• 대한간호학회지
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• 제45권1호
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• pp.46-53
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• 2015

Purpose: This study was conducted to examine the effect of oral care with an aroma solution on oral status and oral cavity microorganism growth in elderly patients with stroke. Methods: A non-equivalent control group, with a pretest-posttest design was used in this study. The participants were assigned to the experimental group (n=30) that received oral care with an aroma solution or the control group (n=31) that received 0.9% saline solution. To identify the effect of the experimental treatments, objective/subjective assessments of oral status and oral cavity microorganism growth were performed using the oral assessment guide, oral perception guide, and oral swab culture. Data were analyzed using Chi-square test, Fisher's exact test, and t-test with the SPSS version 21.0 program. Results: The objective oral status was significantly lower in the experimental group than in the control group (t= -3.64, p<.001). There was no significant difference between the subjective oral status of the experimental group and control groups (t= -1.24, p=.109). Oral microorganism growth was significantly lower in the experimental group than in the control group (t= -7.39, p<.001). Conclusion: These findings indicate that special mouth care using an aroma solution could be an effective oral health nursing intervention for elderly patients with stroke.

• 치위생과학회지
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• 제14권3호
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• pp.342-348
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• 2014

본 연구는 김제시 B면 K면에 소재하고 있는 초등학교 중에서 학교구강보건실이 설치된 1개교(실험군), 학교구강보건실이 미설치된 3개교(대조군)를 표본학교로 선정하여 김제시 K보건지소의 학교계속구강건강관리사업이 중지되기 전 사업의 혜택을 받은 3~6학년, 사업이 중지된 후 혜택을 받지 못한 1~2학년을 비교대상으로 구강상태를 평가하여 다음과 같은 결과를 얻었다. 영구치우식경험자율은 전체 실험군 50.6%, 대조군 66.8%로 유의한 차이를 나타냈으며 (p<0.01), 사업혜택을 받은 3~6학년에서 실험군 58.9%, 대조군 76.1%로 나타나 유의한 차이를 나타냈다(p<0.05). 우식경험영구치율은 전체 실험군 34.8%, 대조군 56.5%로 나타나 유의한 차이를 보였고(p<0.001), 사업혜택을 받은 3~6학년 실험군 41.1%, 대조군 64.2%로 나타나 유의한 차이를 보였다(p<0.01). 우식경험영구치지수는 전체 실험군 1.35개, 대조군 2.97개로 유의한 차이를 보였고(p<0.001), 사업혜택을 받은 3~6학년 실험군 1.73개 대조군 3.66개로 나타나 역시 유의한 차이를 나타냈다(p<0.001). 우식영구치지수는 전체 실험군 0.72개, 대조군 1.96개로 나타나 유의한 차이를 보였고(p<0.001), 충전영구치 지수는 실험군 0.63개, 대조군 0.99개로 나타나 유의한 차이를 보였다(p<0.05). 사업중지 1~2학년 실험군에서 우식영구치지수 0.42개, 대조군 1.12개로 나타나 유의한 차이를 보였고(p<0.05), 사업혜택을 받은 3~6학년 실험군에서 우식영구치지수 0.89개 대조군 2.34개로 나타나 역시 유의한 차이를 보였다(p<0.01) 우식영구치율은 전체 실험군 57.23%, 대조군 64.16%, 충전영구치율은 실험군 42.77%, 대조군 34.81%로 나타났고 사업중지 1~2학년 우식영구치율은 실험군 63.89%, 대조군 76.17%로 나타났으며, 사업혜택을 받은 3~6학년의 우식영구치율은 실험군 54.81%, 대조군 60.98%로 나타났다. 이상의 결과를 토대로 초등학교 구강보건실에서 실시하는 학생계속구강건강관리사업의 효과를 확인하였으며, 학생들의 구강건강증진을 위해 계속적인 유지와 활성화를 위한 노력이 필요할 것으로 생각된다.

