influence) are investigated under three perturbation schemes. The methodology is illustrated in a study to assess changes on schoolchildren's oral health-related quality of life (OHRQoL) in a follow-up exam after three years and to evaluate the impact of caries incidence on the OHRQoL of adolescents.

Research on Management of Test of Proficiency in Koeran(TOPIK) for the disabled examinee (장애인을 위한 한국어능력시험(TOPIK) 운영 방법에 대한 연구 - 시각장애인 응시자를 중심으로 -)

  • Jung, Seung-Yeon;Hwang, Ji-You
    • Journal of Korean language education
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    • v.25 no.1
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    • pp.169-201
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    • 2014
  • The purpose of this research is to analyze the problems of the way of the 32th TOPIK(advanced)'s management for the disabled examinee and to prescribe the management of the TOPIK for them. Since the TOPIK started in 1997, the number of examinee who take it as a qualifying exam for the university entrance have gradually increased. The first disabled examinee who wants to use the result of the TOPIK for entrance into the post graduated university took the 32th TOPIK(advanced level). However, there was no examination regulations and detailed management method for the disabled. The biggest problem was the examinee could not have braille test and answer. The exam supervisor read all that is printed on the test sheet. It caused two big problems. 1) The essay question in writing test became an oral test. 2) The strategies of answering to multiple choice questions could not be used in vocabulary/grammar, writing, listening, and specially reading section. The first problem is occurred because writing and speaking have different cognitive process. The second one can be strongly related to the result in reading section. Above all, these disrupt accurate assessment of the examinee's writing and reading achievement. Therefore, this research insists the TOPIK needs to have the regulation and prescribe the management for the disabled. This research suggests 5 regulations for the blind examinee which covers the test time, supervisor, place and request of the examinee. These refer to the regulation for the disable in the other tests, such as the college scholarship ability test, TOEFL, TEPS, and a civil service exam.

Differential Diagnosis of Oral Lesions for the Initial Diagnosis of Acute Lymphoblastic Leukemia (급성림프모구성 백혈병의 조기진단 시 구강병변 양상을 통한 감별의 중요성)

  • Seo, Mi Hyun;Ha, Ji Young;Huh, Kyung Hoe;Cho, Young Ah;Kim, Soung Min;Choi, Jin Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.2
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    • pp.107-111
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    • 2013
  • Careful examination of the oral cavity may reveal findings indicative of an underlying systemic condition, and allow for early diagnosis and treatment. Examination should include evaluation for mucosal changes, periodontal inflammation and bleeding, and general condition of the teeth. A 12-year-old man visited for molar pain during 3 months. He was diagnosed with having a possibility of hematopoietic malignancy, showing the loss of lamina dura, destruction of bony crypt, and high attenuation in the bone marrow. He was referred to department of pediatrics, additional study, including peripheral cell morphology and bone marrow exam, were performed, and diagnosed as acute lymphoblastic anemia. Despite chemotherapy to cure leukemia, he was expired 8 months after initial diagnosis. The purpose of this report is to promote and evoke the awareness regarding an initial examination of the dentist to make an effort to acquire accurate knowledge and information about life-threatening disease in usual dental practice.

Convergence Factors Affecting Subjective Oral Health Cognition Using 6th Sixth National Health and Nutrition Survey Data (제6기 국민건강영양조사자료를 이용한 주관적 구강건강인지에 영향을 미치는 융합적 요인)

  • Song, Ae-Hee;Kim, Hwa-Sook
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.49-57
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    • 2017
  • The purpose of this study was to investigate factors affecting perceived oral health status according to socioeconomic status and community periodontal index(CPI) and decayed, missing, and filled teeth(DMFT) using the 6th Korean national health and nutritional examination survey(KNHANES VI) and provide a basic data for plan of policy. The higher the age, the lower the household income and education level, the worse the subjective oral health had better oral health and there was a tendency that the respondents who had no oral exam within 1 year and experienced CPI or DMFT estimated their own health as worse. It is needed to make policy development to resolve the inequality of oral health.

ORAL HEALTH STATUS OF PATIENTS WITH SPECIAL HEALTH CARE NEEDS IN KYUNG HEE UNIVERSITY DENTAL HOSPITAL (경희대학교 치과병원을 내원한 장애인 환자의 구강건강상태에 관한 연구)

  • Kim, Ji Hyun;Nam, Ok Hyung;Kim, Mi Sun;Kim, Kwang Chul;Choi, Sung Chul;Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.2
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    • pp.53-57
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    • 2015
  • Most special health care needs (SHCN) people suffer from oral health problems due to high incidence and severity of oral disease. The aim of the present study was to investigate the characteristics of dental treatment provided in this patient population. The study population comprised 485 SHCN patients who visited Kyung Hee University Dental Hospital from 2006 to 2014. Based on the medical record, the date were evaluated according to age, gender, type of disorder, reason for visit, type of behavior management, and type of dental treatment. The most common age group was 7-12 year olds (26%). The chief compliant was dental caries (39%), as followed by oral exam (12%) and trauma (12%). Approximately half of SHCN patients (45.9%) was treated under behavior management. Restorative treatment was the most common procedure with the average of 2.9 teeth treated per patient. The results of the present study may be valuable for establishing the data of SHCN patients for primary dental care.