• Title/Summary/Keyword: 진료지속성

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Factors Affecting the Satisfaction Level of Orthodontic Patients with Dental Service (교정환자의 치과의료서비스 만족도에 영향을 미치는 요인)

  • Lee, Ka-Yean
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.1-8
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    • 2009
  • The purpose of this study was to examine the satisfaction level of orthodontic patients with medical service in a bid to provide information on the diverse needs of orthodontic patients and the improvement of the competitiveness of dental institutions. The subjects in this study were 226 orthodontic patients who visited Y and B dentist's offices respectively located in Busan and Daegu. A survey was conducted from December 3 to 20, 2008, and SPSSWIN 14.0 program was utilized to analyze the collected data. The findings of the study were as follows: 1. As to the reason why they chose the dentist's offices, the greatest group made that choice through the recommendation of people around them(50.7%). Approximately half them(47.8%) tended to talk about grievances when they had any, and the greatest group(58.3%) expected to have a regular set of teeth when they received orthodontic treatment (58.3%). And the largest group(80.9%) expected that treatment to improve their oral health a lot. The greatest group(70.6%) wanted to receive whitening treatment after completing orthodontic treatment. 2. As to factors significantly affecting their satisfaction level with treatment service, satisfaction level with the employees(dental hygienists) had the most significant impact, followed by satisfaction with amenities, medical fee, dentists and friendliness. 3. Their satisfaction level with medical fee exerted the most influence on intention of Recommendation offices they visited to others, followed by satisfaction with dentists and employees(dental hygienists).

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Knowledge and Practice of Dental Practitioners Regarding Patient's Personal Information (환자 개인정보보호에 관한 치과종사자의 인식 및 실천)

  • Lee, Su-Young;So, Ji-Hyoun
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.99-107
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    • 2017
  • The purpose of this study was to identify knowledge awareness, and performance of dentist and dental staff regarding protection of patient's personal information. In addition, this research was conducted to highlight the importance of protection of patient's personal information and provide a guideline for establishing measures in this regard. A survey was conducted on 506 dentists or dental staff working in Seoul, Gyeonggi and Chungcheong provinces. The data was analyzed using t-test, one-way ANOVA, $x^2$, Pearson's correlation coefficient, and Scheffe test, using the PASW Statistics ver. 18.0 program. We found that the participants' knowledge and perception of the protection of patient's personal information were relatively low compared to those of other professionals. Such knowledge and perception were especially and significantly low in dental hygienists. In addition, a high level of knowledge and awareness showed a positive correlation with the extent of performance. Therefore, it is important that dentists and dental staff are aware of issues regarding the protection of patients' personal information. For this purpose, educational and training programs on such issues appear essential.

A Study on the Function of Oral Medicine as the Secondary Clinic Based on Analysis on Admissive Channel and Case Features (내원경위 분석과 환자 특성 평가에 따른 2차 진료기관으로서 구강내과 역할에 대한 연구)