• Toxicological Research
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• 제34권1호
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• pp.55-63
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• 2018

As a part of general toxicity studies of Enterococcus Faecalis 2001 (EF 2001) prepared using heat-treatment bacillus mort body EF 2001 in mice, this study examined the toxicity of EF 2001 in single and repeated administrations following the previous report in order to apply this product to preventive medicine. The safety of oral ingestion of EF 2001 was examined in 6-week-old male and female ICR mice with 1,000 mg/kg, 3,000 mg/kg and 5,000 mg/kg body weight/day administrated by gavage of the maximum acceptable dose of EF 2001. The study was conducted using distilled water as a control following the methods for general toxicity studies described in the "Guidelines for Non-clinical Studies of Pharmaceutical Products 2002". As a control, 1) observation of general conditions, 2) measurement of body weight, 3) determination of food consumption, 4) determination of water consumption, 5) blood test and urinalysis and 6) pathological examination were performed for the administration of EF 2001. Mice received EF 2001 for 13 weeks and results were compared with those of the control group that received distilled water. The results of the above examinations revealed no significant differences between control and EF 2001 groups for both males and females. Thus, no notable toxicity was confirmed with single and repeated oral administrations of EF 2001. Oral administration in the above doses did not result in abnormal symptoms or death during the observation period. No abnormalities in blood cell count or organ weights were seen. Without any evidence of toxicity to cells and organs, EF 2001 is speculated to not adversely affect living organisms. The 50% lethal dose of EF 2001 with oral administration in mice is estimated to be greater than 5,000 mg/kg body weight/day for both male and female mice. Therefore, $LD_{50}$ value for animals was 5,000 mg/kg or more.

• Imaging Science in Dentistry
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• 제46권1호
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• pp.9-16
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• 2016

Purpose: To evaluate the upper airway dimensions of obstructive sleep apnea (OSA) and control subjects using a cone-beam computed tomography (CBCT) unit commonly applied in clinical practice in order to assess airway dimensions in the same fashion as that routinely employed in a clinical setting. Materials and Methods: This was a retrospective analysis utilizing existing CBCT scans to evaluate the dimensions of the upper airway in OSA and control subjects. The CBCT data of sixteen OSA and sixteen control subjects were compared. The average area, average volume, total volume, and total length of the upper airway were computed. Width and anterior-posterior (AP) measurements were obtained on the smallest axial slice. Results: OSA subjects had a significantly smaller average airway area, average airway volume, total airway volume, and mean airway width. OSA subjects had a significantly larger airway length measurement. The mean A-P distance was not significantly different between groups. Conclusion: OSA subjects have a smaller upper airway compared to controls with the exception of airway length. The lack of a significant difference in the mean A-P distance may indicate that patient position during imaging (upright vs. supine) can affect this measurement. Comparison of this study with a future prospective study design will allow for validation of these results.

• 한국치위생학회지
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• 제18권6호
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• pp.969-977
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• 2018

Objectives: The purpose of this study was to determine the importance of oral health care in the control of diabetes mellitus. Methods: The raw data of the National Health and Nutrition Examination Survey were utilized and 4,445 adults aged 19 and over were surveyed and examined. Complex samples crosstabs and general linear model analysis were carried out. Results: In total, 69.6 percent of the subjects were normal, 21.4 percent had impaired fasting glucose, and 9.0 percent had diabetes. By sex, 25.8 percent of the men had impaired fasting glucose and 10.8 percent had diabetes. Women with impaired fasting glucose accounted for 17.2 percent and 7.2 percent of women had diabetes. Impaired fasting glucose and diabetes were more common among men. Fasting glucose values were higher in the respondents who were male, were younger, whose monthly mean household income was lower, and who were less educated. Fasting glucose values were higher when the frequency of toothbrushing was lower and when dental floss and a dental brush were not in use. Fasting glucose was lower when there was no periodontal disease, when there was less difficulty in mastication, and when there were no implants in the upper and lower jaws. Conclusions: Oral health care workers should develop a variety of programs to motivate patients to take care of their own oral health actively and responsibly.

