• 제목/요약/키워드: Hygiene variables

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환자기반 치과의료 환자안전에 대한 연구 (Development of patient-based patient safety questionnaire in dentistry)

  • 김보라;신호성
    • 대한치과의료관리학회지
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    • 제10권1호
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    • pp.53-65
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    • 2022
  • The Primary Care Patient Measure of Safety (PC-PMOS) is a measure of safety that allows patients to evaluate contributing factors related to patient safety in primary care. This study aimed to examine which questionnaire items of the PC-PMOS could be used in Korean dental institutions. A survey of the Korean translation of the PC-PMOS, a self-reported questionnaire, was conducted in August 2022 by 400 adults who had used dental-care services within the last three years. Of the 77 items, 34 were selected using principal component analysis and two experts' evaluations based on face validity. Five domains were identified from factor analysis: patient centeredness, patient information update, complaint processing, communication, and information about the complaint process. The Cronbach's alpha of the data was 0.913, indicating high reliability. As a result of the generalized multiple regression analysis, regression coefficients were not statistically significant, except for household income. This indicated that there was no bias in the patient safety scores of dental institutions evaluated by patients within the range of independent variables used in this study. The five domains with 34 items identified in this study suggested the factors that contribute to the safety of patients who used dental care services in Korea. However, validation of this study result is still important to refine questionnaires suitable for dental institutions in Korea so as to further improve the quality of dental care.

65세 이상 노인들의 순환기계 질환 의사 진단 여부에 따른 주관적 구강건강과 구강관리 행태 (Subjective Oral Health and Oral Care Behavior of Elderly People Over 65 According to the Diagnosis of Circulatory Diseases)

  • 박충무;윤현서
    • 대한통합의학회지
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    • 제10권4호
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    • pp.35-47
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    • 2022
  • Purpose : As the number of patients with systemic diseases is increasing in the old, the relevance of oral health is gaining particular research interest. To provide fundamental resources for dental services, this study examined the relationship between doctors' diagnoses of circulatory diseases and patients' awareness of oral health and oral care behaviors. Methods : SPSS 26.0 was used to assess various variables, including doctor's diagnosis of circulatory diseases, gender, age, household income quintile, participation in economic activity, marital status, subjective level of oral health awareness, mastication discomfort, speaking and chewing discomfort, dental inspection, use of oral care goods, teeth brushing during the previous day, and untreated oral conditions. Results : The circulatory diseases suffered by the subjects were as follows: 56 % high blood pressure, 36 % dyslipidemia, 6 % stroke, and 8 % myocardial infarction or angina. A higher age meant a higher diagnosis rate of high blood pressure (p<.001) and stroke (p<.001). Those with dyslipidemia showed a higher rate of receiving oral inspection (p=.040), and an untreated oral condition was more frequently observed among those not diagnosed with the disease (p=.035). The subjects who were not diagnosed with stroke showed a higher rate of oral inspection (p<.001), while those who had a prior experience of stroke suffered a higher rate of mastication discomfort (p=.020). People who had high blood pressure showed a lower rate of using oral care goods (p<.001), and those diagnosed with stroke showed a lower rate of brushing teeth the previous day. Conclusion : This study found a correlation between the diagnosis of circulatory diseases and the awareness of oral health and oral care behavior. Consequently, oral health education should be included in mental health-related education, and customized training to teach teeth brushing and the use of oral care goods should be provided to patients with circulatory diseases during dentist visits.

비의료직 병원 근로자의 구강건강 상태와 근로 손실이 구강건강 관련 삶의 질에 미치는 영향 (Effect of oral health status and work loss on oral health-related quality of life of non-medical hospital workers)

  • 홍민희;이정민;장기원
    • 융합정보논문지
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    • 제12권2호
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    • pp.163-173
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    • 2022
  • 본 연구 목적은 비의료직 병원 근로자들의 구강건강 관련 삶의 질에 미치는 위험요인을 탐색하고자 한다. 연구 방법은 수도권 소재의 일부 대학병원 근로자 608명을 대상으로 2021년 4월 20일 ~ 7월 30일까지 설문조사를 실시하였다. 연구 도구로는 근로손실, 구강건강 상태, 구강건강 관련 삶의 질 문항을 조사하였다. 분석방법은 독립 표본 t-test, one-way ANOVA test, 위계적 회귀분석을 시행하였다. 외생변수 통제 결과 성별(β=0.108), 전신질환(β=0.136), 구강건강수준(β=0.201), 구강건강 상태(β=0.463)는 구강건강 삶의 질에 영향을 미치는 것으로 나타났다. 비의료직 병원 근로자를 위한 정기적인 구강보건교육이 활성화된다면 구강건강 및 근로 증진에 큰 기여를 할 수 있을 것이다.

