• 제목/요약/키워드: Treatment status

검색결과 3,304건 처리시간 0.029초

건강 상태와 약물오남용 행위 사이에서 자기효능감의 매개효과 (Mediation Effect of Self-efficacy between Health Status and Drug Abuse Behavior)

  • 박경래;장하영
    • 한국임상약학회지
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    • 제28권3호
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    • pp.238-242
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    • 2018
  • Background: The appropriate use of drugs is very important for a healthy life, as appropriate medication must be taken correctly for successful treatment of a disease. The purpose of this study was to investigate the self-efficacy between health status and drug abuse behavior. Methods: The subjects of this study were selected from 15 workshops located in Seoul, Incheon, Daejeon, and Chungnam, and, convenience sampling was conducted for each employee between September, 2017 and October 2017. A total of 204 questionnaires were analyzed. The questions evaluated health status, self-efficacy, drug abuse behavior, and general characteristics. Results: First, there was no difference in health status according to the general characteristics of the subjects. The self-efficacy varied according to gender, educational background, and monthly income, but not by marital status and residence area. In addition, drug abuse behaviors differed according to gender, residence area, and monthly income, but not by marital status and education level. Second, drug abuse behavior negatively correlated with health status and self-efficacy. Third, regression analysis showed that the self-efficacy between the health status and drug abuse behavior had a partially mediating effect. Conclusion: In patients with poor health status, it is necessary to increase their self-efficacy to reduce reduce drug abuse. Therefore, regular education programs targeting efficacy and drug knowledge are required in the community.

한의 신의료기술 행위 동향 분석 (Study on the Present Status and Developments of New Health Technologies of Traditional Korean Medicine)

  • 한창현;박황진;이봉효;이영준;권오민
    • Korean Journal of Acupuncture
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    • 제29권2호
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    • pp.315-326
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    • 2012
  • Objectives : The new health technology assessment system was introduced in April 2007. The purpose of new health technology assessment is assessing safety and efficacy in deciding a behavior of new health technology according to the Health Insurance Act. This study aims to understand the present status of new health technologies of Korean medicine. Methods : This research introduces new health technologies and their present status, and searches for a development direction for the new health technology of Korean medicine in the future. Results : Thirty seven cases(3%) of Korean medicine doctors who utilized new health technologies application were found. In the status about new health technologies application by technologies assortment, diagnostic test techniques were used more often than treatment skills. New medical technology that included korean medicine doctor as actual user was only one item, i.e. HCV antibody test. Conclusions : In order for the new health technology of korean medicine to settle down well, continuous interest and efforts of both government and medical community are necessary.

Dental Fear Survey 척도를 이용한 치과위생사들의 치과공포감 및 관련요인 (Dental fear and related factors of dental hygienists using analysis on dental fear survey)

  • 이재라;홍선화;황갑운;김서연
    • 한국치위생학회지
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    • 제16권3호
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    • pp.347-353
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    • 2016
  • Objectives: The purpose of the study is to investigate the dental fear and related factors of dental hygienists using dental fear survey. Methods: A self-reported questionnaire was completed by 279 dental hygienists from January 15 to March 28, 2015. The study instrument was dental fear survey. Data were analyzed using SPSS 19.0 program by t-test, one way ANOVA and stepwise multiple regression analysis. The questionnaire included general characteristics of the subjects, subjective oral health status, use of dental care services, subjective oral health status, and recent dental treatment. Results: Alcohol consumption was the most influential factor to the dental fear. The subjective status of oral health and direct pain sense also contributed to the dental fear. Conclusions: To reduce the dental fear, it is important to have high confidence toward the dental treatment performance in the dental hygienists.

