• 한국치위생학회지
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• 제10권3호
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• pp.441-448
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• 2010

Objectives : This study was conducted in order to investigate the percentage of adolescents who brush their teeth after lunch and its related factors using raw data from the Fourth Korea National Health and Nutrition Examination Survey. Methods : In order to extract adolescents to be subjected to this study, 300 adolescents between the age of 12 to 18 who are currently attending junior and senior high school were chosen out of a total of 4,594 subjects. The results from the health surveys and the oral checkup results from the medical examination conducted on these adolescents were analyzed. Results : 1. The percentage of adolescents who brush their teeth after lunch was 33.9%. 2. The percentage of the adolescents who brush their teeth after lunch differed significantly according to the gender (p<0.001), age (p<0.05), the time of their recent visit to the dentist (p<0.05), and whether they had suffered from permanent tooth caries (p<0.05). 3. The factors which affect whether the adolescents brush their teeth after lunch was their gender, the total number of the times they brush their teeth per day, and their age. Conclusions : Effective oral health education methods should be reinforced in order to increase the percentage of the adolescents who brush their teeth after lunch.

• 한국치위생학회지
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• 제14권1호
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• pp.33-38
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• 2014

Objectives : The purpose of the study is to investigate satisfaction, awareness and utilization of dental telephone services in dental clinic patients. Methods : A self-reported questionnaire was filled out by 220 dental clinic patients in G metropolitan city from March 11 to September 27, 2013. The data were analyzed by a descriptive analyses, ${\chi}^2$-test and relevant factors were determined using logistic regression analysis by SPSS 12.0. Results : The experience rate of scaling was 68.0% and the average number was $1.04{\pm}1.13$. The experience rate of regular check-up was 41.0% and the average number was $1.01{\pm}1.29$. Satisfaction and utilization rate of scaling and regular checkup was higher than that in those who did not receive the services. The major variables influencing the experience of scaling were woman, utilization of dental telephone service and regular check-up were awareness, utilization of dental telephone service and reason of utilization of dental telephone service(preventive). Conclusions : The dental telephone service in dental patients improved oral health. Accordingly, it is necessary to develop the professional dental hygiene program for oral health in dental patients.

• 한국직업건강간호학회지
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• 제19권1호
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• pp.78-87
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• 2010

Purpose: The purpose of this study was to identify the effects of occupational health service(OHS) for the aged workers in small workplace. Method: A single group of pretest-posttest design was used. 608 aged workers of 253 small workplace who had one out of 4 risk factors were randomly selected. The OHS consisted of education, medical checkup, and counseling. Also information was provided by a visiting nurse 4-5 times every 4-5 weeks from March to November, 2009. The data were collected by interview, self report, and monitored by a nurse. Results: The OHS led to significant reduction of the mean systolic and diastolic blood pressures of 6.46mmHg and 5.22mmHg, each respectively. The mean total cholesterol, glucose, and BMI were also reduced significantly by 6.35mg/dL, 5.91mg/dL, and 0.31kg/$m^2$. And stages of health behavioral change were moved from 1,2,3 stages to 4,5 stages significantly. Conclusion: The OHS showed an effective intervention to improve the aged workers' health in the small workplaces. Therefore, The OHS by visiting a nurse can be a good strategy to extend to small & medium-sized companies having no in-site health manager.

• 대한한방부인과학회지
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• 제21권3호
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• pp.75-89
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• 2008

Purpose: To evaluate the hot flush relief efficacy of Yiseontang-gami in climacteric women with hot flushes, a vasomotor symptom. Methods: The 20 subjects who signing on the clinical trial written consent by self-will is registered this clinical trial after decided suitable by selection and exception standard, after take a medical experiment and checkup according to clinical trial plan. Registered subject should valuated by settled schedule after take the testing medicine(Yiseontang-gami)during thirty-day. The evaluating indexes of this trial are hot flush VAS, hot flush frequency, hot flush consistence time, sweating VAS, palpitation VAS, sleep disturbance VAS, MRS, MENQOL, PGA. Results: The results were as follows 1. 4 subjects dropped out of the clinical trial and 16 subjects completed it. 2. After Yiseontang-gami treatment, hot flush VAS, hot flush frequent, sweating VAS. Palpitation VAS, sleep disturbance VAS improved significantly. 3. After Yiseontang-gami treatment, hot flush consistence time was not improved significantly. 4. After Yiseontang-gami treatment, blood test value were not different significantly. Conclusion: In this clinical trial we consider that Yiseontang-gami is suitable treatment for the hot flushes and related symptoms.

