• 제목/요약/키워드: dental health behavior

검색결과 864건 처리시간 0.034초

소아환자에서 midazolam 정주 및 아산화질소 흡입진정법 하 치과치료의 특성 (Characteristics of Intravenous Midazolam Sedation with Nitrous Oxide in Pediatric Dental Treatment)

  • 김현태;송지수;현홍근;김영재;김정욱;장기택;이상훈;신터전
    • 대한소아치과학회지
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    • 제47권1호
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    • pp.53-61
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    • 2020
  • Midazolam은 단기 작용 benzodiazepine 계열의 약물로서 소아치과 영역의 진정치료에 널리 사용되고 있다. 하지만 소아환자의 치과치료시 정주진정법으로서의 midazolam의 임상적인 효과는 연구가 부족한 실정이다. 이번 연구에서는 소아환자의 치과치료시 midazolam 정주진정법 및 아산화질소 흡입진정법의 효과와 안정성에 대해 후향적인 분석을 시행하였다. Midazolam 정주 및 아산화질소 흡입진정법 하 치과치료를 시행한 115명(118례)를 대상으로 하였다. 인구통계학적 요소, 환자의 전신상태, 진정시간, midazolam 및 아산화질소의 용량, 진정법의 성공률에 대해 전자의무기록을 통해 조사하였다. 진정법은 행동조절을 목적으로 주로 사용되었다. 평균 진정 시간은 수술 치료의 경우 56.7분, 수복 치료의 경우 74.4분이었다. 정맥 내 midazolam의 초기 투여량은 0.051 ± 0.019 mg/kg이었다. 34건(28.8%)에서 치료 중 0.036 ± 0.057 mg/kg의 추가적인 midazolam의 투여를 시행하였다. 아산화질소의 농도는 40 - 50%로 유지되었다. 진정법의 성공률은 99%(n = 117)였다. 1 건의 증례에서 후두 경련이 발생하였고 이로 인한 치료 중단 후 환자는 benzodiazepine 길항제인 flumazenil으로 가역되었다. 이 연구에서는 아산화질소 흡입진정을 동반한 midazolam 정주진정법이 임상적으로 효과적인 것으로 나타났다. 성공적인 진정법을 위해서 모든 과정이 훈련받은 전문인력에 의해 시행되어야 하고 가이드라인을 바탕으로 한 적절한 환자 선택이 필요하다.

Shisha Smoking and Associated Factors among Medical Students in Malaysia

  • Al-Naggar, Redhwan A.;Bobryshev, Yuri V.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5627-5632
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    • 2012
  • Background: The aim of the study was to determine the prevalence of shisha smoking and associated factors among medical students in Malaysia. Materials and Methods: A cross-sectional study was conducted at the Management and Science University from December 2011 until March 2012. The questionnaire consisted of five sections including socio-demographic, social environment, knowledge about shisha, psychosocial factors, and personal shisha smoking behavior. Obtained data were analyzed using Statistical Package for the Social Sciences (SPSS 13). T-test was used to determine the relationships between shisha smoking and socio-demographic characteristic. Results: A total number of 300 medical students participated in this study. Mean age was $22.5{\pm}2.5$ years. The majority were female, Malay, single, from urban areas (67%, 54%, 97%, 73%; respectively). The prevalence of shisha smoking among medical students was found to be 20%. The study revealed that many students believed that shisha does not contains nicotine, carbon monoxide, does not lead to lung cancer, dental problems and does not lead to cardiovascular diseases (25%, 20.7%, 22.3%, 29%, 26.7%; respectively). Age and sex were found to be significantly associated with smoking shisha status among medical students (p=0.029, p<0.001; respectively). Furthermore, having parents, siblings and friends smokers of shisha were found to be significantly associated with shisha smoking status (p<0.001, p<0.001, p<0.001; respectively). Furthermore, family problems, problems with friends, financial problems and university life were found to significantly associated with shisha smoking status among medical students (p<0.001, p=0.002, p<0.001, p=0.002; respectively). Conclusions: There is a high prevalence of shisha smoking and a poor knowledge about its impact on health among medical students. More attention is needed to focus on medical education in this regard. The policies that are currently employed in order to reduce the cigarettes smoking should be applied to shisha smoking and shisha products.

