• Title/Summary/Keyword: 위생관리비

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DENTAL TREATMENT IN A PATIENT WITH HYDROCEPHALUS ASSOCIATED BRAIN TUMOR UNDER GENERAL ANESTHESIA (뇌종양과 연관된 수두증(hydrocephalus) 환자의 전신마취 하 치과치료)

  • Han, Jeong-Hwa;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.2
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    • pp.86-90
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    • 2017
  • Hydrocephalus is characterized by accumulation of cerebrospinal fluid in the ventricles of the brain causing progressive ventricular dilatation. Accumulation of cerebrospinal fluid typically causes increased pressure inside the skull, this may result in headaches, vomiting, nausea, seizures, sleepiness and mental impairment. Patients with hydrocephalus may have dental manifestations such as changes in the occlusion and greater accumulation of plaque. The prevalence of dental caries is high due to the difficulty of oral care. The purpose of this case report is to describe the dental care for an uncooperative child with hydrocephalus under general anesthesia.

A Comparison of the Perceptions of Children and Their Mothers of the Effects of School Lunch Programs on Children's Dietary Behaviors (학교급식이 초등학생의 식행동에 미친 영향에 대한 아동과 어머니의 인식 비교)

  • 김무환;이경애
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.32 no.4
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    • pp.636-644
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    • 2003
  • This study compared the perceptions of children and their mothers of the effects of school lunch programs on the children's dietary behaviors in elementary schools. Questionnaires were answered by 425 elementary school students and their 412 mothers in the Busan area. The results indicated: The school lunch program had positive effects on children's dietary behaviors such as understanding healthy meals, correcting unbalanced diets, snack intake, attitude toward the meal, table manners, and table hygiene. However, there were still some negative habits in the home related to snack time, reading books or watching television during mealtime, eating foods before seniors have started. The gender of the children and whether the mothers worked or not produced no significant differences (in most cases). Still mothers more positively perceived the effect of school lunch programs on their children's dietary behaviors than did the children themselves. Thus, the school lunch program had positive effects for a balanced diet and making good eating habits. And, therefore, teachers-as well as the dieticians- should actively regard the school lunch program as an educational activity which can produce positive effects for a balanced diet, and make every endeavor to strengthen their relationship with the home.

Hemoglobin Concentration in Female Workers of Occupational Exposure to Lead (연 취급 근로자들의 혈색소치의 변동)

  • Park, Nan-Kyu;Kang, Pock-Soo;Chung, Jong-Hak
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.73-79
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    • 1986
  • This study was conducted to evaluate the effects of lead on the incidence of anemia and to find cases with lead poisoning early among female workers who have been exposed to lead occupationally, for one year from August, 1985. The level of blood lead and hemoglobin concentration were observed for 284 female lead workers and 123 female non-lead workers of industries in the Gumi industrial complex in Kyungpook Province. The average age was $20.3{\pm}2.9$years and $21.1{\pm}3.5$ years in lead workers and non-lead workers, respectively. The average working duration was $26.46{\pm}19.26$ months in lead workers. The mean value of blood lead was $30.11{\pm}6.61{\mu}g/100ml$ and $21.86{\pm}3.75{\mu}g/100ml$ in lead workers and non-lead workers, respectively. There were significant differences between two groups. The mean value of hemoglobin concentration was $14.00{\pm}0.57g/100ml$ and $14.03{\pm}0.64g/100ml$ in lead workers and non-lead workers, respectively. Anemia cases were not observed at Hb concentration below 12g/100ml. The percentages of lead workers at Hb concentration ranged 12.0~13.0g/100ml were 4.5%. There was no dose-response relationship between blood lead level and the incidence of anemia. There were no remarkable differences between age and blood lead level as well as Hb concentration, and between working duration and the level of blood lead and hemoglobin.

