Objectives: The objective of the study was to investigate the use of dental hygiene devices in Korean adolescents. Methods: The study subjects were 70,362 adolescents in 800 schools who completed the 2015 Korean Youth Risk Behavior Web-based survey. Dependent variables included usage of dental floss, interdental brushes and mouthwash solutions. Independent variables included demographic characteristics of the subjects, health state and behaviors, and oral health behaviors and experience of oral diseases. Results: The related factors of usage of dental hygiene devices included gender, where females showed higher usage (OR=1.10) compared to males, father and mother's level of education where usage was higher in above university graduates (OR=1.20, OR=1.14) compared to less than high school graduation, economic status where usage was higherin high and middle (OR=1.93, OR=1.26) compared to low, vigorous physical activity where usage was higher in those who responded yes (OR=1.35) compared to no, subjective weight recognition where usage was higher in normal (OR=1.07) compared to under weight, sleep time where usage was higher in enough (OR=1.12) compared to not enough, number of toothbrushing (day) where usage was higher in 2 times or over 3 times (OR=1.35, OR=1.75) compared to below 1, oral health education experience (OR=1.10), sealant experience (OR=1.17) and scaling experience (OR=1.45) where usage was higher in those who responded yes compared to no, school where usage was lower in high school (OR=0.64) compared to middle school, residential type where usage was lower in rural area (OR=0.74) compared to metropolitan area, living form where usage was lower in other (OR=0.77), compared to with family, smoking (OR=0.93), and alcohol drinking (OR=0.90) where usage was lower in those who engage in the activities compared to those who didn't, BMI where usage was lower in normal (OR=0.87) and over weight (OR=0.98) compared to under weight. Conclusions: To expand the use of dental hygiene devices in the adolescents, it is necessary to improve the continuing education program for need and motivation of dental hygiene device usage.
The purpose of this study was to investigate the quality of life of clients who treated and equipped prosthesis in Eulji University Hospital in Dae-Jun City. The results of this study were as follows. The oral status of Female had more carious tooth than male had. Carious tooth(p<0.05) and losed tooth(p<0.001) was more popular in older female. The frequency of treated tooth was higher under 59 years old female than over 60 years old(p<0.01). In education category, carious tooth(p<0.05) and losed tooth(p<0.000) was more popular in low education than high education In the score of relation of OHIP-14 category and general characteristic, female was significantly higher than male in dysfunction( p<0.05), physical disorder(p<0.001) and activity disorder(p<0.05). The score was significantly higher in older than younger in dysfunction(p<0.05), physical disorder(p<0.001) and activity disorder(p<0.001). The score of education was significantly higher in low education group than high education group in physical pain (p<0.001), mental discomfort (p<0.001). The score of marriage status was significantly higher in marriaged group than other group in dysfunction (p<0.05) and mental discomfort (p<0.05). In the score of relation of OHIP-14 category and oral status, the score of carious tooth group was significantly higher in dysfunction(p<0.05), physical disorder(p<0.05) and activity disorder(p<0.05). The score of losed tooth group was significantly higher in dysfunction(p<0.05), physical pain (p<0.05), mental discomfort(p<0.05), physical disorder(p<0.05) and activity disorder(p<0.01). The score of non treated tooth group was significantly higher in dysfunction(p<0.05), mental discomfort(p<0.05), social disorder(p<0.05) and activity disorder(p<0.05). In the score of relation of OHIP-14 category and the sort of prosthesis, the score of being bridge group was significantly higher than being crown group in activity disorder(p<0.05). The OHIP-14 category and the number of prosthesis was not significant relationship. These results suggest that the information and services of the process of dental prosthesis based on subjective evaluation should be provided to clients rather than based on clinical evaluation. The continued system of oral management should be developed and provided.
Objectives Non-major depression with fewer symptoms than required for a Diagnostic and Statistical Manual of Mental Disorders-4th edition diagnosis of major depressive disorder (MDD) has consistently been found to be associated with functional impairment. In this study, we aim to estimate the cognitive impairment and the quality of life in elderly patients with subsyndromal depression (SSD) compared with non-depressive elderly (NDE). Methods The Korean version of Mini International Neuropsychiatric Interview was administered to 194 outpatients with depression and 108 normal controls. SSD is defined as having five or more current depressive symptoms with core depressive symptoms (depressive mood or loss of interest or pleasure) during more than half a day and more than seven days over two weeks. Depression was evaluated by the Korean form of Geriatric Depression Scale of a 15-item short version. Global cognition was assessed by Mini-Mental State Examination in the Korean version of CERAD assessment packet (MMSE-KC). Subjective cognitive impairment was assessed by the Subjective Memory Complaint Questionnaire. Quality of life was evaluated by the Korean Version of Short-Form 36-Item Health Survey. Results The mean score of the MMSE-KC in the SSD group was lower than that in the NDE group with adjustment for age, gender, and education [F = 4.270, p = 0.04, analysis of covariance (ANCOVA)]. If we defined those having Z-score of MMSE-KC < -1.5 as a high risk group of cognitive impairment, the odds ratio for the high risk group of cognitive impairment was 1.86 [95% confidence intervals (CI) 1.04-3.34] in SSD and 7.57 (95% CI 3.50-16.40) in MDD compared to NDE. The scores of physical component summary (F = 9.274, p = 0.003, ANCOVA) and mental component summary (F = 53.166, p < 0.001, ANCOVA) in the SSD group were lower than those in the NDE group with adjustment for age, gender, and education. Conclusions The subjects with SSD, as well as those with MDD, showed impairment of global cognition and also experienced low quality of life in both physical and mental aspects, compared to the NDE group.