산도변화와 침지시간이 광중합 복합레진의 잔류단량체 유출에 미치는 영향 (EFFECT OF PH AND STORAGE TIME ON THE ELUTION OF RESIDUAL MONOMERS FROM POLYMERIZED COMPOSITE RESINS)

  • 전철민;유현미;권혁춘
    • Restorative Dentistry and Endodontics
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    • 제29권3호
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    • pp.249-266
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    • 2004
  • The purpose of this study was to determine whether pH and time has any influence on the degradation behavior of composite restoration by analyzing the leached monomers of dental composites qualitatively and quantitatively after storage in acetate buffer solution as a function of time using high performance liquid chromatography (HPLC) / mass spectrometer. Materials and Methods:Three commercial composite restorative resin materials (Z-250, Heliomolar and Aeliteflo) with different matrix structure and filler composition were studied. Thirty specimens (7mm $diameter{\times}2mm$ thick) of each material were prepared. The cured materials were stored in acetate buffer solution at different pH (4, 7) for 1, 7 and 45days. As a reference, samples of unpolymerized composite materials of each product were treated with methanol (10mg/ml). Identification of the various compounds was achieved by comparison of their mass spectra with those of reference compound, with literature data. and by their fragmentation patterns. Data were analysed statistically using ANOVA and Duncan's test. Results:1. Amounts of leached TEGDMA in Aeliteflo were significantly larger than those of UDMA in Z-250 and Heliomolar at experimental conditions of different storage time and pH variation (p<0.001). 2. As to comparison of the amounts of leached monomers per sorage time, amounts of leached TEGDMA in Aeliteflo and UDMA in Z-250 and Heliomolar were increased in the pH 4 solution more significantly than in the pH 7 solution after 1day, 7days and 45days, respectively (p<0.001). 3. In total amounts of all the leached monomers with storage times, the overall amounts of pH 4 extracts were larger than those of pH 7 extracts for all resin groups, but there was no significant difference (p>0.05).

우리나라 청소년의 COVID-19로 인한 가정경제악화가 치은 출혈 및 통증에 미치는 영향 (Effect of worsening family economy due to COVID-19 on gingival bleeding and pain in Korean adolescents)

  • Kim, So-Yeong
    • 한국치위생학회지
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    • 제21권6호
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    • pp.695-701
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    • 2021
  • 연구목적: 본 연구는 우리나라 청소년의 코로나바이러스감염증-19로 인한 가계경제 악화가 치은 통증 및 출혈에 미치는 영향을 알아보고자 하였다. 연구방법: 제16회 청소년건강행태조사 KYRBS(2020) 자료를 사용하였다. 이 연구는 단면 연구로서 총 57,925명의 청소년을 대상으로 하였다. 코로나바이러스감염증-19로 인한 가정경제악화와 치은 통증 및 출혈의 관련성을 파악하였다. 모든 설문조사는 비대면 온라인 설문조사방법으로 평가되었으며, 분석방법은 기술통계, 카이제곱 검정 및 로지스틱 회귀분석을 사용하여 분석하였다. 통계프로그램은 SPSS 26.0을 사용하였다. 연구결과: 우리나라 청소년의 치은 통증 및 출혈 증상의 전반적인 유병률은 19.2%이었다. 코로나바이러스감염증-19로 가정경제의 악화가 없는 경우보다 가정경제가 악화된 청소년에서 치은 통증과 치은 출혈을 겪을 가능성이 더 높았다. COVID-19로 인한 가정경제악화가 없는 경우를 기준으로 악화된 경우(aOR=1.048, 95% CI=1.034-1.227), 매우 악화된 경우(aOR=1.358, 95% CI=1.164-1.585)으로 갈수록 치은 출혈 및 통증이 나타날 확률이 높았다. 결론: 코로나바이러스감염증-19로 인한 가계경제악화가 없는 경우에 비해 COVID-19로 인해 가정경제가 악화 청소년에서 치주질환의 초기 증상인 치은 통증 출혈이 더 많았다.