• 한국보건간호학회지
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• 제35권2호
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• pp.268-282
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• 2021

Purpose: This study sought to investigate health behavior (HB) and its affecting factors based on Anderson's behavioral model in Lao People's Democratic Republic (PDR). Also, it attempted to identify the mediation of the health locus of control (HLC) between HB and the affecting factors. Methods: Secondary data from 694 people without noncommunicable diseases (NCDs) from a survey conducted by the Ewha Womans and the Laos University were used. The measurements included predisposing, enabling, and needs factors, HLC, HB (current non-smoking, low-risk drinking, physical activity, fruit and vegetable consumption, medical checkup). The mediating effect was analyzed using Baron and Kenny's method and the Sobel test. Results: Predisposing (gender, educational level, ethnic), enabling (social support, item ownership in household) and the needs factors (body mass index) were affecting HB. Internal HLC had a positive influence on HB. The stronger the others and chance HLC, the lower the HB. Chance HLC mediated the relationship between the educational level and HB. Conclusion: There is a need to recognize the importance of chance HLC as a mediator between the educational level and HB. Through this result, high-quality nursing education for the prevention of NCDs should be developed considering the impact of chance HLC.

• 보건의료산업학회지
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• 제12권4호
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• pp.31-41
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• 2018

Objectives: This study was designed to evaluate whether employment status is associated with the experience of unmet care needs. Methods: This study utilized the Korea Health Panel data from 2012 to 2016. A total of 4,083 workers were selected as baseline subjects in 2012 and were followed for four years. This study used the GLIMMIX procedure under the marginal model while adjusting for covariates. Results: A total of 12.4% of 4,083 people said they had failed at least once to have a treatment or checkup despite the needs. Those more likely to experience unmet care needs were women and people of lower income level, with worse health conditions and chronic disease. Precarious workers, the self-employed, and the unemployed were more likely to experience unmet care needs caused by economic burden than permanent workers (Odds Ratio: 2.14, 2.07, 2.74, respectively). Conclusions: This disparity means that precarious workers and the unemployed are more likely to face barriers in obtaining needed health services. Given their insecure employment status, meeting their needs for health care is an important consideration.

• 한국산업정보학회논문지
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• 제14권5호
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• pp.149-154
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• 2009

사람들의 평균 수명이 늘어남으로써 건강에 대한 관심도가 매우 높아지고 있다. 그에 따라 사람들은 자신의 몸 상태를 체크하며 주기적으로 자신의 건강상태를 확인하기 위해 정기검진을 받는다. 그러나 평소 자신의 맥박이나 혈압의 체크를 통하여 건강관리 및 질병예방이 가능하다. 따라서 본 논문에서는 간편하게 얻을 수 있으면서도 기본적이고 유용한 정보를 많이 가지고 있는 맥박신호를 혈액량에 따라 투과율의 변화를 측정할 수 있는 광센서를 이용한 방법과 압전 센서를 사용하여 손목의 요골동맥의 압력을 측정하여 맥박을 측정할 수 있는 휴대용 맥박측정 시스템을 구현하였으며 두 방법으로 제작된 시스템을 비교연구 하였다.

• Advances in pediatric surgery
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• 제19권2호
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• pp.81-89
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• 2013

The purposes of this study was to describe the clinical correlation of mass size and gestational age, prognostic factors in sacrococcygeal teratoma (SCT) at a tertiary pediatric surgery, University of Ulsan College of Medicine and Asan Medical Center (AMC), Seoul, Korea. Fifty five patients admitted to the AMC with a SCT between May 1989 and April 2013 were included in this retrospective review. Mean follow up was 861 days. Mean maternal age at delivery was $30{\pm}2.7$ year, mean gestational age (GA) was $36.9{\pm}3.6$ wks, and preterm delivery was 21.8%. Birth body weight was $3182{\pm}644$ g and male vs. female ratio was 1:2.05. We can't find significant difference between Caesarean section and maternal age at delivery (p =0.817). But, caesarean section was favored by gestational age (p = 0.002), larger tumor size (p =0.029) or higher tumor weight fraction rate to birth body weight (p =0.024). Type I was 13, II 21, III 17, and IV 3 according to Altman et al. classification. The tumor component was predominantly cystic(> 50%) in 73.1 %. And the majority histological classification of tumors were mature teratoma (70.3%). The motality rate was 5.5%. Three patients expired because of postpartum bleeding, post-op bleeding related complication such as DIC. SCT recurred in four patients. The interval between first and second operation was $206.2{\pm}111.0$ d (range 53~325 d). In two patients, serum AFP levels were elevated at a regular checkup without any symptom, and subsequent imaging studies revealed SCT. The most common cause of death was bleeding and bleeding related complication. So Caesarean section and active peripartum and perioperative management will be needed for huge solid SCT. In the case of Yolk sac tumor or huge immature teratoma, possibility of recurrence have to be always considered, so follow up by serial AFP and MRI is important for SCT management.

