• 한국치위생학회지
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• 제8권4호
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• pp.65-77
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• 2008

The purpose of this study was to offer basic data in order to make it possible for becoming the mentally more matured dental hygienist by being aware of stress factors on employment in preliminary dental hygienists and examining a coping plan according to it. The self-administered questionnaire research was carried out targeting Dental Hygiene Students at 4 colleges in metropolitan area for 1 month from October to November in 2007. Totally 209 questionnaires were collected. Among them, 206 copies were analyzed with methods in frequency analysis, correlation analysis, and ANOVA analysis by using SPSS WIN10.0 statistical program. As a result, the following conclusions were obtained. 1. 84.5% out of subjects were the active students. 95.2% and over 95.6%, respectively, were surveyed to be more than 'moderate' as for the academic achievement level and the satisfaction with college life. 2. the majority in the survey subjects were researched to receive high stress as for 'a guiding professor doesn't lead and have interest in my employment, thereby being disappointing' and 'failing to be employed is likely to lead to hurting pride so much'. 3. a coping type with stress in the survey subjects was researched to select a coping plan much as for 'sincerely hoping for the work to be well done', 'going out for a change', 'establishing a few countermeasures for solving a problem', 'overeating', and 'waiting while thinking it to be solved some time.' 4. most of stress factors had high correlation with a coping type with saying of 'trying to be alone as a whole', and had high correlation with 'failing to be employed is likely to lead to hurting pride so much' and 'overeating'. Even additionally, it was surveyed to have high correlation with 'smoking' and 'depending on the past experience'.

• 대한간호학회지
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• 제24권2호
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• pp.278-302
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• 1994

This article reviewed and analyzed 39 studies on self efficacy theory applied to health related behavior. The following analysis was done : 1) study subjects 2) measurement tools 3) analysis according to the type of research design(intervention re-search, explanatory research). Some findings are summarized as follows : The study subjects were both healthy people in various developmental stages and patients with various illnesses. The health related behaviors examined in the studies were also various including exercise, smoking cessation, self care behaviors, etc. The measurement of self efficacy was done with specific tools in most studies. In the tools, activities that measured the health behavior domain were listed according to increasing difficulty or contexual arrangement or in combination of both of them The analysis of 17 intervention research studies showed that generally the intervention program increased the self efficacy level of subjects and then the increased strongly self efficacy influenced behavioral changes. Most studies used more than one intervention method for increasing the self efficacy level. these were derived from sources of self efficacy suggested by Bandura. The analysis of 21 explanatory research studies showed that self efficacy strongly influenced behavior change and persistence. The major independent variable to affect the self efficacy was performance accomplishment in the past. Self efficacy explained more of the variance in health related behavior when it was applied with the variables in the health belief model, health promotion model, and reasoned action theory. On the basis of the above findings, the following suggestions are made : 1. For a desirable research design, self efficacy should be the intervening variable. That is, desirable designs would include intervention-self efficacy-behavior in intervention research studies and antecedent-self efficacy-behavior in explanatory research studies. 2. More prospective, longitudinal studies are needed to test the effect of self efficacy on persistence in health related behavior. 3. Studies comparing the effects of intervention methods are needed for each health related behavior, subject group, and context. 4. It is necessary to develop a reliable, valid measurement tool for self efficacy for each health related behavior. 5. Studies to differenciate the effect of self efficacy from that of outcome expectation on the health related behavior are necessary. 6. The antecedents of self efficacy should be investigated further.

• 융합정보논문지
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• 제8권2호
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• pp.1-9
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• 2018

이 연구는 노인의 자살생각 예측 요인을 파악하기 위한 서술적조사 연구이다. 노인대학, 노인종합복지관, 경로당을 이용하고 있는 노인 359명을 대상으로 분석하였으며 분석결과, 사회적 지지 평균 3.35점, 자아존중감 평균 3.38점, 우울 평균 8.64점, 자살생각 평균 1.65점이며, 연령, 교육정도, 배우자유무, 동거형태, 의료보장형태, 용돈, 과거직업유무, 여가활동, 건강상태, 만성질환 수, 흡연유무에서 자살생각과 유의한 관련을 보였다. 사회적 지지와 자아존중감이 낮을수록, 우울이 높을수록 자살 생각이 높게 나타났다. 자살생각의 예측요인을 분석하기 위해 다중회귀분석 결과, 자살생각을 설명하는 주요변수는 타인지지, 자아존중감, 용돈, 학력, 연령으로 나타났고, 자살생각을 48.2% 설명하였으며 이 중에서 타인지지의 설명력이 41.8%로 가장 높았다. 사회적 지지와 자아존중감을 증진하고, 우울을 감소시킬 수 있는 노인의 자살예방통합프로그램 개발의 기초자료로 사용될 것을 기대한다.

