• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.3
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• pp.324-333
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• 2010

Purpose: The purpose of this study was to evaluate the effects of three different oral care treatments on the oral state of patients with intubation in intensive care units. Methods: The research design was a nonequivalent control group design with repeated measures. The patients were assigned a normal saline, chlorhexidine or toothbrushing group. Each group received its own oral care treatment for 5 minutes, twice a day and for 8 days. The oral assessment guide, hygiene performance index and pathogenic microorganisms. Data were collected from patients before the experiment, 4 days after, and 8 days after completion and were evaluated. Results: The chlorhexidine group and tooth brushing group showed significant improvement on the oral assessment guide and decrease in the hygiene performance index, compared to the normal saline group. Similarly, pathogenic microorganisms were significantly decreased in the chlorhexidine group and tooth brushing group, when compared to the normal saline group. Conclusions: Oral treatments with chlorhexidine and toothbrushing improve the oral health state of patients, therefore use of chlorhexidine and toothbrushing could be an effective nursing intervention for intubated patients in intensive care units.

• The Korean Journal of Cytopathology
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• v.2 no.1
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• pp.20-27
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• 1991

In order to evaluate the role of cytopathologic diagnosis of sputum, bronchial washing and bronchial blushing in the diagnosis of lung cancer, we performed this study. The patients included in this study had undergone sputum, bronchial washing and brushing cytology over the 20-month period of 1985 through 1987. The total number of specimens was 5,495 of 2,242 patients, including 4,830 sputa and 665 bronchial washing and brushings. The average number of sputa and bronchial washings and brushings per case was 2.4 and 1.2 respectively. Among them, about 10% were unsatisfactory specimen, and three-fourths were negative specimens. In sputum cytology, the diagnosis of "atypical cells" was given to 3%, "suspicious for malignancy" was given to 1 %, and "malignancy" was given to 13%. In bronchial washing and brushing cytology, the diagnosis of "atypical cells", "suspicious for malignancy" and malignancy" was given to 6%, 3%, and 20% respectively The cases diagnosed as "atypical cells" in cytology were actually malignancy in 95% and 84.8% of sputum and bronchial washing and brushings respectively, and the "suspicious for malignancy" were actually malignancy in 100% in both methods. The detection rates of malignancy were 504% and 55.2% in sputum and bronchial washing and blushing respectively, and the specificity was 100% in both methods. The accuracy of cell typing was 92% in sputum and 89.7% in bronchial washing and blushing.

• International Journal of Clinical Preventive Dentistry
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• v.14 no.4
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• pp.209-215
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• 2018

In recent years, the numbers of the orthodontic dental patients have been rapidly increased in adolescent or young adult aged generation. It has been well known that it would be very hard to control the oral hygiene cares for orthodontic applied dental patient because of the complexity of the appliance. So the caries prevalence of the orthodontic dental patients would be higher than non-appliance persons, and it might be easy to cause the dental caries especially on the labial or buccal surface of the tooth through equipping the fixed type appliance with a long period, even though the alignment of the teeth would be arranged well. So, the massive preventive program for preventive dentistry should be needed for the dental patients for orthodontic treatment, in order to protect the dental caries and the periodontal disease for them. But, lots of the dentists or dental hygienists sometimes neglect of this point for preventive dental cares orthodontic dental patients, or do not know the importance and how to manage the skill for the preventive dental works in clinical. In this article, it will be introduced the basic theories and skills for preventive cares as tooth-brushing instruction, fluoride topical application and pit and fissure sealant, scaling and professional mechanical tooth cleansing and the diet control, for the dental patients with the fixed type of the orthodontic appliance, in case by case.

• Korean Journal of Metals and Materials
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• v.47 no.10
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• pp.652-659
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• 2009

Many ancient and historical artifacts were made by copper and its alloys. In the case of outdoor exposure artifacts, the surface could be suffered from corrosion and tarnish by the reaction with its environment. In order to preserve the artifacts, surface treatment would be needed and BTA coating has been usually applied to tin-bronze. This paper dealt with the evaluation of the properties of BTA coated film using a linear polarization method and AC impedance measurement. On the base of corrosion rate and film resistance for the specimen formed by coating process, optimum coating conditions are as follows; 3 cycles brushing or 3 cycles spraying coatings for natural dried process and 1 cycle brushing coating or 5 cycles spraying coating for hot-air dried process.

