• 대한영양사협회학술지
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• 제23권1호
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• pp.27-38
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• 2017

Maintaining adequate fluid balance is essential for all biological functions in the body. The purpose of this study was to evaluate vulnerability to dehydration by analyzing age, gender, body mass index (BMI), and blood lipid parameters in health checkup examinees who visited Sahmyook Seoul Hospital for comprehensive health checkups. In a binary logistic regression analysis stratified by age and body mass index the odd ratio for dehydration was as high as 3.317 (95% CI: 1.666~6.605) in the 50s age group, 4.224 (95% CI: 2.038~ 8.755) in the 60s age group, and 4.610 (95% CI: 1.943~10.940) in the above 70s age group compared to 20s reference age group. Aged females showed greater vulnerability to dehydration with significance levels of P<0.01 and P<0.001. Compared to a normal weight (BMI: 18.5~22.9) the odd ratio was higher in males with an under weight (BMI: less than 18.5) (5.130 [95% CI: 1.631~16.132]) and in females with an over weight (BMI: 23.0~24.9) (1.500 [95% CI: 1.065~2.114]). In conclusion, our results showed that vulnerability to dehydration increased with age and was higher in under weight males and over weight females than that in normal weight.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.526-537
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• 2016

연구목적: 본 연구는 대사증후군 구성요인의 군집별 변화양상과 군집별 조합 중에서 가장 많이 분포된 조합들을 파악하여 대사증후군을 예방하고자 시행하였다. 연구방법: 2009년부터 2013년까지 총 2회 검진을 받은 1900명을 대상으로 하였고, 대사증후군의 변화를 살펴보기 위해 정상군과 대사증후군으로 진단된 군 두군으로 나누어 코호트연구를 시행하였다. 연구결과: 대사증후군 구성요인의 조합 상태에 따라 대사증후군 진단율에 영향을 미치는 순서는 2개의 조합에서는 TG+HDL, TG+FBS순이고, 3개의 조합은 WC+TG+HDL, TG+BP+FBS순이었고, 4개의 조합은 WC+TG+HDL+BP, WC+TG+HDL+FBS의 순이었다. 결론: 대사증후군을 예방하기 위해서는 대사증후군 진단율에 영향을 주는 조합을 고려하여 대사증후군 고 위험군을 찾아내어 관리하는 보건프로그램이 필요할 것이다.

• 보건행정학회지
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• 제31권1호
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• pp.35-45
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• 2021

Background: As a descriptive study targeting 2,068 cancer patients as men of national merit in 2013, this study aims to provide the basic data for systematizing the early diagnosis and treatment of cancer by comparatively analyzing the 5-year survival rate. Methods: This study researched the survival of cancer patients through Electronic Medical Record and Patriots-Veterans Qualification Program, targeting 2,068 newly-diagnosed cancer patients verified in five veterans hospitals and consigned management system. This study verified differences between general characteristics of cancer patients as men of national merit and analyzed their survival rate. Results: The cancer patients as men of national merit were super-aged as their average age was 72.5. In the analysis of general characteristics of five major prevalent cancers, there were statistically significant differences according to age, region, cancer diagnostic path, differentiation, diagnostic method, treatment method, SEER stage, and survival period, except for the types of the man of national merit (p<0.001). The whole survival rate of cancer patients as men of national merit was 50%. The 5-year survival rates of predisposing cancers were shown as prostate cancer (79%), colorectal cancer (64%), gastric cancer (57%), liver cancer (32%), and lung cancer (12%). In the cancer diagnostic path, all the predisposing cancers showed the highest survival rate in medical examination. In the treatment method, the surgery showed the highest survival rate. The cancer patients as men of national merit showed a lower survival rate than the general cancer patients of Korea. Conclusion: It would be needed to guarantee the honorable and happy life through health recovery as special treatment of contribution and sacrifice of super-aged men of national merit by increasing the cancer survival rates through regular checkup, early diagnosis, and high-quality treatment system that could have important effects on the survival rate according to the occurrence of cancers.

