• Title/Summary/Keyword: Oral health improvement

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The Effect of Case Management Program for Diabetic Patients in Korean Community (지역사회 중심의 당뇨 사례관리사업 효과)

  • Shin, Eun-Young;Kim, Cheol-Ywan;Yoo, Won-Sob;Kim, Chang-Yub;Kim, Hee-Girl
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.559-567
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    • 2003
  • Background: We first launched the case management program for diabetic patients who were registered in NHIC (National Health Insurance Corporation) in Korea and conducted this study to assess the effectiveness of the program. Methods: During the period from October in 2002 to March in 2003, 30 case managers performed the program for 71 diabetic patients. We evaluated the effectiveness of the program based on the results of fasting blood sugar level, two hour post-prandial blood sugar level, knowledge for diabetes, difficulty index in diabetes management, and the health risk factor changes of them. We analyzed results related to these factors through $x^2$ test and paired t-test. Results: The ave rage age of the subjects was 58.9. and the numbers of women and men were 43 and 28 respectively. The fasting blood sugar level and two hour post-prandial blood sugar level decreased from 164.3mg/dl to 146.5mg/dl and from 224.0mg/dl to 203.0mg/dl respectively. The knowledge for diabetes and difficulty index in diabetes management changed from 8.13 to 9.10 and from 3.52 to 2.91 respectively, and these changes were the positive. We observed improvement in self-test of sugar level, foot management, oral hygiene and proper medication but not in self-test of nutritional management. Conclusions: This study revealed that the case management program for diabetic patients who were registered in NHIC is significantly effective. However, the program need to study further to understand its long-term effects.

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Development of Korean Dairy Industry - Fermented milk products - (한국 유가공업의 발전과 전망 - 발효유)

  • Huh, Cheol-Seong
    • Journal of Dairy Science and Biotechnology
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    • v.23 no.2
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    • pp.149-153
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    • 2005
  • Lactic acid bacteria had been widely utilized in fermented foods such as fermented dairy products, traditional sauces, kimchi, fermented sausages, medicines or probiotic feed additives for a long time. LAB are also widely distributed in the mammalian gastrointestinal tracts, oral cavity, vagina, and various foods or soils. The most familiar examples of using LAB would be the fermented milk products, and those had become one of the favorite foods in Korea f3r more than 34 years of history. The main benefits of the fermented milk products were originally the improvement of the balance of intestinal flora to control diarrhea and congestion disorders, and gradually, they were chosen by the consumer preference of the taste. The very beginning of the fermented milk products in Korea was the Yakult type products in 1971, and it was the commencement of the solid foundation of the dairy industry and the understanding beneficial effect of probiotic yogurt. After middle of 80's, stirred type fermented milk products had been firstly produced, and it was the time that the domestic dairy industry took root in Korea. From 90's, functional fermented milk products were produced, and drink type yogurt sales a mount increased drastically, and these products began to be chosen not only with the values of nutrition but also with physiological functions. The health claims are classified into intestinal health, gastric health and hepatic health. The prospects for the Korean market are as follows; The majority of leading products would be the premium functional yogurt products as it was last year. It is because the sales of lower cost products shows slow-down, and industries tend to increase the commercial advertisements of premium functional yogurt products through mass media. These tendencies would make the market situation become more competitive.

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A Contemporary Review of The Lingualized Occlusion for Removable Prosthodontics (가철성 보철물을 위한 LINGUALIZED OCCLUSION에 관한 고찰)

  • Yoo, Jin-Ho;Lee, Won-Chul;Shin, Sang-Wan
    • Journal of Technologic Dentistry
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    • v.11 no.1
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    • pp.115-120
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    • 1989
  • Many attempts for the compfrt, esthetics and improvement of Masticatory function of the patients with removable prosthesis have been made for several decades. The search for the ideal denture occlusion has been going on in an effort to find the tooth form which provides maximum denture stability and masticatory efficiency without damaging the health of the underlying bone. For the purpose, the basic concept of lingualized occlusion were suggested by payne(1941) and pound(1973) discussed a similar occlusal concept and used term " lingualized occlusion." The purpose of this literature study is to clarify and amplify a method to achieve bilateral balanced occlusion with the occlusal arrangement termed " lingualized occlusion." Lingualized occlusion can be achieved by use of anatomic teeth for the mandibular denture. Lingualized occlusion can be used in most denture combination. It is particulary helpful when the patient places high priority on esthetics but a nonanatomic occlusal scheme is indicated by oral conditions such a severe alveolar resorption, a class II jaw relationship or displaceable supporting tissue. Advantages of lingualized occlusion are summarized as follows : 1) Most of the advantages attributed to both the anatomic and nonanatomic forms are retained. 2) Cusp form is more natural in appearance compare to nonanatomic tooth form. 3) Good pnetration of the food bolus is possible. 4) Bilateral mechanical balanced occlusion is readily obtained for a region around arotric relation. 5) Bertical forces are centralized on the mandibular teeth. Lingualized occlusion provides a useful combination of several occlusal concept. Many. advantages of anatomic and nonanatomic occlusions are accomplished but the lingualized occlusal concept is not is not a panacea, and all other procedures still must be carefully excuted.