• Journal of dental hygiene science
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• v.12 no.4
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• pp.348-358
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• 2012

This study aims to prepare the basic data of the teeth color by measuring analyze mode using the color of the maxillary anterior teeth (maxillary central incisor, lateral incisor, canine) of the college students in their twenties as the dental colorimeter. The maxillary anterior teeth of the subjects of study as 467 students (male 89, female 378) were measured from 14 November to 2 December, 2011, so the color of total 1,401 teeth was examined, and oral health and eating habit attributes were researched. The survey results were as follows. 1. The color of maxillary anterior teeth was changed from maxillary central incisor to maxillary canine, brightness ($L^*$) was decreased $76.79{\pm}4.86$ to $69.72{\pm}4.62$, red chroma ($a^*$) was increased $2.02{\pm}2.00$ to $4.10{\pm}2.60$, yellow chroma ($b^*$) was increased $15.51{\pm}3.42$ to $20.10{\pm}3.46$. 2. Brightness ($L^*$) was different according to sex (p< 0.001), major (p<0.001), grade (p<0.001), smoking (p<0.001), oral health education (p<0.01), daily brushing frequency (p<0.001), brushing method (p<0.05), oral hygiene devices (p<0.001), and red chroma ($a^*$) to major (p<0.001), daily brushing frequency (p<0.05), brushing time after meals (p<0.01), oral hygiene devices (p<0.01), and yellow chroma ($b^*$) to brushing time after meals (p<0.01), subjective tooth color (p<0.001). 3. Brightness ($L^*$) of eating habit attributes was different according to coke, candy ($R^2=0.053$, p<0.05). In conclusion, this study demonstrates that the color of maxillary anterior teeth has differences in brightness ($L^*$), red chroma ($a^*$), yellow chroma ($b^*$) from each tooth, also these showed various tendency according to the oral health and eating habit attributes.

• The korean journal of orthodontics
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• v.38 no.3
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• pp.214-222
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• 2008

Objective: The aim of this study was to investigate the experimental brush wear pattern of a light cured surface sealant, Biscover (Bisco, Schaumburg, IL), and to evaluate its cariostatic effect. Methods: Caries-free human premolars were used for the Biscover coating group (n = 90) and the control group (n = 10). The Biscover coating group was randomly assigned to nine subgroups of 10 each and the control group was assigned to two subgroups of 5 each according to the number of brushing strokes. An experimental 3-body wear test was conducted under different strokes of wear test. Tooth-brushing was accomplished with movement of each brush head set at a frequency of 100 rpm under a force of 1.5N, Surface roughness was tested before, and after Biscover coating, and after brushing. Then, each of the 10 teeth of both groups were placed in artificial caries inducing solution for 7 days. All tooth surfaces were assessed using scanning electron microscopy. Results: Biscover coated surfaces showed a smoother texture than enamel surfaces. The roughness was increased after experimental brushing and after 10,800 brushing strokes, the whole layer of Biscover wore out. However, teeth in the Biscover coating group had a cariostatic effect in cariogenic conditions. Conclusions: We suggest that white lesions in orthodontic patients can be suppressed by topical applications of Biscover.