보건계열 대학생의 스마트폰 과다사용이 주의력결핍, 학습환경, 학업지연행동에 미치는 융합적 영향 (The Convergence Influence of excessive smartphone use on attention deficit, learning environment, and academic procrastination in health college students)

  • 임인철;장경애
    • 한국융합학회논문지
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    • 제8권12호
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    • pp.129-137
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    • 2017
  • 본 연구는 보건계열 대학생의 스마트폰 과다사용이 주의력결핍, 학습환경과 학습지연행동에 미치는 융합적 영향을 파악하고자 2017년 3월 6일부터 6월 12일까지 부산광역시 보건계열 255명의 대학생을 대상으로 설문조사를 실시하였다. 스마트폰 사용 특성에 따른 스마트폰 과다사용정도, 주의력결핍, 학습환경, 학업지연행동 정도는 스마트폰의 하루 사용시간, 스마트폰 중독 인식과 수업시간 개인사용 경험에 유의한 결과를 보였다(p<0.001). 스마트폰 과다사용은 주의력결핍(r=0.870, p<0.01), 학습환경(r=0.812, p<0.01), 학업지연행동(r=0.772, p<0.01)과 정적상관을 보였고, 주의력결핍은 학습환경(r=0.918, p<0.01), 학업지연행동(r=0.798, p<0.01)과 정적 상관을 보였다. 학습환경은 학업지연행동(r=0.777, p<0.01)과 정적 상관을 보였다. 스마트폰 과다사용이 미치는 영향요인은 주의력결핍(p<0.001), 학업지연행동(p<0.01)순으로 나타났다. 따라서 스마트폰 중독예방과 올바른 스마트폰 사용으로 보건계열 대학생의 건강한 학습환경 조성이 이루어져야 할 것이다.

뇌성 마비를 동반한 악안면 기형 환자의 치험례 (TREATMENT OF DENTOFACIAL DEFORMITY PATIENT WITH CEREBRAL PALSY)

  • 김기호;박성연;이충국
    • 대한장애인치과학회지
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    • 제2권1호
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    • pp.39-44
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    • 2006
  • Cerebral palsy(CP) is one of the most common motor disease, due to brain injury during fetal and neonatal development which results in neuromotor paralysis and associated neuromuscular symptoms. Features of CP include motor disability due to the lack of muscle control, often accompanied by sensory disorders, mental retardation, speech disorders, hearing loss, epilepsy, behavior disorders, etc. There are increasing chances of treatment of dental patients with cerebral palsy, as the occurrence of CP is increasing with the decrease in infant mortality and an increase in immature birth and premature birth and also, there is a trend to pursue of higher quality of life. Reports on the relationship between CP and maxillofacial deformity are uncommon, but it is well known that the unbalance and discontrol of the facial muscles, lip, tongue and the jaws leads to malocclusion and temporomandibular joint disorders, and statistics show that class 2 relationship of the jaws and open bite is frequently reported. However, it is difficult to perform maxillofacial deformity treatment, which consists of orthodontic treatment, maxillofacial surgery and muscle adaptation training, due to difficulties in communication and problems of muscle adaptation caused by difficulties in motor control which leads to a high recurrence rate. This case report is to trearment of maxillofacial deformity in CP patient. A 26 year old female patient came to the department with the chief complaint of prognathism of the mandible and facial asymmetry. According to the past medical history, she was diagnosed as cerebral palsy 1 week after birth, classified as GMFC, classII accompanied with left side torticollis. The patient's intelligence was moderate, and there were no serious problems in communication. For two years time, the patient underwent lingual frenectomy, pre-operation orthodontic treatment and then bimaxillary orthognathic surgery to treat mandibular prognathism and facial asymmetry followed by rehabilitatory exercise of facial muscle. After 6 months of follow up, there was a good result. This is to report to the typical signs and symptoms of DFD in CP patient and the limitation of the usual method of the treatment of DFD in CP patient with literature review.

