• 한국치위생학회지
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• 제11권4호
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• pp.511-522
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• 2011

Objectives : The purpose of this study was to provide some information on the development of oral health care programs geared toward diabetics and ways of promoting their oral health. Methods : The subjects in this study were 586 diabetics who were selected from the 2009 third-year raw data of the 4th(2007~2009) National Health & Nutrition Survey. The data were analyzed with the statistical package SPSS 12.0 to grasp the influence of their sociodemographic characteristics and oral health behaviors on the presence or absence of periodontal diseases and missing tooth. Results : 1. Periodontal diseases were twofold more prevalent among the men than the women(p<0.01). By age, those who were in their 60s had 1.11-fold more periodontal diseases than those who were in their 70s and up(p<0.05). 2. The men and women were similar to each other in the number of missing tooth. By age, the number of missing tooth got smaller in proportion to decrease in age. By income, the number of missing tooth was 1.48-fold larger among the patients who earned an income of one million won or less than those who earned an income of two million won or more(p<0.01). Conclusions : The above-mentioned findings suggest that prospective cohort studies should be implemented to present prediction models of periodontal diseases and diabetes instead of merely sticking to cross-sectional studies. And oral health programs should be developed based on the findings of cohort studies to encourage diabetics to care about their oral health, and in which way they should be helped to promote their oral health should carefully be considered.

• 한국보건간호학회지
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• 제31권2호
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• pp.327-340
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• 2017

Purpose: The aim of this study was to identify the barriers to promoting physical activity among obese children from low-income families using community child care (CCC) centers. Methods: This study employed an exploratory-descriptive qualitative research using focus group interviews. The participants were recruited from CCC centers, and 4 focus group interviews were conducted with 10 overweight and obese children and 14 primary caregivers. All interviews were recorded and transcribed verbatim. The data were analyzed using content analysis. Results: The barriers to promoting physical activity were classified into three areas: 1) individual, a lack of will for physical activity; 2) interpersonal, a change in communicative mean with the peer group, absence of parental monitoring due to work-family balance, and an absence of consistent rules; and 3) organizational, lack of physical activity programs and human resources, and confined space for physical activity. Conclusion: The physical activity of children in low-income families is influenced by a range of ecological barriers. These findings can be used to develop tailored intervention to prevent and manage childhood obesity in low-income children.

• 대한방사선기술학회지:방사선기술과학
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• 제43권2호
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• pp.87-96
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• 2020

This study examined the hygiene management of ultrasound probes by examining the cleaning tools for hygiene management of ultrasound probes, the presence or absence of wearing glove as a personal protective equipment, and the awareness of ultrasound probe hygiene. Parts 154 questionnaire about people working in the ultrasound room were surveyed and analyzed. The single gel removal tool of the ultrasound probe was most frequently used with a 48.7% cotton towel, and for double gel removal tools, the first gel removal tool was 42.4% cotton towel and the second gel removal tool was used with 57.6% wet tissue. Antimicrobial wipes were the most commonly used drug and instrument used in ultrasound hygiene management at 58.4%. According to the survey of the presence or absence of wearing glove during ultrasound examination, 46.8% were found to be unworn. When examining the intracavity ultrasound, 30.9% of those who do not wear glove and 61.0% of hygiene awareness of ultrasound probes are 'normal'. According to age, ultrasound probe gel removal tool was not significant difference(p>0.05). According to the working organization and the working department, it was significant difference to wearing gloves during ultrasound examination(p<0.05). Therefore, in order to properly sanitize the ultrasound probe, it is considered that a guideline for hygiene management of the ultrasound probe that fits the situation in Korea is necessary, and it is considered that thorough hygiene management training for inspector is necessary for efficient hygiene management of the ultrasound probe.

• 한국치위생학회지
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• 제9권4호
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• pp.784-794
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• 2009

Objectives : This study was to prepare basic data about middle and high school students' school loss due to oral diseasea and to investigate the relevant factors. Methods : The survey is conducted for 575 middle school students in Busan and Gyeongnam. School loss was investigated based on the experiences of absences and leaving school early, which had happened from oral diseasea. The independent variables were oral health behaviors and sociopeconomic factors such as sex, age of their parents, educational level of their parents, family income. Factors related with school loss was analyzed by the multiple logistic regression method. Results : The experience ratio of leaving school early to the dental clinic or having difficulty in studying was higher in the case of high school student than in middle school student case. The parameters related with absence or leaving school early for oral disease were the education level, the distinction of sex, fear about medical examination and the standard of living. The reasons of absence or leaving early for visiting the dental clinic were related with education level, the distinction of sex, fear about medical examination, distrust of oral care and the satisfaction of oral health. The parameters having effect on school performance were education level, sex, fear about medical examination, distrust of oral care, cost burden, interests in oral health by the parents and school record. Conclusions : The oral health promotion should be developed to decrease school loss for students.

• Tuberculosis and Respiratory Diseases
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• 제54권6호
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• pp.628-634
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• 2003

기관지확장증은 일반적으로 원인을 찾기 위한 광범위한 조사없이 증상적 치료를 하는 경우가 많으나 기관지확장증을 유발할 수 있는 원인을 아는 경우 특별한 치료 방침을 정할 수도 있다. X연관 무감마글로불린혈증은 세포질 내 X 염색체에 존재하는 Bruton's tyrosine kinase (Btk) 유전자의 돌연변이에 의해 성숙 B 림프구가 분화하지 못하여 발생하는 체액성 면역결핍질환으로 반복적인 호흡기감염을 통해 기관지확장증을 유발한다. 이는 드문 유전적 질환으로 조기 발견과 주기적인 면역글로불린 치료가 중요하다. 저자들은 반복적인 감염의 과거력과 함께 미만성 기관지확장증을 가진 성인 남성에서 BTK 유전자의 돌연변이를 확인하여 X연관 무감마글로불린혈증을 진단하고 치료한 사례를 경험하여 이를 보고하는 바이다.