• 핵의학기술
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• 제20권1호
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• pp.37-41
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• 2016

정도관리(Quality Control)는 오차를 최소한으로 하여 검사의 신뢰도를 증진 시키는 것을 목적으로 하고 있으며 이러한 정도관리 활동을 통해 환자의 진단과 치료방침에 영향을 주는 핵의학 혈액 검사의 신뢰도가 확보되고 있다. 이에 연구자들은 신뢰도 향상의 추가적인 기법으로 건강검진 수검자를 대상으로 시행한 핵의학 혈액검사의 모집단 분포를 이용한 통계적 품질관리의 유용성을 평가해 보고자 한다. 2014년 1월부터 2014년 12월까지 서울아산병원 건강증진센터를 이용한 건강검진 수검자 41,341명을 대상으로 핵의학 혈액 검사 12종목에 대해 통계 분석을 시행 하였다. 통계분석은 핵의학 혈액 검사 12종목에 대한 결과 보고 치를 참고치 이내, 참고치 이상, 참고치 이하의 세 가지 그룹의 월간 백분율로 구분하여 모집단 분포의 평균값과 표준편차, 그리고 표준편차 지수(Standard Deviation Index: SDI)를 산출 하였고 그 결과 모집단 분포의 표준편차는 모든 그룹에서 대부분 ${\pm}2SD$ 이내의 결과를 보였다. 건강검진 수검자에 대한 핵의학 혈액검사 12종목(AFP, CEA, CA19-9, CA125, PSA, TSH, FT4, Anti-Tg-Ab, Anti-TPO-Ab, Calcitonin, 25-OH-VitD3, Insulin)의 모집단 분포를 분석한 결과 월간 백분율의 표준편차 지수(SDI)가 ${\pm}2.0$ 이상인 경우는, 1월과 3월 Insulin검사에서 각각 2.3, 2.4, 5월 Anti-Tg-Ab검사에서 2.2, 그리고 9월 CA19-9에서 2.2의 결과를 보였다. 이는 검사 Kit 시약의 이상 (동위원소 시약의 최대 결합률 저하), 검사반응 시간의 저하가 원인 이었다. 연구대상이 되는 전체의 속성을 포함하고 모집단 분포의 특성을 이용한 통계적 품질관리는 검사실에서 시행하고 있는 내부정도관리 프로그램을 보완하는 역할을 할 수 있으리라 생각된다.

• 한국결정성장학회지
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• 제27권4호
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• pp.196-205
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• 2017

오늘날 의료분야의 서비스 디자인은 유 무형의 서비스 요소를 통합적으로 가시화하고 혁신적 해결책을 도출, 고객이 해당 서비스를 더 중요한 가치로 느낄 수 있도록 지원하는 실용적 서비스 연구개발로 발전하고 있는 상황이다. 개인의 소득수준이 향상되면서 의료복지와 웰빙에 대한 관심이 날로 높아지고 있어, 의료분야의 초점도 과거의 질병 질환에 대한 치료의 개념에서 예방 의료로 구심점이 이동하고 있다. 이런 추세에 맞추어 최근 의료복지에 유비쿼터스 개념을 접목하여 건강진단 및 건강관리의 시간과 공간 제약을 대폭 줄인 홈헬스케어 시스템의 연구개발이 활발히 진행되고 있고 헬스케어3.0 시대에 따른 사용자 중심의 의료 서비스와 사용자 니즈를 기반으로 한 제품 및 의료 환경 개선 요구가 증대하고 있어 그에 따라 사용자 중심 니즈와 요구가 반영된 현장 의료진단 제품 개발이 필요하다. 본 연구는 현장 의료진단 제품 중 하나인 '무선 X-ray 디텍터'를 연구 개발함에 있어 현장진단 제품에 적합한 소재와 외형을 적용하여 사용자의 요구가 충분히 반영된 제품을 개발 연구하는 것을 목표로 두고 있다.