• 치위생과학회지
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• 제9권5호
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• pp.497-506
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• 2009

흡연 청소년의 흡연형태 요인과 구강질환과의 관련성을 조사하여 10대 청소년들의 구강건강을 효율적으로 관리하는데 도움이 될 기초자료를 제공하고자 2009년 6월 1일부터 8월 31일까지 서울지역 소재하고 있는 S병원 건강교육원 5일 금연학교 프로그램에 참석한 일부 중 고등학교 학생 흡연자 156명(남자: 103명, 여자: 50명)과 흡연군과 성별, 연령을 고려하여 짝짓기 방식으로 선정한 비흡연군 176명(남자: 64, 여자: 112명)을 분석대상으로 하였다. 설문지를 이용하여 인구 사회학적 특성, 기초구강건강관리, 흡연형태요인, 자기효능감, 구강건강통제위, 구강건강지식, 구강건강증진행위에 관한 지료를 수집하였다. 구강검사를 실시하여 DMFT index, DT index, MT index, FT index, Plaque index, Calculus index를 사용하여 치아 및 구강위생상태를 평가하여 다음과 같은 결과를 얻었다. 1. 치과방문(p < 0.05), 구강건강 자각적도(p < 0.001), 구강건강관심도(p < 0.01)는 모두 흡연군보다 비흡연군에서 높게 나타나 통계적으로 유의한 차이를 보였다. 2. 자기 효능감(p < 0.05), 구강건강통제위, 구강건강증진행위(p < 0.001), 구강건강지식 모두 비흡연군에서 높게 나타났다. 3. 우식치수(p < 0.001), 치태지수(p < 0.001), 치석지수(p < 0.001)는 비흡연군보다 흡연군에서 높게 나타나 통계적으로 유의한 차이를 보였다. 4. 흡연량이 적을수록 우식치수 (p < 0.05), 치태지수(p < 0.01), 치석지수(p < 0.001)가 낮게 나타나 통계적으로 유의한 차이를 보였다. 5. 우식치수와 자기효능감, 구강건강통제위, 구강건강증진행위와는 유의한 상관성이 있었다.(p < 0.01). 6. 흡연량과 치태지수(p < 0.05), 치석지수(p < 0.05)와 유의한 상관성이 있었다. 7. 다변량 분석결과 흡연 청소년의 우식치수와 유의한 관련성이 있는 요인은 구강건강증진행위(p < 0.05), 치태지수(p < 0.01)이었다. 즉 구강건강증진행위가 높을수록, 치태지수가 낮을수록 우식치수가 적었다.

• 한국간호교육학회지
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• 제28권3호
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• pp.317-327
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• 2022

Purpose: This study aimed to compare the effects of oral swab and non-swab using cold water gauze on patients' thirst and oral status following nasal surgery under general anesthesia. Methods: A non-equivalent control group was applied. Participants were divided into a control group (n=30) that was treated by cared for with cold water gauze application without oral swab and an experimental group (n=29) that was treated cared for with oral swab using cold water gauze after nasal surgery at the G University Hospital in Korea. Data were collected from May 14, 2020, to April 30, 2021, and analyzed using descriptive statistics, a chi-squared test, independent t-test, Wilcoxon signed-ranks test, and Mann-Whitney test. Results: The results showed no significant differences between the two groups in thirst (U=-0.04, p=.693) and overall oral condition (U=-0.34, p=.813) after the intervention. However, participants' thirst and oral condition were significantly improved in each group after intervention. Conclusions: It was confirmed that both oral care methods reduced thirst and improved oral condition after nasal surgery. These findings indicate the need for intervention for patients' thirst and oral condition after nasal surgery. Furthermore, they show that these oral care protocols can be used as a safe and effective nursing intervention for patients who undergo nasal surgery under general anesthesia.