• Tuberculosis and Respiratory Diseases
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• v.55 no.1
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• pp.59-68
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• 2003

Background : In intubated patients, cultures of endotracheal aspirates (EA) are apt to contamination throughout the endotracheal tube. Therefore, the identification of etiologic agents via conventional EA cultures is not always reliable. In order to differentiate a pulmonary infection from a non-infectious disease, and to identify the true etiologic agent of acute pulmonary infection, blinded protected specimen brushing (PSB) was used, and its efficacy evaluated. Methods : In 51 intubated patients, with suspected pneumonia, blind PSB were performed, and the results compared with blood and EA cultures. A protected specimen brush was introduced through the endotracheal tube, and settled at the affected large bronchus. A specimen brush was introduced to the expected region using the blind method. The tip of the brush was introduced with an aseptic technique after vigorously mixed for 1 minute in $1cm^3$ of Ringer's lactate solution. The specimens were submitted for quantitative culture within 15 minutes, with a culture being regarded as positive if the colony forming units were above $10^3/ml$. Results : Of the 51 patients, 15 (29.4%) had community-acquired pneumonia (CAP), 27 (52.9%) hospital-acquired pneumonia (HAP) and 9 (17.6%) non-infectious diseases. The sensitivity and specificity of the quantitative PSB culture for the diagnosis of pneumonia were 52.4 and 88.9%, respectively. The sensitivity and specificity of EA were 78.6 and 77.8%, respectively. The blind PSB was superior to the EA for the identification of true etiologic agents. Of 53 episodes of 27 HAP patients, MRSA (Methicillin-resistant staphylococcus aureus) (41.5%) was the most common causative agent followed by Pseudomonas aeruginosa (15.1%), Klebsiella sp. (7.5%) and Acinetobacter sp. (7.5%). Conclusions : As a simple, non-invasive diagnostic modality, the blind PSB is a useful method for the differentiation of a pulmonary infection from non-infectious diseases and to identify the etiologic agents in intubated patients. A blind PSB can be performed without bronchoscopy, so is safer, more convenient and cost-effectiveness for patients where bronchoscopy can not be performed.

• Journal of dental hygiene science
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• v.6 no.2
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• pp.55-63
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• 2006

The purpose of this study was to provide the basic data for preventing dental caries, and maintaining and enhancing oral health. The subjects of this study were 138 male and female students who were in the 6th grade of elementary schools in Gimpo city. This study investigated the number of decayed tooth and the factors related to the number of decayed tooth, by using the results of questionnaire and oral health survey over such subjects. So, this study obtained the following conclusions. 1. For the number of decayed tooth, 'nothing(D = 0)' was the highest as 37.7%, and 'from two to three' was 23.9%, 'more than four' was 21%, and 'one' was 17.4% in order. 2. For the frequency of visiting dental clinics within the last one year, 'one to two times' was the highest as 52.2%, and the children who have not visited dental clinics even one time during one year were 23.9%. 3. For average daily tooth brushing frequency, 'two times' was the highest as 71.7%. For the use of oral health devices besides toothbrushes, 'I don't use' was the highest as 54.3%. For the experience of sealant and fluoride application, 'nothing' was the highest as 86.9% and 71.3% respectively. For the recognition on the use of fluoride dentifrice, 'I don't know' was the highest as 66.9%. 4. The socio-demographic factors related to the number of decayed tooth were mother's age, mother's background, mother's employment, and after-school fosterer(p > 0.05). 5. The oral health care factors related to the number of decayed tooth were average daily tooth brushing frequency, the use of oral health devices besides toothbrushes, and the experience of fluoride application.(p > 0.05) 6. The snack intake factors related to the number of decayed tooth were tooth care foods intake frequency and decaying foods intake frequency(p > 0.05). 7. The oral health belief item related to the number of decayed tooth was susceptibility(p > 0.05). 8. According to the results of regression analysis, the less mother was employed, the more the average daily tooth brushing frequency was, the more the tooth care foods intake frequency was, the less the decaying foods intake frequency was, and the higher susceptibility was, the lower the number of decayed tooth. 9. In order to prevent and cure early the dental caries which occur frequently in elementary school students, the establishment of oral health centers within schools should be expanded to promote tooth brushing instruction, fluoride solution rinsing, diet control, periodic oral examination.