주관적 건강인식수준에 따른 한방의료기관 이용환자의 특성 비교 - 2011년 한방의료이용 및 한약소비실태조사(보건복지부)를 중심으로 - (Characteristics of Patients' Self-Perceived Health in Traditional Korean Medical Facilities - Based on the Ministry of Health and Welfares Report on Usage and Consumption of Korean Medicine in 2011 -)

  • 성안젤라동민;최성용;박해모;;이선동
    • 대한예방한의학회지
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    • 제19권3호
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    • pp.29-43
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    • 2015
  • Objective : The purpose of this study was to identify characteristics of patients' self-perceived health in traditional Korean medical facilities. Method : This research was conducted based on the survey on patients whom have visited traditional Korean medical facilities in 2011 by the Ministry of Health and Welfares and Korean Institute for Health and Social Affairs. Using a sample of 3,931 (1,180 male and 2,751 female) outpatients' self-perceived health based on the data from usage and consumption of Korean Medicine. 'Healthy', 'Fair', and 'Poor Health' were used to measure patients' self-perceived health status. The data was analyzed by frequency, t-test, cross correlation analysis and multiple logistics regression analysis using the SPSS program package. Results : Sex(P<0.001), age(P<0.001), marital status(P<0.001), education(P<0.001), employment status(P<0.001), occupation(P<0.001), health insurance(P<0.001) and income level(P<0.0001) showed statistical significance. Main Treatment Facilities(P<0.001), experience of taking Korean medicine(P=0.032), experience of receiving acupuncture treatment(P<0.001), number of visits(P<0.001), medical expense (P=0.005), and subjective health status after the treatments showed statistical significance for Korean herbal medicine(P=0.038), acupuncture (P=0.001), cupping therapy(P=0.006), oriental physiotherapy(P=0.003), and treatment satisfaction(P<0.001). For subjective health status based on suffering disorders in the past three months, the response of poor health was higher in the group suffering recent illnesses. Statistical significance was seen in hypertension (P=0.002), arthritis(P<0.001), lumbar pain(P<0.001), diabetes mellitus(P=0.001), stroke(P<0.001), hwa-byung (P=0.001), gastric disorders(P=0.021), common cold(P<0.001), ankle sprain(P<0.001), muscular injury(P<0.001), lumbar sprain(p=0.009) and fracture(P=0.03). Also the number of diseases during the past three months showed statistical significance(P<0.001). Statistical significance was also seen in Level of knowledge(P<0.001), route of information(P<0.001), reliability of Korean medicine(P=0.003), insurance coverage(P=0.005), medical costs(P<0.001), and future willingness to use Korean medicine(P<0.001). As a result of the multiple logistics regression analysis, risks of subjective poor health statistically increased in female population, elderlies, medicaid beneficiaries, less educated, higher medical expense, and more disorders during the past three months. Conclusion : Patients' self-perceived health status has significant differences with each variables such as sex, age, marital status, education, health insurance, medical expense, number of diseases.

Coenzyme Q10: a progress towards the treatment of neurodegenerative disease

  • Kumar, Peeyush;Kumar, Pramod;Ram, Alpana;Kuma, Mithilesh;Kumar, Rajeev
    • Advances in Traditional Medicine
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    • 제10권4호
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    • pp.239-253
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    • 2010
  • Coenzyme $Q_{10}$ ($CoQ_{10}$, or ubiquinone) is an electron carrier of the mitochondrial respiratory chain (electron transport chain) with antioxidant properties. In view of the involvement of $CoQ_{10}$ in oxidative phosphorylation and cellular antioxidant protection a deficiency in this quinone would be expected to contribute to disease pathophysiology by causing a failure in energy metabolism and antioxidant status. Indeed, a deficit in $CoQ_{10}$ status has been determined in a number of neuromuscular and neurodegenerative disorders. Primary disorders of $CoQ_{10}$ biosynthesis are potentially treatable conditions and therefore a high degree of clinical awareness about this condition is essential. A secondary loss of $CoQ_{10}$ status following HMG-CoA reductase inhibitor (statins) treatment has been implicated in the pathophysiology of the myotoxicity associated with this pharmacotherapy. $CoQ_{10}$ and its analogue, idebenone, have been widely used in the treatment of neurodegenerative and neuromuscular disorders. These compounds could potentially play a role in the treatment of mitochondrial disorders, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, Friedreich's ataxia, and other conditions which have been linked to mitochondrial dysfunction. This article reviews the physiological roles of $CoQ_{10}$, as well as the rationale and the role in clinical practice of $CoQ_{10}$ supplementation in different neurological diseases, from primary $CoQ_{10}$ deficiency to neurodegenerative disorders. These will help in future for treatment of patients suffering from neurodegenerative disease.