Although the concept of the elderly varies depending on scholars and laws, as consumption expenditure is deeply associated with income due to the nature of this study, 55 years old was set as the low limit standard for the elderly according to Prohibition of Discrimination on Age in Employment and Employment Promotion for the Aged Act and the elderly households were limited to single-elderly person household and an elderly couple family household for this study. It is considered consumption characteristics as a significant analysis subject in terms of social welfare because it could be understood as an expressed need which was a reflection of desire. Therefore, the present study aimed to investigate the consumption characteristics of the elderly households by stereotyping the consumption pattern of the elderly households, and find the determining factors for consumption patterns and thus contribute to the establishment of related policies through the expressed needs of the elderly households. K-means of cluster analysis was performed by putting the consumption expenditure of the elderly households to investigate inherent structural type of consumption pattern of the elderly households, which were the investigation subjects. As a result, four groups were stereotyped and named as below: 'health care-centered type', 'saving-centered type', 'livelihood-centered type', and 'food expenses-centered type' Binary Logistic Regression analysis was used to identify the factors that influence the decision of consumption pattern of the elderly households. The result of study showed that the elderly households faced all different needs and problems and thus there is a need for various approach plans to solve this situation. In particular, although the elderly have been viewed as economically poor people so far, the study showed that there were also kind of prepared households through saving. Overall, livelihoodcentered type accounted for the highest portion and, as a factor that influenced this, marital state and household income played an important role. Therefore, it is considered that more active efforts to increase the income of the elderly households are needed. In addition, age, owning of house and subjective health state were found to also have significant influence. Through these results of the study, the elderly's own improvement of awareness on health, presentation of overall standard for health state of the elderly, securement of the elderly's access to cultural life, and financial management coordination for improvement of quality of life, development and dissemination of jobs suitable for the elderly, and dissemination of communal life household, which is a cooperation residential type, were presented as institutional task in the conclusion.
The purpose of this study is to evaluate the relationship between axial length/corneal radius ratio and refractive error for human eye. Ocular components were measured Baush & Lomb keratometer, Holden-Payor pachometer, and Stoz Compuscan. Refractive error was measured by subjective refraction. The results were as follows; 1) Spherical equivalent refractive error and axial length/corneal radius ratio was very highly correlated with the correlation coefficient for -0.89. 2) Axial length/corneal radius ratio and axial length, vitreous chamber depth were highly correlated that the correlation coefficients were 0.82, 0.80 respectively. 3) Axial length/corneal radius ratio and anterior chamber depth, corneal power, corneal radius, lens power were correlated with the correlation coefficients for 0.57, 0.40, -0.39, -0.35 respectively. 4) There were no significant correlation between axial length/corneal radius ratio and lens thickness, and corneal thickness.
Purpose: This study was designed to explore quality of life (QOL) in patients with stomach cancer by using the World Health Organization Quality of Life (WHOQOL) Instrument- Korean version. Materials and Methods: Thirty-one (31) patients with stomach cancer after curative resection were recruited with informed consent. Age- and gender-matched hospital staff served as controls. The 100-item WHOQOL Instrument, including physical domain, psychological domain, social domain, independence domain, environment domain, and spiritual domain, was employed for the all subjects. Results: In patients with stomach cancer after operation, only two domains, physical and independence, were associated with worse quality of life. In those domains, patients with advanced stage, with total gastrectomy, with adjuvant chemotherapy, and early or late postoperative period ($\leqq$2 years or >5 years after operation), could be perceived of having a worse quality of life. Conclusion: Not only scientific objective success but also individual subjective perception of condition could be important for managing patients with stomach carcinomas after curative resection. In this context, the WHOQOL reflecting multi-dimensional state of well being could be a useful tool across a variety of cultural and value systems in the world.