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Association between the Number of Existing Permanent Teeth and Chronic Obstructive Pulmonary Disease (현존자연치아수와 만성폐쇄성폐질환과의 연관성)

  • Shin, Hye-Sun;Ahn, Yong-Soon;Lim, Do-Seon
    • Journal of dental hygiene science
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    • v.16 no.3
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    • pp.217-224
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    • 2016
  • The aim of this study was to evaluate whether the number of existing permanent teeth is associated with chronic obstructive pulmonary disease (COPD) in a representative sample of Korean adults. Data from 3,107 subjects who participated in the 2009 Korea National Health and Nutrition Examination Survey were examined. The dependent variable was COPD and the independent variable was the number of existing permanent teeth. Spirometry results were classified into three groups (normal pattern, restrictive pattern, and obstructive pattern) by trained technicians. We used dichotomized COPD variables (no vs. yes). The number of existing permanent teeth was evaluated by oral examination and divided into 3 groups (0~19, 20~27, and 28). Demographic factors (age group and sex group), socioeconomic status (education and income), health behaviors (smoking and drinking), oral health and behavior (frequency of toothbrushing; periodontitis; decayed, missing, filled, permanent teeth index; and denture status), and general health status (body mass index, diabetes mellitus, and hypertension) were included as confounders in the analysis. Bivariate analysis and multivariate logistic regression analyses including confounders were applied, and all analyses considered a complex sampling design. Stratified analysis was performed by smoking status. After controlling for various confounders, there was a significant association between the number of existing permanent teeth and COPD (odds ratio [OR], 1.90; 95% confidence interval [CI], 1.20~3.00 for the 20~27 group; OR, 3.93; 95% CI, 1.75~8.84 for the 0~19 group). The association was more significant in current smokers (OR, 8.90; 95% CI, 2.53~31.33). Our data indicate that the number of existing permanent teeth was independently associated with COPD, especially in current smokers. Further longitudinal research is needed to determine whether oral health promotion plays a role in the improvement of lung function and prevention of COPD.

The effects of behavior of preventive treatment on job satisfaction in dental hygienist (치과위생사의 예방처치업무행태가 직무만족에 미치는 영향)

  • So, Mi-Hyun;Kim, Sun-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.6
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    • pp.951-959
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    • 2011
  • Objectives : The author has studied the effects of behavior of preventive treatment on job satisfaction in dental hygienist. Methods : The hygienists who had worked from June 27th to August 1st in 2011 were explained about this research objectives and only the hygienists who agreed with this research participation were conducted a self-administered Questionnaire survey and the results were collected immediately. The collected questionnaire was 297, but the final 250 questionnaire were decided as a target except for the trustless ones. This analysis was extracted using SPSS(SPSS 12.0 for windows, SPSS Inc, Chicago, USA). Results : 1. Preventive treatment of dental hygienist was shown as this order - Educational needs 4.25, Importance 4.12, Usefulness 4.09, Perform 3.42. Job satisfaction was reached the moderate level. 2. Analysis of preventive treatment of hygienist was shown as this order - Basic brushing education 4.72 was ranked the highest, Taking patient history and Incremental dental health care 4.58 was held the second place. Dental caries activity tests 3.30 was shown the lowest figures. Response of preventive treatment conducting was like this order - Taking patient history 4.30, Dental prophylaxis 4.28, Basic brushing education 4.11, Incremental dental health care 4.04. Dental caries activity tests 2.05 was shown the lowest figures. 3. General characteristics in behavior of preventive treatment was resulted in this case that the respondents who have worked for less one year in current job than the ones who have worked for more than five years was shown such a low level, this was taken as a meaningful difference.(p=0.008) 4. It was shown that the higher fulfillment of preventive treatment(${\beta}$=0.340, p<0.001) and the greater earnings(${\beta}$=0.194, p=0.001) and usefulness of preventive treatment(${\beta}$=0.130, p=0.042), the higher job satisfaction. Conclusions : Considering these results, environment where the hygienists can concentrate on preventive treatment which is their proper job should be built up as soon as possible. And through this environment, the atmosphere where hygienists, as oral health professionals, can play a role to improve the oral health of the people by boosting job satisfaction should be created. Also It is thought that an institutional, actual improvement-changing the social awareness towards hygienists and dentists, the recognition of scope of the hygienists' work - should be established urgently.