성인들의 건강관리와 구강건강관리행태에 따른 주관적 건강과 구강건강, EQ-5D수준 (Subjective Health, Subjective Oral Health, and EQ-5D Level of Adults According to Health Management and Oral Health Management Behavior)

  • 박충무;윤현서
    • 대한통합의학회지
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    • 제11권1호
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    • pp.1-12
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    • 2023
  • Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people's health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.

Tilted implants for implant-supported fixed hybrid prostheses: retrospective review

  • Woo-Hyun Seok;Pil-Young Yun;Na-Hee Chang;Young-Kyun Kim
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제49권5호
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    • pp.278-286
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    • 2023
  • Objectives: This review assessed the performance of implant-supported fixed hybrid prostheses in 21 patients who received a total of 137 implants between 2003 and 2010. The implants were evaluated for marginal bone resorption, complications, success rate, and survival rate based on their vertical angularity, type of bone graft, and measured implant stability. Materials and Methods: One-way ANOVA and chi-square tests were used to analyze the relationships among long-term evaluation factors and these variables. The mean initial bone resorption in the implant group with a vertical angle of more than 20° was 0.33 mm and mean final bone resorption was 0.76 mm. In contrast, the mean initial bone resorption in the implant group with a vertical angle of less than 10° was 1.19 mm and mean final bone resorption was 2.17 mm. Results: The results showed that mean bone resorption decreased with an increase in the vertical placement angle of the implants used in fixed hybrid prostheses, as well as in the group without additional bone grafts and those with high implant stability. The success rate of implants placed after bone grafting was found to be higher than those placed simultaneously. Conclusion: These results suggest that implant-supported fixed hybrid prostheses may be an effective treatment option for edentulous patients, and intentionally placing implants with high angularity may improve outcomes.

Association between dental amalgam restoration and urine mercury concentrations among young women: a cross-sectional study

  • Su-Bin Park;Eun-Kyong Kim;Joon Sakong;Eun Young Park
    • Journal of Yeungnam Medical Science
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    • 제40권4호
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    • pp.373-380
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    • 2023
  • Background: The association between dental amalgam fillings and urine mercury concentrations was investigated in this study to assess the health risks associated with dental amalgams. Methods: This cross-sectional study included 99 women in their 20s who visited the dental clinic in Daegu, Korea. The 99 participants were composed of 68 subjects who had dental amalgam fillings (exposure group) and 31 subjects who did not have dental amalgam fillings (nonexposure group). Oral examinations were conducted by a single dental hygienist, sociodemographic features were investigated as confounding variables, and urine mercury concentrations were measured using an automatic mercury analyzer. Results: The mean±standard deviation of the urine mercury concentrations of the exposure and nonexposure groups were 1.50±1.78 ㎍/g creatinine and 0.53±0.63 ㎍/g creatinine, respectively. The exposure group showed significantly higher levels than the nonexposure group (p<0.01). The urine mercury concentration significantly increased with an increase in the number of teeth filled with amalgam, cavity surfaces involved, and number of defective amalgam fillings, and according to the latest exposure time (p<0.001). In the multiple regression analysis of amalgam-related factors and urine mercury concentrations after correction for confounding factors, the urine mercury concentration in the group with six or more amalgam-filled teeth, 11 or more cavity surfaces, and two or more defective amalgams was significantly higher than that in the nonexposure group (p<0.001). Conclusion: According to this study, exposure to dental amalgams was confirmed to significantly affect urine mercury concentrations.