Kim Keum-Soon;Kang Ji-Yeon;Seo Hyun-Mi;Sohng Kyeong-Yae;Won Jong-Soon;Jeong Ihn -Sook;Chung Hae-Kyung;Kim Kyung-Hee
Journal of Korean Academy of Fundamentals of Nursing
/
v.8
no.3
/
pp.346-356
/
2001
This paper describes a Q-methodological study on the Perception of comfort in hospital in-patients. The participants completed a 37-item Q sort made up of statements which could be ranked in terms of their relevance to the subjective meaning of comfort. Three interpretable types of comfort were identified through this Q study : Type I, positive medical action style, feel secure and satisfied when medical staff show a positive attitude towards them as patients. They put a high value on prompt responses from medical staff and physical aspects of care like non-invasive procedures or comfortable position. Type II, social relation style, experience a state of comfort when they perceive support or concern from medical staff, relatives or other patients suffering from similar diseases. They feel safe and secure when medical staff are kind and have a good reputation or when the size of the hospital is big enough, Type III, emotional wellbeing style, feel that hope for a healthy life or maintaining self-care activities are highly valuable. They feel safe and comfortable when their privacy is protected. They put worth on independent thinking, strong will, and emotional or psychological comfort. The results of this study can be used as a basis to develop nursing measures for comfort. Further studies on factors which influence perception of comfort and intervention strategies according to the above types of comfort need to be done.
This study was aimed to investigate the factors influencing teacher efficacy of depression, anxiety, stress among school teachers in COVID- 19 special disaster area. The data were collected from May 9 to 16, 2020 for 123 high school teachers in D city. As a result of the study, the influential factor of teacher efficacy was satisfaction with duty (β=0.27, p=.002), economic level (β=0.18, p=.022), education (β=0.18, p=.022), subjective health state (β=0.16, p=.047), stress (β=-0.16, p=.044), gender(β=0.16, p=.042). These factors accounted for 35% in teacher efficacy. It was found that depression(β=-0.09, p=.468) and anxiety(β=-0.12, p=.320) had no significant effect on teacher efficacy. When developing a program to improve teacher efficacy, it is required to prepare measures not only to manage stress but also to improve job satisfaction.
Light is an essential environmental element for elderly people to do various activities. At senior welfare centers, healthy indoor lighting is especially necessary because the facilities are used by the elderly to perform their mostly indoor activities. The purpose of this study is to evaluate light environments at senior welfare centers for well-being lighting characteristics. We based the study on the 'Biophilia' theory, a concept related to health from happiness. Thus, this study is mainly based on literary review and survey research. For this, we conducted a location focused field study to identify the current state of the lighting environments at senior welfare centers in Busan, South Korea. First, we constructed structural questionnaire to evaluate lighting environment based on 'Light and Space' biophilia theory. Then, to survey subjective evaluation, the participant of research included total of 122 senior welfare center users. Based on the results of this research, the conclusions are as follows; 1) overall, it seems that the overall result of the light environmental evaluation seems to be high because the evaluated facilities in the case survey in large-scale were recently built elderly welfare centers. 2) most of the healing design elements are focused on the introduction of natural light and psychological influence. The satisfaction with actual natural light is evaluated to be high. Although shadow and reflected light are very important in discrimination and recognition of indoor space and wayfinding, the evaluation of reflected light and shadow was low for the study. 3) items that are related to the functionality of the light were highly evaluated, while the items that are related to the spatiality of the light were rated poorly. This study has its significance when examining the effects of light environments within the welfare center form of the perspective of senior citizens. It can be referenced when reconsidering the recognition of light environment as a major consideration factor to establish a desirable senior welfare center environment.
To estimate the effects of environmental noise on inhabitants' life in an apartment area at Taejon, noise levels and traffic volume of major roads were measured. 203 housewives were surveyed by questionaires including general factors, noise related factors and three items of life effects: subjective evaluations on the general environment, annoyance, and life disturbance due to environmental noise. At the boundary adjacent to the road with more traffic volume, noise level was higher; according to the time, the amount of noise level was in the morning, in the evening, at noon, and at night in order. Most of boundary noise levels were higher than those of recommended standard environmental noise levels in a residential area. The boundary noise level showed a very significant linear relationship with traffic volume of near roads. Noise level difference in the apartments adjacent to three roads was ranged 2.4~6.7dB between in windows open and close state. The apartments adjacent to 9 lane or 6 lane-road, which were protected by noise prevention wall and 20m or more distance from the roads, showed higher noise level at middle floors and high floors than those of low floors; but the buildings adjacent to 4 lane-road, with no protection, showed higher noise level at low and middle floors than those of high floors. Among 203 housewives, 120(59.1%) participated in this study, and 86(73.2%) of them answered that the most serious environmental noise was traffic noise from near roads. Comparing traffic noise levels with those of before-migration, 67.0% participants found the environmental noise became louder. Fifty eight(49.5%) of the participants wanted noise protection wall and 15(25.9%) of them were willing to charge the fee. Less perception on the present noise comparing to those before-migration, less traffic volume, and lower noise levels in the apartments were related to higher scores of self-evaluation on the environment. Higher susceptibility on the present noise, areas with more traffic volume, higher boundary noise levels, and higher noise levels showed higher scores of annoyance on environmental noise and life disturbance. Considering above all things, it was suggested that traffic noise in this area was the major problem of environmental noise, and its' effect was so serious that inhabitants needed some preventive measures for better life quality.
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