• 대한장애인치과학회지
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• 제8권1호
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• pp.15-21
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• 2012

Extraction of all nonrestorable teeth prior to bone marrow transplantation is the major dental management of the patient being prepared for the transplantation. But, there are four principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (3) Thrombocytopenic purpuras (4) Disorders of coagulation (liver disease, anticoagulation drug-heparin, coumarin, aspirin, plavix) If the hemorrhage from postextraction wound is unusually aggressive, the socket must be packed with local hemostatic agent and wound closure & pressure dressing are applied. But, in dental alveoli, local hemostatic agent (gelfoam, surgcel etc) may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding and infection control by suture, pressure packing and iodoform gauze drainage on infected active bleeding extraction socket under sedation and local anesthesia in a 57-years-old multiple disabled patient with anticoagulation drug.

• 한국치위생학회지
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• 제13권4호
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• pp.581-588
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• 2013

Objectives : The aim of the study si to investigate correlation between metabolic syndrome risk factors and oral health status in workers and to propose the integrated and effective management measures. Methods : Subjects were 4,600 workers in industrial company. Data by medical checkup and oral examination were collected from July 13, 2010 to September 12, 2010. Self-reported questionnaire included general characteristics, job description, smoking, drinking, and metabolic syndrome risk factor indicators. Gingivitis, dental calculus and missing tooth tended to have more metabolic syndrome risk factors. Data were analyzed by descriptive statistics, chi-square test, correlation analysis, logistic regression using SPSS version 18.0. Results : Dental caries revealed 1.146 times higher than the control group. Risk group showed the following results; gingivitis was 1.317 times higher in risk group and 1.612 times in metabolic syndrome. Dental calculus was 1.532 times higher in risk group and 1.557 times in metabolic syndrome. Mssing teeth were 1.976 higher in metabolic syndrome. Conclusions : Metabolic syndrome risk factors had close correlation to poor raol health status. It is necessary to establish the effective plan for the oral health in workers.

• 치위생과학회지
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• 제5권2호
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• pp.77-82
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• 2005

본 연구는 전라북도에 소재하고 있는 구강진료기관에 내원한 18세 이상의 성인환자 350명을 대상으로 구강보건교육에 대한 태도 및 행동실태를 파악하여 진료실에서의 구강보건교육의 중요성을 재인식 시키고자 시행하였으며, 2004년 3월 22일부터 4일 10일까지 자기기입식에 의한 설문조사를 한 결과 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따른 구강보건교육의 경험에서는 여자가 남자보다, 학력에서는 대학교 졸업 이상이, 직업별로는 주부에서 구강보건교육 경험율이 높은 것으로 나타났다. 2. 일반적 특성에 따른 구강보건교육 후 실천에서는 여자가 남자보다 실천도가 높았으며, 연령에서는 30대가 가장 높았고, 학력에서는 학력이 높을수록, 직업에서는 공무원이 실천도가 가장 높은 것으로 나타났다. 또한 구강보건교육을 받은 후 실천할 수 없었던 이유로는 62.9%가 관심이 없어서라고 응답하였다. 3. 구강보건교육 내용으로 가장 많은 응답자 35.2%가 치석 제거를 받아 보았다고 응답하였으며, 잇솔질 외 보조구강 위생용품에서는 치실이 42.2%로 가장 높게 나타났다. 4. 구강보건교육을 받은 후 행동의 변화에 대해 46.9%가 잇솔질 횟수가 증가 했다고 가장 많은 응답을 하였으며, 식이조절이 10.4%로 사용이 가장 저조한 것으로 나타났다. 5. 구강보건교육 유무에 따른 구강위생 관리 실태는 잇솔질 방법에는 유의한 차이가 없었으며 치석제거 주기는 1년 이상~2년이 25.7%로 가장 높게 나타났고, 치실 및 치간 칫솔의 사용여부는 구강보건교육 경험이 있는 환자에서는 30.6%가 사용을 하고 있었으며, 경험이 없는 환자에서는 5.9%가 사용하고 있는 것으로 나타났다.