Awareness and Satisfaction of Health Insurance Coverage of Dental Scaling (건강보험의 치석제거 급여 범위 확대에 대한 인식 및 만족도에 관한 연구)

  • Hwang, Youn-Jung;Cho, Young-Sik;Lee, Su-Young
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.620-627
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    • 2015
  • The purpose of this study was to identify the factors associated with medical care utilization, the level of recognition, satisfaction, revisit and recommendation after implementing the expanded health insurance coverage of dental scaling. A questionnaire survey was conducted and analyzed among 608 adults living in Seoul and Gyeonggi-do April 1st to 30th, 2014. The results of the survey are as follows: 76.9% of the respondents know the expanded health insurance coverage, which is influenced by educational background and monthly income. The level of satisfaction, revisit and recommendation intention is affected meaningfully by educational background. Two factors, high school graduate or less and dental hygienist, meaningfully affect patients' satisfaction with scaling, and recommendation from others and Internet searching contribute to revisit. High school graduate or less is also one of the factors affecting the intention of recommendation, along with recommendation from others, Internet searching, scaling by a dental hygienist, and oral hygiene education before scaling. Summing up the results, patient's satisfaction and intention to recommend are high when dental hygienists provide oral hygiene instruction prior to scaling. This study suggests that dental hygienists help patients feel comfortable before treatment by building rapport with them. In addition, it is required that consistent efforts for quality improvement in scaling be sustained, that the patient's needs be identified to increase their satisfaction with scaling, and that studies to verify relevant factors be conducted.

An improvement plan of Curriculum in Departments of Dental Technology (치기공과 교육과정의 개선방안)

  • Bae, Bong-Jin;Lee, Hwa-Sik;Park, Myung-Ho
    • Journal of Technologic Dentistry
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    • v.31 no.4
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    • pp.55-66
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    • 2009
  • This research collected the curriculum for Dental Technology from a total of 20 schools --3-year colleges and 4-year colleges-- all in Korea. And we analyzed the average credits of subjects from students. As a result of this analysis, we get the conclusion below: 1. In the arithmetic mean of the major basis subjects which graduates and undergraduates answered about each subjects; Seminar, Dental morphology I II, Dental morphology practice I II, and Dental devices & instruments don't have many credits. And averages of the major application subjects credits which are Implants(especially low), Occlusal anatomy practice I II, Dental ceramics practice I II, and Dental ceramics practice are low, mostly have a converged tendency in high points. 2. In an analysis of the correlation which is based on the major basis subjects: Dental esthetic, oral anatomy I II, Dental materal practice III, Dental casting pracedure, Oral hygiene, Health & medical law, Management administration, and Medical terminology have a meaningful difference. (${\rho}$ < 0.05) 3. In an analysis of the correlation which is based on the major application subjects; Crown and bridge prosthodontics practice IV, Complete denture prosthodontics I II III, Complete denture prosthodontics practice I II III, Dental ceramics I II, Dental ceramics practice I II, Dental ceramics practice IIII, Occlusal anatomy I II, Occlusal anatomy practice I, Operative dentistry laboratory technology I, Operative dentistry laboratory technology practice II, Dental attachment laboratory technology practice, Implants, and Dental laboratory clinical practice have meaningful difference. (${\rho}$ < 0.05) 4. In an analysis of the correlation which is based on the ratio of a theory to an actual training; 40:60(38.57%) is the highest, followed by 30:70(30.04%), 50:50(23.32%), 60:40(5.83%), and 70:30(2.24%). These have meaningful difference. (${\rho}$ < 0.05) 5. In an analysis of the correlation which is based on the distinction of sex: Partial denture prosthodontics practice I II III, Complete denture prosthodontics I II III, Complete denture prosthodontics practice I II III, Occlusal anatomy practice I II, Implants, Medical terminology have meaningful difference. (${\rho}$ < 0.05) For the purpose of training entrepreneurs of middle standing who is required by a future society, Department of Dental Technology's Curriculum need to be managed with planning a curriculum which reflects opinions of graduates, undergraduates and a society, and also are considered not focusing on a supplier but focusing on a user.