• 한국재난정보학회 논문집
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• 제18권3호
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• pp.478-486
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• 2022

연구목적: 건설현장에서 작업환경측정을 하고 있으나 노출되고 있는 유해인자를 세분화하여 작업환경 측정을 하지 않고 공정별 대표적으로 노출되는 소음, 진동 등 몇 가지만 실시하고 있다. 이에 건설현장에서 가장 많이 노출되는 산화규소분진의 유해성과 현재 건설현장에서 하고있는 개선대책의 보완점을 찾고자 한다. 연구방법: 안전보건공단과 산업보건협회에서 발행하는 실태조사 보고서 및 작업환경측정 기관의 자료를 활용하여 현황을 분석하였고 산업안전보건법의 작업환경측정에 관한 규칙과 비교분석 하였다. 연구결과: 산화규소분진의 유해성을 파악하고 개선책을 보완도출하였다. 결론: 건설현장의 산화규소분진의 유해성을 도출하고 이에 따른 개선대책을 제시함으로써 현장에서 적극적으로 적용한다면 산화규소분진에 대한 직업병을 줄일 수 있을 것으로 기대된다.

• 한국치위생학회지
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• 제14권6호
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• pp.951-959
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• 2014

Objectives: The purpose of this study was to find out the fear of dentist care, subjective recognition of dental health, and quality of life in the male high school students and to analyze the influencing factors on dental health care. Methods: A self-reported questionnaire was filled out by 243 special high-school in Deagu province from March 3 to March 14, 2014. The questionnaire consisted of general characteristics of the subjects(5 questions), subjective recognition of health and activities to improve health(6 questions), dental fear(20 questions), oral health related quality of life(16 questions). The instrument for dental fear was adapted from measured by Berggren Dental Fear Survey(DFS). A total of 20 DFS questions included treatment avoidance(8 questions), stimulus reaction(6 questions), and physiological reaction(5 questions) and score by Likert 5 scale. Cronbach alpha was 0.974 in the study. Oral health related quality of life was measured by 16 questions of CPQ11-14 for the adolescents by Lau. CPQ11-14 consisted of oral symptoms(4 questions), functional restriction(4 questions), and emotional wellbeing(4 questions). The instrument was score by Likert 5 scale and Cronbach alpha was 0.9354 in the study. Data were analyzed using SPSS 18.0 program for ANOVA and multiple regression analysis. Results: Fear of dentist care showed significant differences in treatment avoidance factor(p<0.001), stimulus reaction factor (p<0.05), and physiological reaction factor(p<0.001). The factors depended on subjective recognition of health and health-improving activities and differences in treatment avoidance factor(p<0.05) and physiological reaction factor(p<0.01). The dental symptoms factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001), alcohol drinking status(p<0.001) and regular meal(p<0.001). While function limit factors showed differences in health recognition (p<0.001), interest in health(p<0.001), smoking(p<0.001), alcohol drinking(p<0.001) and regular meal(p<0.001). Mental and social stabilities factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001) and alcohol drinking status(p<0.001). Among the factors influencing on the quality of life in dental health, interest in health(p<0.005), alcohol drinking(p<0.005) and physiological reaction in the midst of fear of dentist care(p<0.001) were the significant impact factor. Conclusions: It is necessary to develop a continuous and systematical program of dental health and dental care by experts so that the students can reduce the fear of dentist care by regular dental checkup and preventive treatment and care.