• 한국치위생학회지
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• 제22권3호
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• pp.161-170
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• 2022

Objectives: This study aims to conduct in-depth research on the effect of non-surgical periodontal therapy (NSPT) with the application of a comprehensive dental hygiene care (CDHC) process, and provide basic data for the wide application of CDHC. Methods: From May 8, 2021 to September 24, 2021, mixed-methods research was conducted in 36 patients with periodontal diseases. A paired samples t-test was used to analyze the quantitative research data using IBM SPSS program(ver. 22.0; IBM Corp., Armonk, NY, USA) and qualitative research data were analyzed using the thematic analysis method. Results: With NSPT applying the CDHC process, the perception of periodontal health and self-efficacy of periodontal healthcare were increased (p<0.001). Presence of gingivitis, probing pocket depth, bleeding on probing rate, presence of subgingival calculus, and dental plaque index were reduced (p<0.001). Based on 195 meaningful statements, 26 concepts, 12 sub-themes, and 5 themes , , , and were drawn. Conclusions: The perception of periodontal health and the self-efficacy were improved, and substantial change in the clinical index. The CDHC application allowed the study participants to perceive the importance of dental care and professionalism of dental hygienists.

• Perspectives in Nursing Science
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• 제14권1호
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• pp.37-44
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• 2017

Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.3363-3368
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• 2013

Background: The burden due to cancers is an emerging public health concern especially in resource-limited countries like Nigeria. The WHO estimates that cancer kills more people than tuberculosis, HIV/AIDS and malaria combined. As people in Nigeria and other developing countries are beginning to survive infectious diseases, there is an observed epidemiologic transition to chronic diseases, such as cancers. In 2008, 75 out of 1,000 Nigerians died of cancer. Despite the rising incidence and public health importance, Nigeria lacks an organized and comprehensive strategy to deal with cancers. Materials and Methods: This article reviewed 30 peer-reviewed manuscripts on cancer care in four countries. It highlights the limitations to cancer care in Nigeria; due to lack of awareness, low health literacy, absence of organized screening programs, inadequate manpower (in terms of quality and quantity) as well as limited treatment options. Results: This review led to the formulation of a proposal for Nigerian National Cancer Policy, mainly drawn from effective strategies used in Canada, Brazil and Kenya. This is a vertical cancer program that is patient-centered with an emphasis on tobacco control and cancer disease screening (similar to Canada and Brazil). Additionally, it emphasizes primary cancer prevention (similar to Kenya). Its horizontal integration with other disease programs like HIV/AIDS will improve affordability in a poor resourced country like Nigeria. Capacity building for health professionals, hub-and-spoke implementation of screening services, as well as investment in effective treatment options and increased research in cancer care are essential. International 'twinning collaborations' between institutions in richer countries and Nigeria will enhance effective knowledge translation and improve the quality of patient care. Conclusions: A national cancer policy must be developed and implemented in Nigeria in order to overcome the present limitations which help contribute to the observed increases in cancer morbidity and mortality rates. Cancer control is feasible in Nigeria if the nation was to consider and employ some of the cost-effective strategies proposed here.

• 의료법학
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• 제8권1호
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• pp.179-211
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• 2007

To succeed the claim of medical malpractice litigation, the patient as a plaintiff should establish the medical fault of a physician as a defendant, and the causation between the fault and damages. Because of the extraordinary nature of medical province, however, this application of a legal principles is rigorous with the patient. In addition, given the causation between the validation of physician's fault and damage is not attested, patient is not awarded anything. In order to overcome a difficulty of patient's verification and ensure the right to fair process, it was demonstrated the lightening of burden of proof in medical malpractice litigation and the acceptance of the responsibility for an illegal act in a prescribed range in the absence of the causation between the physician's fault and damage. This paper deals with the judgement of causation and burden of proof in medical malpractice litigation, and the acceptance of responsibility in the absence of the causation between the physician's fault and damage. Also, this study recommends a tendency of our precedent through the comparative case method of ours and Japan.

• 한국보육지원학회지
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• 제20권2호
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• pp.127-143
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• 2024

Objective: The purpose of this study is to develop a machine learning model to predict the subsequent childbirth intention of married women with one child, aiming to address the low birth rate problem in Korea, This will be achieved by utilizing data from the 2021 Family and Childbirth Survey conducted by the Korea Institute for Health and Social Affairs. Methods: A prediction model was developed using the Random Forest algorithm to predict the subsequent childbirth intention of married women with one child. This algorithm was chosen for its advantages in prediction and generalization, and its performance was evaluated. Results: The significance of variables influencing the Random Forest prediction model was confirmed. With the exception of the presence or absence of leave before and after childbirth, most variables contributed to predicting the intention to have subsequent childbirth. Notably, variables such as the mother's age, number of children planned at the time of marriage, average monthly household income, spouse's share of childcare burden, mother's weekday housework hours, and presence or absence of spouse's maternity leave emerged as relatively important predictors of subsequent childbirth intention.