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Considerations in work years and dental institution types among some dental hygiene graduates, and ways to improve the clinical dental hygiene society (일부대학 치위생과 졸업생의 근무경력, 근무기관별 취업 시 고려사항 및 임상치위생계의 개선사항)

  • Lee, Sun-Mi;Jun, Mi-Kyoung;Lee, Jung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.3
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    • pp.311-321
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    • 2018
  • Objectives: The purpose of this study was to provide basic data on the current status and ways to improve the dental hygiene society by investigating working conditions, working experience, dental institution types among some dental hygienists, and ways to improve the dental hygiene society. Methods: This study conducted an online survey to 450 graduates of the department of dental hygiene in colleges in Gyeonggi, Jeolla and Gangwon Provinces. This study got some help in securing the list of graduates from the heads of the departments. SPSS WIN 23.0 was used to analyze the data. Results: To questions on what is the most important thing in considering to apply for jobs, the highest proportion (39.1%) of respondents designated employee welfare, followed by improvement of clinical dental hygiene (34.0%), of welfare related contents (26.0%), and salary (19.5%). In the relationship between employee welfare and dental institution type and between employee welfare and work experience, employee welfare tend to rise with the increase of work years. In the relationship between the director and staff members, it was found that as work years accumulate, the relationship tends to decrease. The dental clinic with no more than five staff members showed the best relationship between the leader and co-workers, while employee welfare was the highest in the other types of clinics, and the differences were statistically significant. Conclusions: Dental hygienists need to make various efforts to improve their statuses as professionals. In order to secure a part of professionalism, it is necessary for them to make more efforts to realize the health-care professionals being promoted by the Dental Hygienists Association of Korea.

A Survey of the State of Nutrition in Rural Korea (ll) (농촌영양실태(農村營養實態)에관(關)한 조사((調査)ll))

  • Lee, Geum-Yeong
    • Journal of Nutrition and Health
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    • v.7 no.4
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    • pp.6-11
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    • 1974
  • 1. The status of nutrition hasn't been found a great difference between the model village and the compared one, so there should be a great need of the improvement of the traditional food life which is chiefty consisted of some cereal grains and vegetables, in a Larger sense, the mixing diet would diminish the burden of stomach and help us to get high nutrition with a bit of quantify. 2. The health of the oral cavity has a close relation with that of whole body. In order to keep a good dental health, there fore, we should study and try to get more calcium in another food group except in the vegetarian diet. The pregnant women must especially have much recognition to the necessity for getting a lot of calcium. 3. It is desirable to clean our teeth three times every day after having meals for every three minutes. The habit which is called 'three three three campaign' should clearly be kept for all of us.

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Relationship between emotional labor and occupational stress of dental counselor (치과상담업무 종사자의 감정노동과 직무스트레스의 관계)

  • Kim, Gey-Pyo;Lee, Ji-Young;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.727-737
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    • 2013
  • Objectives : This study aimed to investigate the levels of emotional labor and occupational stress and their relationships in dental counselors to improve psychological health related with dental counseling. Methods : The questionnaire survey was conducted to 167 dental counselors working at dental clinics in Busan and Gyeongsangnam-do from June to August, 2012. The study used emotional labor questionnaires and Korean Occupational Job Stress Scale (Basic Version, KOSS-43) as an assessment scale. All respondents were asked to complete a self-administered questionnaire. Data analysis was performed with descriptive analysis, t-test, ANOVA, and multiple regression analysis using SAS(ver 9.2). Results : The levels of occupational stress and emotional labor in dental counselors were $47.26{\pm}8.36$ and $3.45{\pm}0.47$. Three subscales of emotional labor as frequency of emotional expression, attention of emotional expression norms and disharmony of emotion were related with occupational stress in dental counselors. The level of job stress was increased by the lower level of emotional expression and increased by the higher levels of emotional expression and disharmony of emotion. Conclusions : In addition to increasing the number of counselors, nurturing counseling workforce is essential to manage the job stress of dental counselors. Sufficient counseling with a patient in a comfortable counseling environment is important to reduce the job stress by emotional labor. Continuous service improvement through positive emotional service education is necessary to be implemented for counselors.