VMD에 대한 소비자태도가 브랜드자산과 브랜드태도에 미치는 영향:베이커리전문점을 중심으로 (A Study on the Effects of the Consumer Attitude toward Visual Merchandising on Brand Equity and Brand Attitude: Focused on Bakery Shops)

  • 조준상
    • 유통과학연구
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    • 제11권6호
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    • pp.67-80
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    • 2013
  • Purpose - This study aims to establish the relationships among brand equity, brand attitudes, and Visual Merchandising (VMD) in bakery stores. The results will help bakery franchisees and franchisers in devising appropriate strategies for successfully managing their bakery shops. Research design, data, and methodology - The VMD model for bakery shops comprises harmony, attractiveness, suitability, pandemic, functionality, and reliability. Further, brand equity encompasses brand awareness, perceived quality, and brand image. In this study, the VMD factors of bakery shops are used as independent variables, while brand equity and brand attitude are used as dependent variables. This study aims to ascertain the extent of the influence VMD components of bakery shops have on brand equity and brand attitude. Regression analysis was used to verify those effects. The measurement items, deemed reliable and valid in a previous study, were modified for this study. Questionnaires were distributed to 500 consumers nationwide, of whom 340 were used for the sample. The SPSS 19.0 statistical program was used for the analysis. Results - First, among the VMD bakery shop components, harmony, attractiveness, and pandemic have a positive impact on brand equity (brand awareness and brand image). Second, amongst the VMD components of bakery shops, attractiveness, pandemic, and reliability have a positive impact on brand equity (perceived quality). Third, amongst the VMD components of bakery shops, harmony, attractiveness, and reliability have a positive impact on brand attitude. Fourth, brand equity (brand awareness, brand image, and perceived quality) have a positive effect on brand attitude. Conclusions - This study identifies the relationships between the VMD components of a bakery shop and brand equity and attitude in order to propose a new model. The study has several practical implications. First, the development of brand equity and management can be important components in bakery shops' determination of whether their VMD components have an impact on brand equity. Second, among VMD components, harmony and attractiveness have a positive influence on the choice of bakery shop, while reliability and pandemic have a partly positive influence on the choice of bakery shop. Therefore, store atmospheres should be attractively designed, and store menus and interiors should be reviewed periodically to conform to the latest trends. This study suggests marketing strategies for brand equity formation. First, providing collateral product quality, hygiene, and safety benefits as well as product offerings to complement the season and employees' services should be considered. Second, display methods, illumination designs, and new product ideas should be periodically reviewed. Third, these should complement the overall harmony of the interior and exterior and of the store atmosphere in order to be attractive. Funds should thus be dedicated specifically for the facilities and their interiors. Fourth, it is necessary to build a friendly and relaxed image that can be easily called to mind by the customers.

비만과 치아우식증의 관계 (Relationship between Obesity and Dental Caries)

  • 이선희
    • 디지털융복합연구
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    • 제12권12호
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    • pp.633-641
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    • 2014
  • 본 연구는 비만과 치아우식증의 관계를 파악하고자 대한민국 전국단위의 건강 및 영양조사인 국민건강영양조사 제 4기 3차년도(2009) 원시자료를 활용하여 연구하였다. 연구대상은 만 19세 이상 성인 중 비만과 치아우식증 관련 변수의 결측 대상자를 제외하여 최종 7,393명이다. 자료 분석은 SPSS 18.0 프로그램을 이용하였으며, 유의수준 0.05로 분석한 결과 다음과 같은 결과를 얻었다. 1. 저체중(${\beta}$ = 0.21, p=.03)은 정상에 비해 DT 개수가 높게 나타났고, 과체중(${\beta}$ = -0.12, p=.02)은 정상에 비해 DT 개수가 낮게 나타났다. 2. 비만(OR = 0.69, 95% CI: 0.57, 0.84)은 정상에 비해 DMFT를 가질 가능성이 낮게 나타났다. 3. 저체중(${\beta}$ = 1.14, p<.001)은 정상에 비해 DMFT 개수가 높게 나타났고, 과체중(${\beta}$ = -0.39, p = .02)과 비만(${\beta}$ = -0.70, p<.0001)은 정상에 비해 DMFT 개수가 낮게 나타났다. 결론적으로, 비만(체질량지수)과 치아우식증(DT, DMFT)은 음의 상관관계를 갖는 것으로 밝혀졌으며, 혼란변수를 보정한 후에도 유사한 결과가 나타났다.

