• 한국치위생학회지
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• 제6권4호
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• pp.263-282
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• 2006

The purpose of study was to offer devices to activate the dental health class of community health center and to evaluate the present programs and to propose adequate guidelines for future public dental health program of dental health care in health center. For this study, the mail quastionnaire survey was carried out from the 116 dental hygienists who are working in community health center. Present condition and direction of public dental health service are as follows: dentist's office was 90% by area and work department. Dental health department was equipped in 91.7% of 'public health center', but 'health branch office' was 57.9%. Dental hygienist education condition of Public health center was the most frequency in 'At large city'. 'Have no entirely' of dental health education number of times was 35.8% in 3 years. That is 44.5% in supplement insturction. Most Dental hygienist's business was most 'teeth-sealant' and 'Old man false teeth prosthetic dentistry business'. Therefor, The Obstacle factors of dental health service activity were 'manpower tribe(average 3.92)', and next 'lack of understanding and support insufficiency of law(average 3.47)'. Curriculum for educational practice should be also designed for brightening the dental health service business. The most important thing for dental health service is 'expanding and improving the facilities Legal system' and next 'Opportunity enlargement and activation that can take dental hygienist's residency'.

• 한국치위생학회지
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• 제8권3호
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• pp.1-11
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• 2008

Oral health projects that cater to the disabled should be more prevailing in order to ensure the maintenance and successful promotion of the oral health of disabled people. 70 public dental clinics that conducted oral health projects geared toward the disabled were examined to get a precise grip on their oral health projects. The findings of the study were as follows: 1. 31 out of 70 public dental clinics investigated(44.3%) were equipped with two or more dental hygienists who were professional human resources in charge of the oral health projects for the disabled. As for the age and disability type of the beneficiaries of the oral health projects, adolescents(74.3%) and people with mental retardation(87.1%) benefited most from the oral health projects. Concerning the most common implementation frequency of the projects, the projects were carried out once to three times a week(62.9%). 2. The most dominant oral disease treatment provided to disabled people was amalgam treatment and resin treatment(68.6%), which were the early dental caries treatment. The most common preventive treatment that was offered to improve their oral health was oral prophylaxis(82.9%). As for reform measures for the oral health projects, education of personnels in charge of the projects and their specialization(58.6%) were most emphasized. 3. Regarding factors related to the preventive oral health projects for the disabled, the implementation of oral prophylaxis and toothbrushing education was linked to the age of the beneficiaries. More oral prophylaxis was offered to teens, and more toothbrushing education was provided to preschoolers and adolescents. The age of the beneficiaries and the number of dental hygienists responsible for the projects had something to do with the application of fluorides. 4. Concerning the relationship of the preventive oral health projects for the disabled to the number of dental hygienists, one of the personnels in charge of the projects, the application of fluorides( 54.4%) and pit & fissure sealing(56.8%) were more prevalent when there were two or more dental hygienists. There was a statistically significant disparity in that regard(p<0.05). The above-mentioned findings illustrated that in order to boost the oral health of the disabled, dental hygienists who are responsible for the oral health projects for the disabled should put ceaseless efforts into fostering their professional knowledge and ability and offering quality service to disabled patients. Every public dental clinic should be equipped with plenty of professional personnels to enlarge the scope of treatment and ensure the efficiency of treatment and the preventive projects.

• 치위생과학회지
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• 제5권4호
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• pp.165-170
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• 2005

본 연구에서는 현행 치위생과 구강보건관리 영역 교육과정이 보건(지)소 업무 수행에 미치는 활용도를 알아보고자 하였다. 이에 치위생과 31개 대학의 구강보건관리 영역 교과목의 시간 수를 조사 분석하고, 보건(지)소에 근무하는 치과위생사 96명을 대상으로 보건소에서 구강보건교육학 및 실습, 치면세마론 및 예방치과학 실습, 공중구강보건학 실습 및 구강보건통계학 영역의 업무빈도, 교육내용의 유용성, 중요성, 강화성에 관한 설문조사를 실시하여 치위생과의 교육과정과 보건(지)소 업무 사이의 연관성을 분석하여 다음과 같은 결과를 얻었다. 1. 치위생과 교과목 관련 보건(지)소 업무로는 치면열구전색이 주 1회 이상 가장 많이 실시하고, 교육내용이 매우 유용한 것으로도 치면열구전색이라고 가장 많이 응답하였다. 매우 중요한 교육내용은 대상자별 잇솔질법, 교육내용이 더욱 강화되어야 한다고 생각하는 항목으로는 대상자별 구강보건교육이라고 가장 많이 응답하였다. 2. 업무빈도와 교육내용의 유용성과의 연관성에서, 업무빈도가 가장 높은 치면열구전색이 교육내용 중에서 가장 유용한 것으로 나타났고, 교육내용이 중요한 대상자별 잇솔질교육, 치면열구전색, 대상자별 구강보건관리는 더욱 강화되어야 한다고 나타났다. 또한 업무빈도가 높은 업무일수록 더욱 강화되어야 한다고 나타났다. 3. 구강보건교육학 및 실습 영역은 업무빈도에 비해 교육 학습시간수가 적으므로 더욱 강화되어야하고, 치면세마론 및 예방치과학 실습은 불소도포, 치면열구전색, 대상자별 구강건강관리 또한 학습시간수의 부족으로 더욱 강화되어야 한다고 나타났다.