• 대한지역사회영양학회지
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• 제5권2호
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• pp.185-192
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• 2000

As the percentage of the elderly in the population increases, research to identify the nutritional and health status of the elderly, to understand the factors influencing on them, and to delay aging have been done actively. It is necessary for these studies to be longitudinal. This study was carried out to assess the change of health-related habits such as dietary behaviors and smoking, alcohol drinking and exercising habit, and health status between previous study(1991/1994) and post study(1998) for middle-aged men and women living in Chonju. For the present study, the data of 63 pairs(23 men and 40 women) were analyzed. They were 11 men and 12 women followed up from 82 men and 100 women surveyed in 1994. Mean ages in the 1991/4 and 1998 studies were 53.6y(range 42-63y) and 59.0y(range 46-72y) respectively. The survey was conducted with interview using a questionnaire including dietary behaviors and health-related habits, and anthropometric measurement and blood test for analyzing biochemical indices in 1991/4 and 1998. To understand these changes over time, $\chi$$^2$-statistics, t-test and paired t-test were analyzed with an SAS package program. As people age, there were significantly decreases in the proportions to eat lightly salted foods and drink alcohol. Significant longitudinal increases in triceps skin fold thickness, ${\gamma}$-GPT and HDL-cholesterol and significant decrease in hemoglobin value were noted over time in both men and women. In addition a significant decrease in blood glucose level was noted over time in women. Weight, blood glucose and total cholesterol increased significantly with age in those had had breakfast regularly or those had not used more slat at the table in the past. From this study, were found out the subjects of this study had relatively desirable health-related habits. But as improper health-related habits are likely to result in inappropriate health status(eg, increase in WHR, triglyceride, total cholesterol and LDL-cholesterol), it is recommended that nutrition education in necessary as soon as possible to meet the health elderly.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권2호
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• pp.83-90
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• 2019

Objectives: This study evaluated the predictive factors for survival of patients with oral squamous cell carcinoma (OSCC) and investigated the overall and disease-specific survival (DSS) outcomes. Materials and Methods: A total of 67 consecutive patients who underwent surgery for OSCC from January 2006 to November 2014 were included in this study. Patients were classified according to age, sex, pTNM stages, primary sites, smoking and alcohol drinking habits, depth of invasion, perineural and lymphovascular invasion, cell differentiation and postoperative radiotherapy. Kaplan-Meier methods were used to estimate the survival categorized by patient groups. Cox regression methods were used to investigate the main independent predictors of survival. Results: Nineteen patients died of OSCC during follow-up periods. Another five patients died of other diseases including lung adenocarcinoma (n=1), cerebral infarction (n=1), general weakness (n=2), and pneumonia (n=1). The tongue (n=16) was the most common site for primary origin, followed by buccal mucosa (n=15), mandibular gingiva (n=15), maxillary gingiva (n=9), floor of mouth (n=9), retromolar trigone (n=2), and palate (n=1). Eleven patients had pTNM stage I disease, followed by stage II (n=22) and stage IV (n=34). No patients had pTNM stage III disease in this study. The overall survival of all patients was 64.2% and the DSS was 71.6%. DSS of patients with stage I and II disease was 100%. Stepwise Cox regression showed the two predictors for DSS were pTNM stage (P<0.0001, odds ratio=19.633) and presence of metastatic lymph nodes (P=0.0004, odds ratio=0.1039). Conclusion: OSCC has been associated with poor prognosis; however, there were improved survival outcomes compared with past studies. Advanced-stage disease and presence of metastatic lymph nodes were associated with poorer survival compared with early-stage OSCC and absence of neck node metastasis. Stage I and II OSCC were associated with excellent survival results in this study.

• 동서간호학연구지
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• 제25권1호
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• pp.17-25
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• 2019

Purpose: This study investigated the factors influencing sleep quality in adults according to age groups. The escriptive study was conducted in metropolitan areas of South Korea to control for possible sleep differences between adults living in rural areas and those living in cities. Participants were 450 adults between 19 and 65 years old. Methods: Self-administered questionnaires consisting of including the Korean Modified Sleep Leeds Evaluation Questionnaire, the International Physical Activity Questionnaire and the Perceived Stress Scale were used to assess the quality of adults' sleep. Results: Sleep quality was poor across the all age groups Stress and subjective health status were influencing factors of sleep quality among participants in their 20s; subjective health status and circadian rhythm (evening-type) were influencing factors of those in their 30s; subjective health status, alcohol consumption, and work days of less than 8 hours were influencing factors among participants in their 40s; and stress, circadian rhythm (evening-type), subjective health status, work days of over 11 hours, past smoking habit, and light physical activity were influencing factors of those aged 50 years and over. Conclusion: The quality of sleep was low across the all adult age groups in South Korea. Although the factors influencing quality of sleep differed by age groups, they in general indicate the need to focus on maintaining and controlling health status in sleep interventions.