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외국인 노동자의 특성과 의료이용 실태 (The Characteristics and Medical Utilization of Migrant Workers)

  • 주선미
    • 한국직업건강간호학회지
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    • 제7권2호
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    • pp.164-176
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    • 1998
  • This study deals with the current medical utilization for migrant workers and the characteristics of them. The purpose of this study is to provide the basic information to establish proper medical policy. For the study self-made questionnaire was used, which was answered by 453 migrant workers working in the area of manufacturing and non-technical work in 10 cities like Seoul, Inchon, Namyangju, Sungnam, Kwangju, Pyungchon, Kunpo, Kimpo, Masuk in Kyungki-do and Chunan in Chungchungnam-do. Besides, 303 medical records of those who had visited free medical check-up center were analyzed. The period of accumulating data is 6 months, from November 1st, 1996 to April 30th, 1997. The characteristics of migrant workers and current medical utilization are analyzed by percentage and the relation between characteristics and current medical utilization were analyzed using ${\chi}^2$-test, t-test, ANOVA. The finding of this study was as follows : 1) The number of nationality was 16. The first majority was Philippians as 32.0%. Among 16 nationalities Southeastern and Northern Asians were 48.9%, Southwestern Asian was 46.5%, the rest was 7.3%. Men were 81.0%, those who are aged from 26 to 30 were 39.0%, Graduatee from high school 92.7%, Christians 56.3%, unmarried 55.4% and salary from 600,000 Won to 800,000 Won 53.8% averaging monthly payment 669,810 Won. As for their residence, those who resided over 3 years were 31.9% and the illegal residence reached 77.4%. As for Korean language, those who speak in middle level were 5.6%. 2) As for kind of work and circumstances, manufacturing was 81.1%, 4 off-days per month 72.2% and 9-10 working hours per day 42.1%. As for accommodation, residence in fabric was 62.6% and one or two members as roommate 40.2%. 3) The characteristics of health behavior showed that 89.4% of migrant workers had 3 meals, 70.9% of them did not drink alcohol, 73.5% of them did not smoke. 4) As a characteristic of health status, 71.8% of them perceived of their health. 76.1% thought that they had no illness before coming Korea. Among them who recognized their illness, those who had problem in circulatory system was 35.3%, respiratory system ENT 19.1% and nervous system 19.1%.66.2% of those having illness had already had sickness when coming to Korea. 5) During last one month, 79.2% of them were known as ones having no illness. Among the sick, those who had problem in circulatory system was 31.6%, nervous system 23.7% and respiratory system 21.1%. 60.3% of the sick were not cured at that time. 6) Sorting the symptom of those who visited free medical check up, dental care was 24.2%, orthopedic 14.0% and digestive system 13.8%. Teethache was 34.4%, stomach problem 11.6%, upper respiratory inflammation 10.2% and back pain 5.9%. Averagely they visited free medical check up 1-2 times. According to symptom, epilepsy 25.5 times, heart and vascular disease 9 times, constipation 2.8%, neurosis 2.38 times and stomach problem 2.34 times. 7) The most frequently visited medical service by migrant workers was hospital. The most mentioned reason was good healing as 36.3%. The medical service satisfied migrant workers mostly was hospital as 64.3%. The reason of satisfaction was also good healing as 45.9%. 8) 77.2% of respondents did not spend money for medical check. Average monthly medical cost was 25,100 Won, 3.7% of income. Those who had no medical security was 73.4%. In their case, 67.7% got discount from hospital or support from working place and religious organization. 9) As for the difference of medical utilization according for the characteristics of migrant workers, legal workers and no-Korean speaker used hospital more frequently. 10) Those who were satisfied most of all with the service of hospital were female workers, hinduists and buddhists, legal workers or manufacture workers. 11) Christians, those who have 3 meals or recognize themselves as healthy ones mostly had no illness. As a result, the most of migrant workers in Korea are from Asia. They are good educated but are working in manufacturing and illegal. Their average income is under 700,000 Won which in not enough for medical cost. They have no medical security and medical fee is supported by religious organization or discounted. Considering these facts the medical policy by government is to be established.