• 한국치위생학회지
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• 제18권4호
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• pp.441-453
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• 2018

Objectives: The purpose of this study was to contribute to the development of basic data for establishing and expanding the dental health centers in the future by examining the awareness of the dental health center establishment and the level of dental health knowledge in the school. Methods: A survey was conducted from April 2017 with 336 students over 10 years old in South Korea to investigate the awareness of the dental health center establishment in the school and their dental health knowledge level. The results were summarized as follows. Statistical analysis of the collected data was performed using the SPSS WIN 21.0 statistical program. Results: It was necessary to establish the dental health centers in the school with their establishment rate of 82.8%, and the reason for the establishment of the dental health center was the possibility of regular checkup with the highest at 43.6%. In the school, 62.8% answered no experience of dental health education with the highest rate. Dental health education in the school was answered to be necessary with 91.0% the most prevalent one. Factors affecting the recognition of the expected effect of establishing the dental health center in the school, it is expected that if the establishment of the oral health center is needed and the oral health education is needed in the school, And the perception of the effect is increased. Conclusions: 91% of the respondents considered that dental health education was necessary and 83% answered they needed dental hygiene. However, only 37.2% of the students experienced dental health education in the school. Therefore, it is necessary to expand the dental health center establishment, and to develop the foundation of life dental health care through regular dental examination and proper brushing education.

• 치위생과학회지
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• 제8권3호
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• pp.117-122
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• 2008

중학교 학생들의 구강보건교육 활성화에 대한 기초자료를 제공하여 학교구강보건사업의 질적 향상을 위한 방안을 모색해 보고자 시도한 본 연구는 중학교 재학생 430명을 대상으로 구강보건인식 지식 및 실천정도를 분석하여 다음과 같은 결과를 얻었다. 1. 구강건강에 대한 관심정도에 있어 관심이 있는 경우가 56.7%인 반면, 별로 관심이 없거나 전혀 관심이 없는 경우도 43.2%나 되었다. 2. 현재 인지하고 있는 구강상태 정도는 '건강하다' 가 36.7%, '무언가 이상이 있거나 충치 및 잇몸병이 있다' 응답한 경우가 63.3%로 나타났으며, 구강에 나타나는 증상 및 증후의 자기평가 정도는 턱관절 관련 25.8%, 잇몸질환 관련이 30% 정도 인지하고 있었다. 3. 잇솔질 습관과 관련하여 점심식사 후 잇솔질을 하는 경우에 있어 여학생(45.2%)이 남학생(13.6%)에 비해 통계적으로 매우 유의하게 높게 나타났으며, 잇솔질 방법과 잇솔질하는 부위에 있어서는 남녀간에 약간의 차이를 확인할 수 있었다. 4. 구강보건지식에 있어서는 여학생(7.05점)이 남학생(6.36점)보다 유의하게 높게 나타났고, 구강건강에 대한 관심정도가 높을수록 지식점수도 유의하게 높게 나타났다. 5. 치과방문경험에 있어서 당분섭취제한 및 주기적 검진의 실천정도는 방문경험이 있는 경우(2.62점, 2.50점)가 방문경험이 없는 경우(2.32점, 1.74점)에 비해 유의하게 높게 나타났다.

• 한국치위생학회지
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• 제11권4호
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• pp.475-487
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• 2011

Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder, social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured, and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relation ship between oral health and the quality of life. Therefore effective oral health plans that cater to the elderly should be carried out to improve elderly people's quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.

• 한국치위생학회지
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• 제9권4호
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• pp.606-619
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• 2009