PCA를 이용한 하폐수처리시설 운전상태진단 (Operation diagnostic based on PCA for wastewater treatment)

  • 전병희;박장환;전명근
    • 한국지능시스템학회논문지
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    • 제16권3호
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    • pp.383-388
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    • 2006
  • 축산폐수는 축사가 대부분 상수원보다 상류지역에 산재하고 있어 이를 효과적으로 관리하기 어려우나, 연속 회분식 반응기(Sequencing Batch Reactor, SBR)는 장치가 간단하고 경제성이 우수하여 축산폐수처리에서 효율적으로 적용될 수 있다. 본 연구에서는 DO(Dissolved Oxygen)과 ORP(Oxidation-Reduction Potential)을 이용하여 지식기반 고장진단 시스템을 제안하였다. 실시간으로 얻어진 ORP, DO값들을 전처리하여, [ORP], [DO]외에 [ORP DO]합성data와 ORP, DO의 특징벡터의 합에서 얻어진 fusion data의 총 4개의 data set을 이용하여 각각에 대한 진단과 분류성능을 검토하였다. 이 값을 이용하여 FCM (fuzzy C-mean) 클러스터링 한 후, K-PCA과 LDA로 차원축소시켜 특징벡터를 추출하였다. 그리고 Hamming distance로 test data와 특징벡터의 거리를 계산하여 각 class를 F1에서 F8까지 분류하였다. 그 결과 데이터를 그대로 이용하는 것 보다 차분데이터형태로 이용하는 것이 우수했으며 그 중 fusion 데이터의 결과가 다른 것들보다 향상된 결과를 보였다. 그리고 K-PCA와 LDA를 결합한 결과가 다른 방법에 비해 우수한 결과를 보였으며 fusion method를 이용한 최고인식율은 98.02%를 나타내었다.

Retrospective analysis of the effects of non-communicable diseases on periodontitis treatment outcomes

  • Kim, Eun-Kyung;Kim, Hyun-Joo;Lee, Ju-Youn;Park, Hae-Ryoun;Cho, Youngseuk;Noh, Yunhwan;Joo, Ji-Young
    • Journal of Periodontal and Implant Science
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    • 제52권3호
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    • pp.183-193
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    • 2022
  • Purpose: We retrospectively analysed patients' dental and periodontal status according to the presence of non-communicable diseases (NCDs) and the effects of NCDs on periodontal treatment outcomes. Factors influencing disease recurrence were investigated using decision tree analysis. Methods: We analysed the records of patients who visited the Department of Periodontology, Pusan National University Dental Hospital from June 2014 to October 2019. As baseline subjects, 1,362 patients with periodontitis and who underwent full-mouth periodontal examinations before periodontal treatment were selected. Among them, 321 patients who underwent periodontal examinations after the completion of periodontal treatment and 143 who continued to participate in regular maintenance were followed-up. Results: Forty-three percent of patients had a NCD. Patients without NCDs had more residual teeth and lower sum of the number of total decayed, missing, filled teeths (DMFT) scores. There was no difference in periodontal status according to NCD status. Patients with a NCD showed significant changes in the plaque index after periodontal treatment. The decision tree model analysis demonstrated that osteoporosis affected the recurrence of periodontitis. Conclusions: The number of residual teeth and DMFT index differed according to the presence of NCDs. Patients with osteoporosis require particular attention to prevent periodontitis recurrence.

개인하수처리시설 운영 및 실태 연구 (Study on the Operation and Status of Private Sewage Treatment Facilities)

  • 이장훈;신현곤
    • 유기물자원화
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    • 제28권2호
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    • pp.31-40
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    • 2020
  • 국내 개인하수처리시설은 불량제품의 유통과 부실시공의 우려가 끊이지 않아 오수처리시설의 계획 및 설계에 적용 가능한 단위공정별로 최소한의 기준은 필요할 것으로 판단된다. 본 연구에서 살펴본 운영실태 분석결과의 문제점 및 필요사항은 1) 개인하수처리시설 관리감독자의 교육 강화, 2) 오수처리시설 운영관리 미흡, 3) 하수처리구역 외 2 ㎥/day 미만 시설의 오수처리시설 의무화 검토, 4) 음식점 오수처리시설에 대한 관리방안 필요, 5) 기술검토결과 부적정 시설에 대한 개선안 마련이 필요하다. 또한 국내·외 개인하수처리시설 관련 지침 및 자료 등을 조사·분석하여 설계·시공 및 유지관리 가이드북을 마련할 필요성이 요구된다.