• 치위생과학회지
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• 제20권1호
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• pp.16-24
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• 2020

Background: Dental treatment has shifted to the center of the community, and the public policy of the country has expanded to support the vulnerable classes such as the disabled. The dental profession needs education regarding oral health services for persons with disabilities, and it is necessary to derive the competencies for this. Therefore, we conducted this study to derive the normative ability to understand the role of a dental hygienist in the oral health service for persons with disabilities and improvement plans for education. Methods: We conducted a qualitative analysis for deriving competencies by analyzing the data collected through in-depth interviews with experts in order to obtain abilities through practical experience. Based on the competency criterion, relevant competency in the interview response was derived using the priori method, and it was confirmed whether the derived ability matched the ability determined by the respondent. Results: The professional conduct competencies of dental hygienists, devised by the Korean Association of Dental Hygiene, consists of professional behavior, ethical decision-making, self-assessment skills, lifelong learning, and accumulated evidence. Also, core competencies of the American Dental Education Association competencies for dental hygienist classification such as ethics, responsibility for professional actions, and critical thinking skills were used as the criterion. The dental hygienist's abilities needed for oral health care for people with disabilities, especially in the detailed abilities to fulfill these social needs, were clarified. Conclusion: To activate oral health care for people with disabilities, it is necessary for dental hygienists to fulfill their appropriate roles, and for this purpose, competency-based curriculum restructuring is indispensable. A social safety net for improving the oral health of people with disabilities can be secured by improving the required skills-based education system of dental hygienists and strengthening the related infrastructure.

• 치위생과학회지
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• 제14권4호
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• pp.488-494
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• 2014

본 연구는 경상북도 일개 도 농 복합시의 보건소에서 실시하는 노인 불소도포, 스케일링사업에 참여한 65세 이상 노인을 282명을 대상으로 하였다. 자료수집 기간은 2011년 1월부터 12월까지로 연구의 목적과 내용 및 취지를 설명하고 자발적인 연구 참여에 동의한 사람들을 대상으로 하였다. OHIP-14 설문 문항은 5점 만점으로 측정하였으며, 점수가 높을수록 구강건강 삶의 질이 낮아지는 것을 의미하며, 다음과 같은 결과를 얻었다. 1. 치아우식증 개수가 적을수록, 잔존치아 수와 일일 칫솔질 횟수가 많을수록, 의치를 장착하지 않은 그룹에서 구강건강 삶의 질이 유의하게 높았다. 2. 사회경제적 특성에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한 점수는 학력이 높을수록 적었다. 신체적 동통 점수는 나이가 많을수록, 학력이 낮을수록 더 많이 느끼고 있었다. 신체적 능력저하는 학력이 낮을수록 더 많이 느끼고 있었다. 3. 구강건강상태와 칫솔질 횟수에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한과 신체적 동통, 정신적 불편, 정신적 능력저하, 사회적 능력저하, 사회적 불리 점수는 치아우식증 개수가 많을수록 삶의 질이 낮았고, 잔존치아가 많을수록, 의치장착을 하지 않은 그룹에서 삶의 질이 좋았다. 4. 구강건강관련 삶의 질에 영향을 미치는 요인을 규명하기 위한 다중회귀분석 결과 충치의 개수와 의치장착이 유의한 변수로 나타났다. 이 연구결과 노인들의 구강건강상태의 수준과 노인들의 삶의 질이 유의한 관련성이 있는 것으로 나타났다. 구강건강 삶의 질을 유지하기 위하여 나이가 들더라도 잔존치아 수를 많이 유지할 수 있도록 하고, 필요한 경우에는 의치를 장착할 수 있도록 지원하는 것이 중요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6333-6336
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• 2012

The burden of cancer is growing globally and is one of the top leading causes of death. Information on cancer patterns are essential for effective planning of cancer control interventions. There is limited published information available on pattern of cancer for the state of Odisha, India. The present study was an attempt to explore the pattern and trend of cancer in Odisha. To fulfill the objectives retrospective data available from 2001-2011 at Acharya Harihar Regional Cancer Center (AHRCC), Cuttack, Odisha, were analyzed. Medical records of cancer patients were reviewed and relevant information on diagnosis, primary site and demographic data were retrieved. Data were entered and analyzed using SPSS 16.0 (SPSS Inc.). A total of 74,861 cancer inpatients were registered at AHRCC for the years 2001-2011. The proportion of females outnumbered males with female:male ratio 1.1:1. The number of female cases increased four folds and that of males three fold over the period studied. Malignancies such as oral cancer (16.93%), acute lymphocytic leukemia/non Hodgkins lymphoma (14.09%) and cancer of gastrointestinal tract (21.07%) are leading cancers among males and carcinomas of breast (28.94%), cervix (23.66%) and ovary (16.11%) were leading among females. Findings from this study indicate an overall increase in cancer reporting which could be regarded as proxy measure for overall cancer situation in Odisha. There is scope and need for integrating other government hospitals, existing private health service providers and research institutions across the state for better planning of cancer control program.