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당뇨병 환자에서 우식경험영구치지수, 치주질환지수 및 구강위생 상태 (DMFT Index, Periodontal Index and Oral Hygiene Status in Diabetic Patients)

  • 이경동;이희경
    • Journal of Yeungnam Medical Science
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    • 제22권1호
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    • pp.62-71
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    • 2005
  • 본 연구는 당뇨병 환자의 구강건강상태를 파악하고 이를 근거로 당뇨병 환자의 구강건강에 대한 인식과 교육의 필요성을 확인하여 당뇨병의 적절한 관리를 위한 프로그램 개발의 기초자료를 마련하고자 하였다. 대구광역시 달성군 지역의 일개 보건 진료소에서 당뇨병 환자 및 내당능 장애로 진단되어 관리하고 있는 50명을 환자군으로 먼저 선정하였고 대조군은 환자군의 연령과 성비를 고려하여 같은 지역에서 당뇨병 환자가 아닌 50명을 대상으로 구강 검사와 설문조사를 실시하여 다음과 같은 결과를 얻었다. 첫째, 당뇨병 환자군과 대조군의 평균우식경 험영구치지수(DMFT index)는 각각 $18.10{\pm}8.34$, $14.54{\pm}7.98$로 당뇨병 환자군에서 유의하게 높게 나타났다(p<0.05). 우식치지수와 충전치지수는 두 군간의 유의성이 나타나지 않았으나 상실치지수는 당뇨병 환자군에서 대조군보다 유의하게 높게 나타났다. 둘째, 당뇨병 환자군과 대조군의 평균 치주질환지수(PI)는 각각 $3.48{\pm}0.95$, $2.90{\pm}0.93$으로 당뇨병 환자군에서 대조군보다 유의하게 높게 나타났다(p<0.01). 연령대별로 보면 50대와 60대에서는 당뇨병 환자군이 대조군보다 유의하게 높게 나타났으나 (p<0.01, p<0.05), 70대에서는 두군간의 차이는 유의하지 않았다. 셋째, 구강위생상태는 두 군간의 유의한 차이가 나타나지 않았다. 넷째, 당뇨병 환자군과 대조군의 평균 잔존치아수는 각각 $16.1{\pm}10.35$, $20.04{\pm}8.70$으로 대조군에서 유의하게 높게 나타났다(p<0.05). 이 결과로 볼 때 당뇨병 환자군에서 평균우식경험영구치지수(DMFT index), 상실치지수(MT index), 치주질환지수(PI)가 높게 나타났으며, 평균잔존치아수가 낮은 것으로 나타났다. 본 연구는 당뇨병 환자의 구강상태를 파악함으로 당뇨병 환자의 구강 건강 증진을 위한 프로그램을 개발하는데 기초가 될 수 있을 것이다.

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점막하 Midazolam의 병용투여 시 BIS 분석을 이용한 진정 평가 (SEDATION EVALUATION USING BIS INDEX ASSESSMENT WITH AND WITHOUT THE ADDED SUBMUCOSAL MIDAZOLAM)