  • Lee, You-Mee;Lee, Jung-Hyun;Lim, Hyun-Dae
    • Journal of Oral Medicine and Pain
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    • v.31 no.3
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    • pp.199-210
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    • 2006
  • The epidemiological researches on the inpatients hospitalized at the oral medicine ward have been continuously carried out since 1970, and most researches have been performed by centering around the oral medicine wards of college hospitals. Numerous specialists have been produced after the establishment of oral medicine, and they have been active in various fields. As dental clinics have gotten bigger, the function of oral medicine in the secondary clinics is being brought out. As admissive channel, case features, case composition and otherwise have not been researched for a long time, the related researches should be carried out from now on. Hereupon, this study was carried out by targeting the 100 inpatients hospitalized at the oral medicine ward of Sun Hospital located in Daejeon Korea, through questionnaire. As the result, the following results were derived. 1. The ages of the inpatients in Sun Hospital were $29.21{\pm}11.31$ on the average; 71 females' mean average was $29.63{\pm}11.29$ and 29 males' mean average was $28.17{\pm}11.48$. In regard of school career, the patients who finished high-school course or higher accounted for 78%; the patients' school career seemed to be relatively high. The patients who complained of temporomandibular pain accounted for the highest proportion with 65%. In motivation to visit this hospital, internet surfing was 11%, mass media was 10%, acquaintance's introduction was 38%. The patients, who were hospitalized at another hospital due to the same symptom, accounted for 56%. The dental clinics, which made the patients visit this hospital, accounted for 20%. The patients, who were previously aware that the present symptom should be treated by oral medicine, accounted for 38%. The patients, who were not aware of the fact in advance, were 62%. The respondents of 51% answered that they were aware of the fact one month or below before hospitalization. 2. The patients, who complained of craniocervical ache, accounted for 58%; the patients, whose ache aches affect dailylife, were 22%. Continuous ache was 14% and intermittent ache was 68%, and dull pain was 23%. 3. Life variations were compared with each other by using SRRS (Social Readjustment Rating Scale). In consequence, the variation within 3 years indicated a significant difference in the both groups but the variation within 6 months did not indicate any differences. 4. In regard of the questionnaire on the incidents happened for a week, the ache-group was compared with the group free from the ache. As the result, the number of strain arisen for a week, the decrease of favorite works and sudden fear indicated a significant difference. Pleasant feeling and the decrease of interests in looks did not indicate a significant difference, but came close to the significance. 5. In the questionnaire on impatience, the ache-group indicated higher value but there was not a significant difference. 6. In the questionnaire on the symptoms caused by stress, the two groups indicated significant differences in the item of 'the teethridge itches and feels a tooth rising' and 'the occiput or the nape is stiff.' In the item 'the inside of the cheek or the teethridge are widely peeled off, accompanied with ache and hemorrhage', 'the face has acne or pimple' and 'headache frequently attacks', a significant difference was not observed but the two groups came close to the significance.

Preoperative and Postoperative Anemia in Patients with Gastric Cancer (위암환자의 위절제술 전후의 빈혈)

  • Sohn, Jun-Ho;Yu, Wan-Sik
    • Journal of Gastric Cancer
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    • v.5 no.3 s.19
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    • pp.146-151
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    • 2005
  • Purpose: We have preoperatively and postoperatively investigated the characteristics of anemia in patients with gastric cancer in order to provide optimal medical care for the patients. Materials and Methods: Preoperative hemoglobin, serum iron, serum ferritin, serum vitamin $B_{12}$, and serum folic acid were measured for 321 patients with gastric cancer. These were measured again for 287 patients 6 months postoperatively. Results: Ninety-four patients (29.3%) had preoperative anemia. Preoperative hemoglobin, serum iron, and serum vitamin $B_{12}$ levels were higher in the patients with early gastric cancer than in patients with advanced gastric cancer. Preoperative hemoglobin, serum iron, and serum ferritin levels were higher in male patients than in female patients. The patients who had preoperative anemia showed a high probability of having postoperative anemia (P<0.001), and the patients who had low serum ferritin levels preoperatively showed a high probability of having low serum ferritin levels and iron deficiency anemia postoperatively (P<0.004). Conclusion: Preoperative ferritin deficiency should be improved by iron supplement, even though the patient may not be anemic at that time. Periodic postoperative measurements of the hemoglobin, serum iron, serum ferritin, serum vitamin $B_{12}$, and serum folic acid levels are highly recommended because postgastrectomy anemia is not rare. Finally, if any low hemoglobin, serum iron, serum ferritin, serum vitamin $B_{12}$, or serum folic acid levels are found, they should be treated in an appropriate way.