• 구강생물연구
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• 제42권4호
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• pp.222-227
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• 2018

The purpose of this study was to determine the cause and risk factors of removing bone plateby investigating and analyzing 359 patients who underwent reduction of fracture or orthognathic surgery with bone plate insertion over the past 3 years. Patients were evaluated with respect to age, smoking status, reason for insertion of plates, the numbers of inserted plates, sites of insertion, time between insertion and removal, reasons for removal of plates. The removal rate of bone plates was 33.1%. Of these, 17.0% of patients had clinical symptoms which led to remove plates. The removal rate of men was 29.9% and the rate of women was 39.2%. There were high removal rates from less than 20s (45.8%) and 20s (34.4%) those who are relatively young age group. On the other hand people in their 50s had a removal rate of 27.8% which was higher than those in their 60s with a rate of 20.7%. The removal rate of bone plate inserted into the mandible was 33.5%, and the removal rate of bone plate inserted into the maxilla was 34.7%. The mean period between the insertion and removal of bone plate was 10.9 months. The main reason for the removal of bone plate was the patient's requirement (44.5%). The most common cause of clinical symptoms was infection (22.7%). Infection was manifested within about a year and led to the plate being removed. Therefore, lowering the possibility of infection after surgery could decrease the removal rate of bone plate.

• 의학교육논단
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• 제24권3호
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• pp.205-214
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• 2022

The purpose of this study was to analyze the results of a study on the psychological state, lifestyle, self-management ability, and academic adaptation of medical students, and to present examples of improvement of a student support center based on the results. A medical school in Daegu has been surveying the living conditions of students every year for 6 years since 2016. More than 60% of medical students experienced depression and more than 70% experienced stress, but these rates have significantly improved over the past 5 years. There were many cases of drinking or smoking to relieve stress, but the frequency of drinking recently decreased substantially. Some students had difficulties in emotional regulation (11.5%) and time management (16.6%), and challenges in planning and self-management increased significantly during the coronavirus disease 2019 (COVID-19) pandemic. The satisfaction and adaptability of medical students are high, but the number of students who are not satisfied with but negative response rate is 2%-3% in every year. However, satisfaction has significantly increased in tandem with curriculum changes and COVID-19. Based on these data, the counseling system was reorganized to support psychological stability, the medical humanities curriculum was improved, and changes in actual quality of life were induced by developing and operating non-curricular programs. Furthermore, standardized questionnaires will be developed and data from many medical schools will be shared, which is expected to support medical students more effectively.

• 대한두개안면성형외과학회지
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• 제24권3호
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• pp.117-123
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• 2023

Background: Midfacial fractures frequently involve the maxillary sinus, leading to maxillary sinus pathology. We aimed to examine the incidence and contributing factors of maxillary sinus pathology in patients who underwent open reduction and internal fixation (ORIF) for midfacial fractures. Methods: A retrospective analysis was conducted on patients who underwent ORIF for midfacial fractures at our department over the past 10 years. The incidence of maxillary sinus pathology was identified clinically and/or by computed tomography findings. Factors that significantly influenced the groups with and without maxillary sinus pathology were examined. Results: The incidence of maxillary sinus pathology in patients who underwent ORIF for midfacial fractures was found to be 11.27%, with sinusitis being the most common pathology. Maxillary sinus pathology was significantly associated with the presence of a blowout fracture involving both the medial and the inferior orbital walls. Factors such as sex, age, diabetes mellitus, hypertension, smoking, inflammatory disease, follow-up period, use of absorbable plates, and use of titanium plates did not have a significant impact on the development of maxillary sinus pathology. Conclusion: The incidence of maxillary sinus pathology in patients who underwent ORIF for midfacial fractures was relatively low, and in most cases, it resolved without the need for specific treatment. Consequently, there may not be a significant need for concern regarding postoperative maxillary sinus pathology.

• 산업융합연구
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• 제21권11호
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• pp.147-154
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• 2023

이 연구는 청소년의 일반적 특성과 정신건강에 대한 조사를 통해 만취경험과의 관계를 파악하고, 이를 향후 음주 예방프로그램의 기초자료로 활용하고자 수행되었다. 연구에서는 제18차 청소년건강행태조사(2022년)의 원시자료를 사용하였으며, 최근 30일 동안 만취한 경험이 있는 530명을 대상으로 연구가 진행되었다. 가중치를 적용한 복합표본 분석 방법을 적용하여 빈도분석, 교차분석, 로지스틱 회귀분석을 사용하여 자료를 분석하였다. 연구 결과에 따르면 만취경험은 성별, 학업성적, 경제 상태, 성관계 경험, 흡연 등에 통계적으로 유의한 차이가 있었다. 또한, 정신건강 특성 중 스트레스 인지, 우울, 외로움, 자살생각, 자살계획, 자살시도 등이 만취경험에 영향을 미치는 것으로 나타났다. 이러한 결과는 청소년의 정신적, 신체적 건강을 고려할 때 음주 습관에 대한 예방프로그램의 필요성을 강조한다. 특히, 정신건강과 음주 간의 관련성을 고려하여 프로그램을 개발하고 이를 통해 청소년기에 건강한 생활습관을 형성하는 데 도움을 줄 수 있다.