  • 이영은;박미경;김소영;김윤희;정상혁;백광우
    • 대한소아치과학회지
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    • 제34권1호
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    • pp.91-98
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    • 2007
  • Chloral hydrate (CH)와 Hydroxyzine의 경구 복용을 이용한 진정과 Midazolam을 점막하 주사로 추가 투여한 진정을 Bispectral(BIS) index를 이용하여 두 진정법의 진정 깊이의 차이를 비교 평가하고자 하였다. 모든 환아는 2세-6세 사이의 미국 마취과학회 신체평가 등급 I의 건강한 환아로 진정 요법이 요구되었으며 국소마취와 최소 2개 이상의 치아에 대한 수복 치료가 치료에 포함되었다. 무작위 방법으로 환아를 CH(60mg/kg)와 Hydroxyzine(1mg/kg)을 복용하는 군과 CH(60mg/kg)와 Hydroxyzine(1mg/kg)을 복용하고 점막하 주사로 Midazolam(0.1mg/kg)을 추가 투여하는 군으로 나누었다. 진정 요법 동안 Nitrous Oxide는 두 군 모두 50%로 유지하였다. 환아 행동 평가는 녹화된 비디오 테이프를 보며 매 2분마다 Behavior scale을 이용하여 quiet(Q), crying(C), movement(M), or struggling(S)으로 측정하였다. 두 군의 진정 깊이 비교 평가를 위해 치료가 시작된 시점부터 40분 동안 2분 간격으로 측정한 Pulse rate(PR), Saturation percentage of $O_2(SpO_2)$, behavior scale과 매 2분 단위로 계산된 평균 BIS index를 t-test와 Levene's test를 이용하여 분석하였다. 두 군의 평균 BIS index와 BIS index의 분포는 유의할 만한 차이를 보였다(P<0.001). 점막하 주사로 Midazolam을 추가 투여한 군에서 평균 BIS index가 더 낮은 값을 가지며 표준 편차가 작았다 PR와 $SpO_2$는 두 그룹 모두 정상범위내의 값을 보였다. 점막하 주사를 이용한 Midazolam의 추가 투여는 안전성을 크게 침해하지 않는 범위 내에서 진정 깊이를 깊게 해주며 안정적인 진정을 이루게 함으로써 보다 바람직한 진정을 유도해 줄 수 있는 것으로 사료된다.

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노인 스트레스 측정 도구(SESS)의 신뢰도 및 타당도 검증 연구 (A Study on the Verification of the Profile of Seo구s Elderly Stress Scale (SESS))

  • 서현미;유수정;하양숙
    • 대한간호학회지
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    • 제31권1호
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    • pp.94-106
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    • 2001
  • The purpose of this study was to verify the use of Seo's Elderly Stress Scale (SESS), which was developed in 1996. Through the modified tool, it is possible to examine the stress of Korean elders and to contribute to the welfare of them. The subjects were 350 elders over 65 years old who live in Seoul, Kwang-Ju, Yang-Ju Gun Kyung-ki Do, Ui-Jong Bu, and Young-Am Kun, Jeun-Ra Nam Do. the data of 331 elders (94%) were analyzed. Data were collected between January and March in 1996 and analyzed using the SPSS Win 8.0. The result are as follows: 1. Items with low correlation with the total items were removed. So 27 items were removed and 37 items remained. This 37 items were death in the family and/or close friends, family member's behavior not meeting expectations, marriage of daughter, marriage of son, friction with daughter- in-law, argument among children, children refuse to live with parent, children leaving home, sex injury or accident, in frequest visits from children and grandchildren, providing care for your daughter or daughter-in-law post-partum, decrease in decision making and authority in home, Lunar new year and the harvest featival, house sitting, working in the house, performing a sacrificial rite, missed birthday, not living with the eldest son, decreased eyesight, decreased strength, decreased memory, sleep pattern changes, thoughts about death, loneliness, decreased hearing, change of dental condition, change in your diet or eating style, difficulty in self care, moving because of disease or aging, argument with friend or neighbour, travel, dealing with the procedure of heritage, loss of money or property, not enough pocket money, hearing on elderly neglect in television or radio, hope of going home and ignorant from others. 2. Overlapped items were discussed by colleagues and were modified. 'marriage of daughter' and 'marriage of son' were modified in 'marriage of children'. 'self injury or accidents' and 'family accidents' were modified in to self or family accidents. 3. Factor analysis was done in order to identify validity and three factors were obtained from the result. The first factor familial relation area, included 17 items. The second factor, physical area, included 9 items. The third factor, psycho-socio-economic area, included 9 items. Cronbach coefficient alpha for the 35 items was .923. 4. Pearson's correlation was .704 between SESS and SOS (Symptoms of Stress) in order to confirm construct validity. Based on the result, the following is suggested; 1. The modified SESS needs to be reverified with elder. 2. Korean elder's health promotion can be made by development of stress intervention which was accurately measured with SESS.

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