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CHARACTERISTICS OF FLUORIDE RELEASING RESTORATIVE MATERIALS AFTER TOOTHBRUSH-DENTIFRICE ABRASION (잇솔질 마모 처리한 불소방출성 수복재의 특성)

  • Park, Jong-Ha;Baik, Byeong-Ju;Yang, Yeon-Mi;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.705-713
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    • 2004
  • The objectives of this study were to evaluate the fluoride release and the change of surface roughness of fluoride releasing restorative materials after toothbrush-dentifrice abrasion. Seven commercially available fluoride releasing restorative materials (Fuji II LC Improved: FL, Compoglass F: CG, Dyract AP: DR, F2000: FT, Ariston: AT, Tetric: TR, and Gradia: GD) were selected as experimental materials. The results obtained were summarized as follows: 1. The AT, FL, and CF groups produce an initially large burst of fluoride release and comparatively low but continuous release of fluoride. But other groups produce no initial burst of fluoride and levels of release remain relatively constant. 2. The rate of fluoride release remains steady state after 40 days. The results of Tukey's test (P<.05), the fluoride release showed the order of decreasing rank as follows: AT > FL > compomers > TC and GD. 3. The surface roughness indicated that the highest value was observed in the FT group and the lowest value was observed in the CF group. The surface roughness of Tukey's test showed the significant differences between groups of FT, AT and FL and groups of CF, DR, GD and TC (P<0.05).

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Effect on the Pain Characteristics of Tension-Type Headache by the Tongue Ridge (설 함요가 긴장성 두통 환자의 통증 양상에 미치는 영향)

  • Bae, Sung-Jae;Lee, Ko-Woon;Kang, Soo-Kyung;Auh, Q-Schick;Hong, Jung-Pyo;Chun, Yang-Hyun
    • Journal of Oral Medicine and Pain
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    • v.36 no.2
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    • pp.123-130
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    • 2011
  • This study was designed to evaluate the pain characteristics of tension-type headache by the tongue ridge. Patients with tension-type headache visited the Department of Oral Medicine, K University Dental Hospital were recruited to this study. Experimental group(n=65) was composed of tension-type headache with the tongue ridge and control group(n=65) was composed of tension-type headache without the tongue ridge. Evaluation list was pain quality, pain intensity, pain laterality, pain increase by routine physical activity and then it was analyzed statistically. The results were as follows: 1. Pain quality of tension-type headache patient was significantly different by the tongue ridge(p=0.049). 2. Pain intensity of tension-type headache patient was significantly different by the tongue ridge(p=0.010). 3. Pain laterality of tension-type headache patient was not significantly different by the tongue ridge. 4. Pain increase by routine physical activity of tension-type headache patient was not significantly different by the tongue ridge. Therefore, it was considered that the tension-type headache patient was influenced by the tongue ridge in the pain quality and pain intensity.

Effect on the Pain Characteristics of Tension-Type Headache by Buccomucosal Linea Alba (협점막 백선이 긴장성 두통 환자의 통증 양상에 미치는 영향)

  • Kim, Hyoung-Sok;Auh, Q-Schick;Hong, Jung-Pyo;Chun, Yang-Hyun
    • Journal of Oral Medicine and Pain
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    • v.35 no.3
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    • pp.203-212
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    • 2010
  • This study was designed to evaluate the pain characteristics of tension-type headache by buccomucosal linea alba. Patients with tension-type headache visited the Department of Oral Medicine, K University Dental Hospital were recruited to this study. Experimental group (n=79) was composed of tension-type headache with buccomucosal linea alba and control group (n=79) was composed of tension-type headache without buccomucosal linea alba. Evaluation list was pain quality, pain intensity, pain laterality, pain increase by routine physical activity and then it was analyzed statistically. The results were as follows : 1. Pain quality of tension-type headache patient was not significantly different by buccomucosal linea alba. 2. Pain intensity of tension-type headache patient was significantly different by buccomucosal linea alba. (p=.043). 3. Pain laterality of tension-type headache patient was not significantly different by buccomucosal linea alba. 4. Pain increase by routine physical activity of tension-type headache patient was not significantly different by buccomucosal linea alba. Therefore, it was considered that the tension-type headache patient was influenced by buccomucosal linea alba in the pain quality.