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Effect of Chamaecyparis obtusa tree Phytoncide on Candida albicans (편백 피톤치드가 Candida albicans에 미치는 영향에 대한 연구)

  • Kang, Soo-Kyung;Auh, Q-Schick;Chun, Yang-Hyun;Hong, Jung-Pyo
    • Journal of Oral Medicine and Pain
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    • v.35 no.1
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    • pp.19-29
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    • 2010
  • Phytoncide, essential oil of trees, has microbicidal, insecticidal, acaricidal, and deodorizing effect. The present study was performed to examine the effect of phytoncide on Candida albicans, which is a commensal colonizer of the mucous membranes but has become an opportunistic pathogen. C. albicans was incubated with or without phytoncide extracted from Hinoki (Chamaecyparis obtusa Sieb. et Zucc.; Japanese cypress) and then changes were observed in its optical density, cell viability and morphology. As concentrations of phytoncide added to the culture medium increased, optical density and cell viability of C. albicans decreased. Minimum inhibitory concentration of phytoncide for C. albicans was observed to be 0.25%, and minimum fungicidal concentration was 0.5%. Numbers of morphologically atypical cells with electron-dense cytoplasm and granules and increased with increasing concentration of the phytoncide. At higher concentrations of phytoncide, compartments and organelles in the cytoplasm became indistinguishable. The overall results indicate that the phytoncide used for this study has a strong antimicrobial activity against C. albicans. Therefore, the phytoncide may be used as a candidate for prevention and therapeutic agent against oral candidiasis.

Effect of Cultural Practices on the Occurrence of Pod and Stem Blight and Purple Blotch, and on Soybean Growth (콩 재배방법이 미이라병과 자주무늬병의 발생 및 식물생육에 미치는 영향)

  • 오정행;김동윤
    • Research in Plant Disease
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    • v.7 no.2
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    • pp.107-111
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    • 2001
  • Deterioration of pod and seed quality by pod and stem blight and purple blotch is a serious problem in the production of vegetable soybean. Major inoculum sources for the causal pathogens, Phomopsis spp. and Cercospora kikuchii, are soybean straw and debris. Phomopsis spp. have been known to be either limited for hyphal growth or latent in immature soybean tissues. In this experiment, cultural practices using these ecological traits of the pathogens were applied as a control measure. In plastic mulching, seed infection was remark ably reduced by drip irrigation as compared to overhead sprinkling, but not reduced in no mulching cultivation. Control value of plastic mulching was 28.0% for pod and stem blight and 29.3% for purple blotch, which was lower than that of benomyl application. By the first week in June, 78% of overwintered soybean straw examined contained matured alpha spores in pycnidia, acting as primary inoculum. Secondary inoculum of phomopsix spp. was observed abundantly throughout from mid June to September on fallen cotyledons from current crops and subsequently was found on petiole debris. Consequently, both plastic mulching and drip irrigation were effective to some extent for controlling pod and stem blight and purple blotch without significant reduction in soybean yield, and the cultural practices in combination with field sanitation resulted in removing more the secondary inoculum.

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신선농산물 생산에서의 농약오염과 농약폭로-흡수 -일본을 중심으로-

  • 최진옥
    • Proceedings of the Korean Society of Postharvest Science and Technology of Agricultural Products Conference
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    • 2000.04a
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    • pp.14-15
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    • 2000
  • 현재의 농업에서 농약의 사용은 불가결한 것이다. DDT의 등장으로 농약만능시대의 막이 열린 이래 세계에서 10만종 이사의 농약이 탄생했다. 현재 전세계의 생산량은 매년 1천만 톤을 넘어섰고 일본의 경우 등록되어 있는 농약수는 원체(화합물종류)로서 367종, 상품명으로서는 약 5800 종류가 판매되고 있다. 년간 일본의 농약생산량은 약 60만 톤으로 농약의 수출량과 수입량이 거의 같기 때문에 생산량이 사용량에 상당하는 것으로 본다. 농약의 식품오염의 측면에서 보면, 단위 면적당 세계 제 1위의 농약 사용국인 일본은 시장에 유통되고 있는 농작물에도 상당한 양의 농약이 잔류하는 것으로 본다. 물론 식품위생법에 26종의 농약에 대해 53작물을 대상으로 하는 잔류농약기준이 있지만, 농약성분이 400종 이상이며 산포 대상이 되는 작물은 53작물보다 훨씬 많다. 또한 한 두 종류의 작물밖에 대상이 되지 않는 농약도 많아서 잔류농약기준은 식품의 안전성 확보면에서는 부족한 것이 많아. 따라서 농산물 생산자 스스로가 농약사용기준을 정확하게 지켜주기를 바랄 뿐이다. 한편으로는, 이러한 현실에 비추어서 농약사용이 일상화된 농업자에게 있어 농약으로 인한 건강상의 문제 또한 적지 않다. 농업자의 건강관리 대책의 일환으로 실시하는 건강진단 및 조사에 따르면, 만성적인 질환뿐만 아니라 농약산포작업후에 나타나는 증세(기침, 피부이상, 불쾌감, 두통, 인후염, 구토)를 경험한 작업자는 예방의학적인 견지에서 농업자의 농약폭로실태파악 및 교육을 해오고 있으나 그다지 설득력을 얻지 못하여 보다 확실한 인체내 흡수량을 측정하는 방법을 생각하게 되었다. 즉 뇨중 농약 대사물을 폭로지표로 하는 생물학적 모니터링(biological monitoring)을 시도, 농업현장에 있어서의 그 실증과 유용성에 대한 검토를 하고자 하였다. 농작업 가운데서 가장 위험하다고 보는 농약산포작업 (수동식 분무기를 이용한 하우스작물 및 동력분무기를 사용한 노지작물)을 대상으로 생물학적모니터링을 실시한 결과 업자의 뇨로부터 농약의 체내흡수를 반영하는 농략의 뇨 분비성 대사물을 측정할 수 있었다. 즉 뇨나 혈액등의 생체시료를 이용한 생물학적모니터링의 농약에의 응용은 서구와는 달리 대부분이 규제가 없는 소규모 자가영농으로 정해진 농약사용지침보다 많은 농약을 사용한다거나, 또는 개인의 습관이나 작업환경에 따라 폭로조건이 달라서 실질적인 폭로-흡수의 정도가 불분명한 경우등에도 충분히 대응할 수 있어 농약사용자 개개인의 농약 폭로-흡수의 정도를 분명하게 밝힐 수 있다. 게다가 평가의 결과를 농약사용의 일선에 있는 농업자에게 피드백 하여 주므로서 농약에 대한 인식을 새롭게 하고 농약취급시의 건강장해예방행동을 촉구하는 등의 효과도 높은 것으로 예방의학적인 유용성이 크다고 볼 수 있다.