Objectives : This study was to examine the state of customized visiting oral health programs in a bid to help facilitate the unified operation of the programs and the development of required guidelines. Methods : The subjects in this study were 49 dental hygienists who were professionals responsible for customized visiting health care programs across the nation. Results : 1. Regarding the form of employment of the dental hygienists were investigated many contract and daily workers. 2. As to the possession of equipment necessary for visiting oral health programs, denture cleaners(12.2%) were most widely possessed in some regions, followed by mobile scalers(10.2%) and mobile suctions(8.2%). In terms of expendable devices and materials, dental mirrors, pincettes and explorers were the most widely possessed dental checkup devices, and the most widely possessed oral hygiene supplies were toothbrushes, interdental brushes and denture cleaners. Those devices and materials were in more possession than the other types of devices and materials. The most widely possessed equipment for educational purpose was laptop computers, followed by beam projectors and screens. The most widely possessed teaching materials were dentiform, followed by CD-ROMs. 3. Those whom they visited the most for oral health care service were elderly people, followed by the disabled and patients with chronic diseases. The dental hygienists who went out to visit those people outnumbered the others who stayed at public health centers. Concerning the types of visiting oral health care service, the most prevalent service provided to the elderly included denture cleaning/management, oral massage and preventive treatment against dental caries. The most dominant service provided to the disabled involved education of the oral health care act, preventive treatment against dental caries and toothbrushing by professionals. The most common service offered to patients with chronic diseases was education of the oral health care act and oral health education. The dental hygienists paid a visit to a mean of 5.8 households a day. The average weekly number of households cared by the dental hygienists was 27.3. It took a mean of 37.1 minutes for them to take care of each household. 4. As for satisfaction level with the implementation of the visiting oral health programs, they expressed the greatest satisfaction at teamwork with professionals($3.56{\pm}0.94$), followed by the professionalism of their work($3.21{\pm}0.94$) and workload($3.08{\pm}0.94$). Their satisfaction level with the work conditions required for creative job performance($2.75{\pm}0.98$) and partnership with other institutions($2.64{\pm}1.03$) was below 3.0. In regard to the impact of their characteristics, marital status made a statistically significant difference to satisfaction level with workload. The unmarried dental hygienists were more pleased with their workload than the married ones(p<0.05). 5. As to needs for education for professionalism improvement, they asked for education about visiting oral health care skills the most, followed by education about oral health care for patients with chronic diseases, education of planning/evaluation and education of oral health care for the disabled. Conclusions : The top priority for the vitalization of the programs was the procurement of budget, followed by the procurement of equipment and educational media and the procurement of human resources.

• 치위생과학회지
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• 제9권1호
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• pp.115-120
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• 2009

본 연구는 각 지역자치단체에서 아동 및 보호자인 어머니를 대상으로 구강보건사업을 계획 및 수행하는데 기초자료로 활용하고자 화성시 지역에 위치한 유치원을 대상으로 2007년 6월 1일부터 6월 30일까지 아동의 구강검사와 어머니의 자가기입식 설문지법을 이용하여 자료를 얻었으며, 총 239명을 대상으로 조사하였다. 그에 대한 결과는 다음과 같다. 1. 전체 아동의 건전치율이 79.12%를 보이고 있으며, 여아가 80.36%로 남아 78.13%보다 약간 높게 나타났으며 우식치율은 남아 8.74%, 여아 6.07%, 우식경험처치율은 남아 11.37%, 여아 12.59%를 보였다 2. 5세 아동의 유치우식경험율(df rate)이 전체 39.3%를 보이고 있으며, 남아가 41.3%로 37.2%인 여아보다 높게 나타났다. 우식경험유치지수(dft index)도 남아가 3.9개로 여아 3.2개보다 높은 지수를 나타내 여아가 남아에 비해 구강건강상태가 양호한 것으로 나타났다. 3. 어머니의 구강건강행위를 알아본 결과 자가구강건강상태는 미취업의 경우가 취업하고 있는 경우보다 더 좋다고 답하였다(p = 0.002). 스케일링 경험 유무나 정기검진 유무에 있어서는 취업하고 있는 경우가 약간 높은 결과를 보이고 있지만 유의하지는 않았다. 4. 자녀의 구강관리를 알아본 결과 경제적 수준이 높을수록(p = 0.011), 취업을 하고 있지 않은 어머니일수록 간식을 적게 주는 것으로 나타났으며(p = 0.41), 자녀의 정기검진 유무에 있어서는 학력수준이 높을수록(p = 0.047), 취업을 하고 있을수록(p = 0.044) 높게 나타났다.