Study on Relation between Dental Health Beliefs and Dental Health Behavior in the High Grade Students of Elementary School (초등학교 고학년의 구강건강신념과 구강건강행동간의 관련성에 관한 연구)

  • Chang, Bun-Ja
    • Journal of dental hygiene science
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    • v.8 no.3
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    • pp.163-168
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    • 2008
  • Purpose: The purpose of this study was to analyze relation between dental health beliefs and dental health behavior in the high grade students of elementary school, so importance of dental health beliefs has been emphasized as a factor affecting dental health behavior. Methods: The subjects in this study were 490 students of 4, 5 and 6th grade students from elementary school in Daegu areas. The data was collected through a structured questionnaire on June 26, 2006. For data analysis, One-way ANOVA, T-test and Pearson's correlation test were utilized. Result: 1) Frequency of visit at dental clinic for one years was significantly correlated with academic years, also frequency of toothbrushing one day was significant difference with sex distinction. 2) Frequency of toothbrushing one day was significantly correlated with their's susceptibility and barrier. 3) Frequency of visit at dental clinic for one years was significantly correlated with their's susceptibility and seriousness. 4) Frequency of intake cariogenic food for one day was significantly correlated with their's susceptibility, seriousness, benefit and barrier. Conclusions: We found that student's dental health beliefs was significantly correlated with dental health behavior, so school health educators should encourage students to have properly dental care habits for lifelong dental health with practical education.

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ANTEROGRADE AMNESIC EFFECT OF MIDAZOLAM (Midazolam 투여시 선행성 건망증 발현에 관한 연구)

  • Lee, Jung-Ha;Kim, Mi-Ra;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.412-420
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    • 2004
  • The purpose of this study was to assess the anterograde amnesic effect of Midazolam administrated by intranasal and oral route. Fifteen healthy volunteers(ASA I) were administrated with placebo, oral Midazolam(15mg), intranasal Midazolam(0.25mg/kg) every 2 weeks. First picture cards were shown to volunteers before medication. At 15, 30, 45 minutes, other picture cards were shown to volunteers. BP, $SpO_2$ and sedation scores were measured. After 24 hours, the volunteers were questioned about their memory of pictures. To assess amnesic effect, recall and recognition test were performed using a series of picture cards designed for this purpose. The obtained results were as follows; 1. Compared to placebo, Midazolam group(oral and intranasal) experienced a significant anterograde amnesic effect(P<0.01) 2. There was no difference between oral and intranasal Midazolam(P>0.01). 3. Anterograde amnesic effect of oral and intranasal Midazolam group began at 15minutes. It became increasingly, oral Midazolam group experienced extremely amnesic effect at 45minutes, intranasal Midazolam group was at 30minutes. 4. After 30minutes of Midazolam administration, anterograde amnesia of oral Midazolam group is more effective than intranasal Midazolam group.

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Continuity of Ambulatory Care among Adult Patients with Type 2 Diabetes and Its Associated Factors in Korea (우리나라 성인 2형 당뇨환자의 외래진료 지속성과 관련요인 분석)

  • Hong, Jae-Seok;Kim, Jai-Yong;Kang, Hee-Chung
    • Health Policy and Management
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    • v.19 no.2
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    • pp.51-70
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    • 2009
  • Background : Previous studies have reported that enhanced continuity of care prevented a sudden worsening in progress among chronic disease patients, and as a result was favorable for efficient spending of health care funds. This study aims to estimate the continuity of care of Korean with diabetes and to identify factors affecting the continuity of care. Methods : This study used the Korean National Health Insurance Claims Database which includes E11 (ICD-10) as a primary or secondary disease as of 2006. Study population is 1,160,725 type 2 diabetics (20-84 years). Continuity of Care Index (COC), Modified, Modified Continuity Index (MMCI), and Most Frequent Provider Continuity (MFPC) were used as indexes of continuity of care. Results : The continuity of care in the study population was $0.94{\pm}0.10$ as calculated by MMCI, $0.91{\pm}0.16$ as calculated by MFPC and $0.86{\pm}0.23$ as calculated by COC. The lower continuity of care was shown in the patients who were female, 65 and over years old, Medical Aid recipients, 13 times or more visitors, hospital users as main attending medical institution, patients experienced hospitalizations or comorbidities. Conclusion : The continuity of care for adult patients with type 2 diabetes was high in Korea, and showed variation according to patients' characteristics. This result provides empirical evidence for policymakers to develop or strengthen programs for managing patients showing low continuity of care.