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DENTAL TREATMENT IN A PATIENT WITH ATYPICAL TERATOID RHABDOIDAL TUMOR UNDER GENERAL ANESTHESIA (비정형 유기형/간상 종양(Atypical teratoid rhabdoidal tumor) 환자의 전신마취 하 치과치료)

  • Kim, Hyuntae;Song, Ji-Soo;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Shin, Teo Jeon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.74-78
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    • 2019
  • Atypical teratoid rhabdoidal tumor(AT/RT) is a rare and fast-growing tumor usually diagnosed in childhood. Routine magnetic resonance imaging(MRI) assessment of AT/RT patients is done to detect metastatic tumors and recurrent lesions. The purpose of this case report is to present a case about caries treatment of a 3-year-8-month old female patient with AT/RT under general anesthesia. A 3-year-8-month old patient with AT/RT visited Seoul National University Dental Hospital for caries treatment. At the first dental visit, she was receiving chemotherapy. Multiple caries were observed from clinical and radiographic examination. The dental procedure was successfully performed under general anesthesia. Patients with brain tumor may take routine MRI to detect metastatic tumors and recurrent lesions. Dentists should take into consideration of possible dislodgement of restoration by ferromagnetic properties and artifact formation on MRI image. Ready-made zirconia crowns can be a good restoration option for such patients.

Development and evaluation of problem-based learning module in clinical dental hygiene (임상치위생학에서 문제중심학습(Problem-Based Learning)의 모듈 개발 및 평가)

  • Choi, Jin-Sun;Bae, Soo-Myoung;Shin, Sun-Jung;Shin, Bo-Mi;Lee, Hyo-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.2
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    • pp.81-92
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    • 2022
  • Objectives: The purpose of this study was to evaluate learners' satisfaction with operating Problem-Based Learning (PBL), competency level for dental hygiene, and learners' opinions through a reflection journal by developing a PBL class module and applying it to clinical dental hygiene classes. Methods: The subjects of the study were 31 students in the Clinical Dental Hygiene (oral health management for special patients) course in the second semester of the fourth grade. This study was conducted over the first semester from September to December 2020. The developed PBL learning module was applied for the 15 weeks class, and after all PBL classes were over, the overall satisfaction with the class and the change in student competency level was evaluated. Results: The overall satisfaction of learners with PBL was high, and the level of self-competence also increased compared to before class. In addition, the top three topics (Competencies learned through PBL, humanistic and sociological elements learned through PBL, and obstacles in the PBL) were derived through the reflection journal after PBL learning activities. Conclusions: It was confirmed that the PBL learning module developed in this study is a class that enables students to identify problems and solve them integrally and drives the improvement of humanities and sociological competencies.