• Journal of agricultural medicine and community health
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• v.30 no.3
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• pp.263-277
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• 2005

Objectives: This study aimed to reveal the oral health conditions based on the dental health behaviors of a community-dwelling elderly. Methods: The subjects included 206 rural dwellers(100 men & 106 women) aged over 65 years old, who received dental health check-ups in the local public health center and its branches attached to 6 respective Myons of Chunchongnamdo Province, during the 2-month period from Jan. 1st to Feb. 28th, 2005. They were examined by dentists and given self-administered questionnaires asking about their dental heaith behaviors and subjective symptoms of gingival bleeding. Results: The oral health conditions based on dental health behavior showed that those who have not taken dental health service a year were found to have significantly greater number of missing teeth(p=0.002), DMFT(p=0.002) and CPITN(p=0.018), and those who have not observed intra-oral conditions a week to have significantly less number of filled teeth(p=0.002) and significantly greater number of missing teeth(p=0.000) and CPITN (p=0.000) than their respective counterparts. In terms of brushing, those who brushed their teeth below "3 times/day" were found to have significantly greater number of decayed teeth(p=0.000), missing teeth(p=0.000), DMFT(p=0.000) and CPITN(p=0.000) than their counterparts. In terms of time spent in brushing, those who spends "below 3 minutes" had significantly greater number of missing teeth(p=0.002) and DMFT(p=0.041), and significantly less number of filled teeth(p=0.036). According to the use of aid tools for cleaning teeth, the group who don't use them had significantly greater number of DMFT(p=0.041) and CPITN(p=0.018) than its counterpart. Classified by smoking habits, smoking groups had significantly greater number of decayed teeth(p=0.035) and CPITN(p=0.001) than non-smoking groups. Multiple regression analysis of the study data revealed that the significant factors influencing number of decayed teeth were number of brushing, sex and intra-oral observation (explanatory power of 14.2%). The significant factors for number of filled teeth were sex, intra-oral observation, use of aid tools, frequency of brushing, subjective health conditions and drinking of sweet beverages(explanatory power of 18.2%), those for number of missing teeth, number of brushing and age(explanatory power of 13.9%) those for DMFT, number of brushing, sex, use of dental service, age(explanatory power: 13.5%), and those for CPITN included smoking habits, use of dental service, use of aid tools (explanatory power: 10.8%). Conclusions: The study results revealed that the dental health behavior of the elderly population is in poor conditions and their consequent intra-oral health conditions are not good. To improve their oral conditions, public campaign and education will be needed to modify unhealthy dental health behaviors.

• Journal of Korean society of Dental Hygiene
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• v.11 no.6
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• pp.881-891
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• 2011

Objectives : This study was carried out in order to contribute to preventing dental caries, which is the biggest disease in adolescence and to promoting oral health by implanting a right habit on oral care targeting adolescents, and further to offer basic help to proceeding with making the better health life. Methods : This study carried out questionnaire survey targeting 1,100 students of middle schools where are located in small and medium-sized cities of Gyeongnam from March 7-18, 2011. Statistical processing was performed frequency analysis and cross tabulation, by using SPSSWIN 12.0 program. Results : As for middle school students' oral health education experience, the group with educational experience was indicated to be 52.9% for girl students and 47.1% for boy students(p<.05) in case of gender. Toothbrushing time was indicated to be the highest with 25.6% in 'after having breakfast'. The appearance of toothbrushing after having lunch at school was indicated to be 53.3% for girl students and 26.3% for boy students(p<.001) by gender. The most important reason for toothbrushing accounted for 82.1% in the 1st grade, 71.1% in the 2nd grade, and 67.4% in the 3rd grade depending on school year as for the response as saying of 'aiming to prevent decayed tooth and gum disease.' Thus, the lower school year led to having indicated to be higher in response as saying of brushing teeth for preventing decayed tooth and gum disease(p<.001). As for a toothbrushing method by gender, boy students accounted for 24.2% in response as saying of 'brushing teeth freely', thereby having been indicated to be higher than 15.0% for girl students(p<.001). Conclusions : In order for toothbrushing method to be rightly practiced and habituated continuously, there will be a need of changing adolescents' awareness and of being driven systematically and continuously through oral health education. School oral health education, which can nurture right attitude and habit of oral health care, is thought to be necessarily expanded and executed.