A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea

  • Seok, Ujeong;Ji, Sangeun;Yoo, Seunghoon;Kim, Jongsoo;Kim, Seungoh;Kim, Jongbin
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제16권2호
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    • pp.123-129
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    • 2016
  • Background: The objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation at Chungnam Dental Clinic for the Disabled in Korea from its inception to the present time, and to review the analysis results. Methods: Retrospective analysis was performed on 305 cases of patients who had received dental treatments under IV sedation between January 2011 and May 2016. The analysis examined the patient's sex, age, primary reason for IV sedation, duration of anesthesia and dental treatment, type of dental treatment performed, number of clinical departments involved in the dental treatment and level of multidisciplinary cooperation, and annual trends. Results: Most dental treatments using intravenous sedation were performed on medically disabled patients or dentally disabled patients with an extreme gag reflex or dental phobia. The mean duration of IV sedation was 72.5 min, while the mean duration of treatment was 58.0 min. The types of dental treatments included surgical treatment (n = 209), periodontal treatment (n = 28), prosthodontic treatment (n = 28), restorative treatment (n = 23), implant surgery (n = 22), endodontic treatment (n = 9), reduction of temporomandibular joint dislocation (n = 1), and treatment of traumatic injuries (n = 1), with treatments mostly performed on adult patients. Conclusions: With increasing demand for minimally painful treatment, cases using IV sedation are on an upward trend and are expected to continue to increase.

치과내원 환자들의 구강건강상태와 구강건강관리 행태에 따른 삶의 질 (Relationship of Oral Health Status and Oral Health Care to the Quality of Life in Patients of Dental Hospitals and Clinics)

  • 윤현서
    • 치위생과학회지
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    • 제15권5호
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    • pp.594-602
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    • 2015
  • 본 연구는 구강건강상태와 구강건강관리 행태에 따른 삶의 질을 측정하기 위하여 2013년 3월부터 7개월간 일부지역의 치과병 의원에 내원한 환자를 대상으로 구강검사 및 설문조사를 실시하여 최종 384명을 분석하였다. OHIP-14는 일반진료를 받은 환자에서 가장 높았고, 하위영역으로 기능제한 교정치료 8.27점, 신체적 동통 7.24점, 정신적 불편감 7.90점, 신체적 능력저하 7.79점, 정신적 능력저하 8.14점, 사회적 능력저하 8.24점 모두 일반진료에서 높았고, 사회적 불리에서는 교정치료(8.78)점으로 통계적으로 유의한 차이를 보였다. 성별에서는 모두 남자에서 높았고, 연령에서는 연령이 증가할수록 삶의 질이 나빠졌으며, 직업은 주부에서 대부분 낮게 나타났고, 전신질환이 없는 경우 삶의 질이 높게 유의한 차이를 보였다. 구강건강관리 행태에서는 정기검진을 받지 않고, 통증 시 치과내원이 가능한 경우 삶의 질이 높게 유의한 차이를 보였다. 구강건강상태에서는 실란트 시술을 받은 치아, 충전치료를 받은 치아와 상실치아, 보철치료를 받은 치아, 임플란트 식립 치아가 없는 경우 삶의 질이 높은 것으로 나타났다. 이상의 결과에서 개인의 삶의 질에 영향을 향상시키기 위해서는 개인의 구강건강관리 시스템구축뿐만 아니라 사회적으로도 예방진료와 구강보건교육을 바탕으로 관리시스템을 구축하여 자연치아를 오래 보존 하여야 할 것이다. 또한 이를 기초로 하여 삶의 질을 향상하기 위한 끊임없는 노력과 연구들이 이루어져야 하리라 생각된다.