군산지역 저수지의 수질특성 및 부영양화 평가 (Characteristics of Water Quality and Evaluation of Eutrophication for Reservoirs in Kunsan)

  • 김종구;오승철
    • 한국환경과학회지
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    • 제16권3호
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    • pp.357-367
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    • 2007
  • Recently, eutrophication or lake and reservoir has become serious problem to man who want use that water for several purpose. In order to solve the eutrophication problem, the trophic state of that eutrophic lake and reservoir should be measured properly. For the purpose of this, various method to indicate the trophic state of lake and reservoir was developed by many researchers. This research was conducted to evaluate characteristics and eutrophication of water qualitymfor small scale reservoir in Kunsan. On-site investigation to 5 reservoirs and laboratory experiment were carried out during four seasons from November, 2003 to July, 2004. Twelve items measured field ana a laboratory. Measured data was analyzed to quantitative method by multivariate approach and eutrophication index. The result is summarized as following. 1) Showing the characteristics of water quality for reservoir in Kunsan, Okgu reservoir and Oknua reservoir was exceeded 4 grades of agricultural water standard in TP, TN and COD. This means that eutrophication was gone much, therefore, water-purity control of reservoir need. While, Mije reservoir that is used to Kunsan citizens' recreation was good in water quality. But, water quality exceeded 4 grades of agricultural Dater standard sometimes. 2) As a results of correlation analysis between variables of water qualify, Interrelation between variables which is connected with eutrophication was expressed good relationship as above 6.000 in correlation coefficients. The correlation coefficient(r) between COD and chlorophyll-a, total phosphorus and chlorophyll-a, total nitrogen and chlorophyll-a were 0.750, 0.720 and 0.600 respectively. Therefore, Change of water quality can grasp according to eutrophication progress degree. 3) If do evaluate to eutrophication by quantitative method which is proposed by OECD, US-EPA and Forsberg & Ryding, in the case of chlorophyll a, Okgu, Oknua and Daewi reservoir was eutrophic state and Mije and Geumgul reservoir was mesotrophic state. But, estimation by TN and TP showed highly eutrophic state (hypereutrophic) in all reservoirs. 4) If do evaluate by eutrophication index which is Carlson's TSI, revised carlson TSI and Walker's index, in the case of chlorophyll a, TSI values of Okgu, Oknua and Daewi reservoir is eutrophic state more than 50 and Mije and Geumgul reservoir was mesotrophic state as range of $40{\sim}50$ in TSI value. But, in the case of TP as nutrients, all reservoirs showed highly eutrophic state which was exceed to 70 in TSI value. According to above results, the water quality for small scale reservoirs in Kunsan is progressing by trophic state. therefore, for continuous use as agriculture water, we had better do establishment of management plan about water quality.

전북지역 일부 청소년의 아침식사대용 쌀 기반 가정간편식 인식 및 선호도 (Recognition and preference of rice-based home meal replacement for breakfast among adolescents in the Jeonbuk area)

  • 오해림;김현숙;정수진;차연수
    • Journal of Nutrition and Health
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    • 제54권3호
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    • pp.262-276
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    • 2021
  • 본 연구는 전라북도 일부 지역 중·고등학생을 대상으로 아침식사대용 쌀 기반 HMR 인식과 그 선호도를 조사하였으며, 요약하면 다음과 같다. 조사대상자의 아침식사 결식 여부 행태는 아침식사군 (주 4회 이상 섭취군)이 272명 (54.6%), 아침결식군 (주 3회 이하 섭취군)이 226명(45.4%)으로 조사되었다. 조사대상자의 HMR 섭취 만족도는 고등학생 (48.2%)이 중학생(39.1%)과 비교 시 유의적으로 HMR 만족도가 높았으며, 여학생이 남학생 보다 HMR 만족도가 높았다. 조사대상자의 아침식사 대용식의 필요성조사 결과는 남학생이 여학생보다 유의적으로 높은 비율로 응답하였다 (p < 0.01). 아침식사 대용식으로써 쌀 기반의 한식 식사 패턴의 선호도는 아침식사자가 58.9%로 아침결식자보다 높고, 고등학생이 중학생보다 유의적으로 높은 것으로 나타났다 (p < 0.01). 또한 조사대상자의 아침식사대용으로 쌀 기반 HMR 선호 식품은 '삼각김밥', '주먹밥', '김밥' 순으로 나타났다. 따라서 청소년들의 아침결식의 큰 이유인 '시간이 없어서'와 '입맛이 없어서'를 고려하여 손쉽게 섭취할 수 있는 아침식사대용 간편식 메뉴 개발 연구는 지속적으로 이루어져야 하고, 해당 메뉴의 조리교육 및 레시피 보급이 필요할 것으로 사료된다.