• 대한치과의사협회지
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• 제54권3호
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• pp.206-216
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• 2016

Objectives The aim of this study was to evaluate the antibacterial effect of xanthorrhizol (XTZ) on E. faecalis, compared with 2% chlorhexidine (CHX). Materials and Methods Normal physiological state (NS), starvation state (SS), and alkalization state (AS) of E. faecalis were used. A solution containing 1% XTZ in 30% ethanol, 1% dimethyl sulfoxide (DMSO), and 100 mg/ml sodium methyl cocoyl taurate was used and is referred to as Xan in this study. To determine the minimal bactericidal concentration (MBC) of Xan and CHX, $500{\mu}l$ of E. faecalis (NS and two stress states) was added to a microtube containing $500{\mu}l$ of serial 2-fold dilutions of 1% Xan and 2% CHX (1:2-1:128). The MBC of each antimicrobial was determined by the plate count method. Results The antibacterial effect of Xan was more effective on E. faecalis in AS than in the other states (NS, SS) at 0.125% Xan and 0.03325% Xan (P<0.05). In contrast, the antibacterial effect of CHX was more effective against E. faecalis in SS than the other states (NS, AS) at 0.0625% CHX (P<0.05). In SS, the antibacterial effect of CHX was more effective than that of Xan at 0.125% and 0.0625% (P<0.05). However, in AS, the antibacterial effect of Xan was more effective than that of CHX at 0.0625% and 0.03325% (P<0.05). Conclusions In endodontic retreatment cases in which it is important to effectively remove E. faecalis from the infected root canal, Xan may be more suitable when combined with NaOCl than CHX.

• 대한치과의사협회지
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• 제45권10호통권461호
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• pp.641-650
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• 2007

Few reports regarding the effect of government paid denture project for low-income elders evaluated by the participating dentists are available despite the project was launched in 2002. Thus, this study investigated the effect of the project evaluated by the participating dentists and suggested public health policies for the better development of the project. Survey questionnaire regarding desire to continue participation, motivation of the participation, list of complaints, wish of the payment increase, and wish of the abutment crown increase were completed by 117 dentists in Seoul and Pusan. 78.6% of them desired to continue the participation while 16.2 % of them did not. When the motivation of participation was the service for the society, they tended to show the desire of continuing participation. Half of them were satisfied with the current payment(50.4%), while the other 47.9% did not. Complicated oral health status(48.7%), poor cooperation of patients(8.5%) and too frequent after cares low payment(6.8%) were complained. Payment increase compensating the addition of preprosthetic procedures for the complicated oral health status and the after cares was desired. Also, more thorough education regarding the denture project for the patients by the public health center is needed to alleviate the inconvenience of the participating dentists.

• Asian Pacific Journal of Cancer Prevention
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• 제16권9호
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• pp.3639-3644
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• 2015

Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

• 보건행정학회지
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• 제2권2호
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• pp.131-151
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• 1992

The contents of prescription service were comparatively analysed between health centers(HC) and private clinics(PC). Medical chart review was done for 330 otu-patients diagnosed with upper respiratory tract infection(UR) of 120 adults and 90 children, and gastritis or duodenitis of 120 adults. Emphasis on comparison was the prime cost of medication which used in prescription service. The results were as follows; 1. The prime costs fro the medication per visit of HC group were significantly higher than PC group in all three diseases, and the out of pocket payments of patients per visit were significantly lower in the HC group than PC group. 2. The reason for high prime costs of medication per visit of HC in adult case of URI were due to the idverse use of medication and long prescription period per visit. And high medication costs in children cases of URI in HC group were due to the longer prescription day. In cases of gastritis, the prime cost of medication was also higher because of longer prescription period and the higher prime cost of medication. The proportions of medications for injection in the HC and PC groups showed similar features. 3. In depth analysis of the prescription services showed the differences of the contents of medication. In adults cases of URI, the averaged cost of oral medication was significantly lower in HC group, but that of medication for injection was higher in HC group. In children cases of URI, the averaged cost of oral medication and medication for injection was lower in HC group than in PC group. But in the cases of gastritis it was was higher in HC group than in PC group. The prescription periods were longer in HC group than in PC group in all three diseases. As a conclusion prime medication cost and quality of prescription services of HC group were higher than PC group. In terms of health care the cost containment and quality assurance in physician visit for common disease, public sector utilization is good option for those perspectives. But it should not be generalized unless future study about structure and outcome research for quality assurance.