A Study of Temporomandibular Disorders and Food Intake Ability among Dental Clinic Outpatients (일부 치과 외래환자의 측두하악장애 실태와 음식섭취능력에 관한 연구)

  • Han, Se-Young;Yu, Ji-Su
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.285-292
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    • 2011
  • The purpose of this study was to analyze and investigate temporomandibular disorders(TMD) and dental clinic outpatients by food intake ability to improve the quality of life. A survey of questionnaires with 208 subjects visiting a dental clinics located in Daejeon city from January to September in 2010 was performed. Analysis were performed with survey results, in which a symptoms of TMD, parafunctional habits and abnormal functions, food intake ability : 1. The main symptoms of TMD showed pain on TMJ(45.7%), pain on joint sound(45.2%), pain during chewing(41.3%), pain during mouth opening(38.0%), pain during non chewing(19.7%) and pain on joint dislocation(13.0%) in turn. 2. The symptoms of TMD by gender showed joint dislocation of 18.0% for male and 8.3% for female(p=0.038); pain on chewing of 49.0% for male and 34.3% for female(p=0.031), which were statistically significant. 3. The parafunctional habits and abnormal functions by gender showed clenching habit of 35.0% for male and 22.0% for female; bruxism of 21.0% for male and 9.3% for female, which were statistically significant. 4. The symptoms of TMD by age showed 52.8% of 27.8% for often and 25.0% for sometimes of 21-30 age in pain on TMJ, which were statistically significant(p=0.001). 5. The parafunctional habits and abnormal functions by age showed over 31 age of 48.3%, which were statistically significant(p=0.003). 6. The food intake ability by symptoms of TMD showed no joint sound(p=0.000), no pain on chewing(p=0.000) and without pain on TMJ(p=0.000), which were statistically significant. 7. The food intake ability by parafunctional habits and abnormal functions showed no clenching habit(p=0.000), no bruxism(p=0.000) and no headache, which were statistically significant. 8. The distribution type of operation by symptoms of TMD showed 30.8% of rest, 24.0% of physical medicine and 16.4% of pharmacotherapy. The pain on chewing showed 36.0% of pharmacotherapy; 52.4% of pain on TMJ for often and 40.5% for sometimes, in which pharmacotherapy and physical medicine were statistically significant(p=0.000). These results showed that management run parallel with survey for multiple factors in TMD we consider aspect of physical, social, physiology to enhance quality of life to increase food intake, construction of program for treatment and prevention because the individual differences need to be multifaceted, further research is suggested to continue.

The Relationship between Dementia and Oral Health in Some Elderly in Daejeon (대전 일부 노인의 치매와 구강건강의 관계)

  • Go, Hye-Bin;Kim, Min-Gyeong;Kim, Jin-Young;Kim, Hyun-Soo;Park, Young-Seo;Seo, Seung-Hyeon;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.481-487
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    • 2016
  • The elderly population with dementia is rapidly growing in South Korea. The aim of this study was to investigate the relationship between dementia and oral health in 197 subjects aged ${\geq}65$ years. The questionnaire included questions on subjective health status, subjective health concern, subjective oral health status and behavior, mastication ability, Oral Health Impact Profile-14 (OHIP-14), and Korean Dementia Screening Questionnaires (KDSQ). Oral examination was conducted by a single dentist to evaluate upper or lower denture use, and determine the numbers of remaining and functioning teeth, including implant and fixed prosthesis. The subjects who required a dementia test (KDSQ-C [cognition] of ${\geq}6$) had significant differences in systemic disease prevalence rate, subjective health status, subjective health concern, KDSQ-V (vascular disease) score, KDSQ-D (depression) score, subjective oral treatment need, key food mastication ability and OHIP-14 score compared to the healthy subjects. The proportion of denture wearers, total remaining teeth, total functioning teeth, toothbrushing frequency, oral pain severity, symptoms of periodontal disease, subjective oral health status, and subjective oral health concern showed no significant differences between the two groups. KDSQ-C and OHIP-14 scores showed a strong positive relationship, while KDSQ-C score and total remaining teeth or key food mastication ability showed a weak negative relationship. In the multiple regression analysis, the KDSQ-D, KDSQ-V, and OHIP-14 scores influenced the KDSQ-C scores. We suggest a relationship between oral health and cognitive impairment.