• 한국융합학회논문지
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• 제8권9호
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• pp.161-174
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• 2017

본 연구는 성인의 구강건강실천 결정요인에 관한 인과관계를 융합적으로 분석하여 성인의 구강건강증진을 위한 기초자료로 활용되고자 함이다. 연구방법은 부산 경남지역에 거주하는 성인을 대상으로 설문 조사한 자료 204부를 Smart PLS v2.0 M2 소프트웨어를 통해 연구모형을 검증하였다. 그 결과 구강건강신념 요인 중 구강병의 심각성 및 감수성과 구강관리행위의 유익성이 구강 건강 관련 자기효능감에 영향을 미치는 것으로 나타났고, 일상적 구강건강관리행위 자기효능감은 구강건강실천 전반에 유의한 영향을 미치는 것으로 나타났다. 구강건강신념 요인 중 구강병의 심각성 및 감수성과 구강병 예방행위의 유익성은 칫솔질 관련 자기효능감을 경유하여 칫솔질 습관과 구강검진 및 교육에 영향을 미치는 것으로 나타났다. 따라서 성인의 계속 구강 건강관리 프로그램 개발을 통한 구강건강신념에 대한 인식 개선과 함께 다양한 교육 매체를 개발하는 등의 전략적 노력이 이루어진다면 구강건강관련 자기효능감이 높아져 지속가능한 구강건강실천이 이루어질 것으로 기대된다.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2001년도 제4회 국제학술 심포지움
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• pp.1-9
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• 2001

Health Insurance System in Korea was introduced in 1977 and expanded health insurance benefits for all people in 1989. The development of medical service and technology takes a growing concerning for public health and medicine. And also, it helps to extend the average life span of Koreans. Therefore, the old people are steadily increased over seven percent of total population and will take more than 14% in 2023. Generally, the old people have the chronic disease such as diabetes and hypertension. Also, smoking, stress, environmental pollution and lack of exercise, leading cause of cancer, cardiovascular disease and respiratory infections have affected to state economy negatively. Therefore, health promotion law was established for a variety of health promotion process, including education, program implementation and community development. The goals and strategies for health promotion are as following: . Practice of healthy life: - Strengthen publicity activities on smoking and exercise. - Program development for nonsmoking and exercise. - Program extent for community health. Strengthen of mental health: - Planning of national survey for mental patient. - Prevention of alcoholism - Setting up special hospital for alcoholism . Constant cancer management under government - Developing medical treatment and prevention program. - Early diagnosis for the whole nation . Management of chronic disease - Strengthen of Prevention Program . Reinforcing of oral health - A national survey of oral health - Oral health education

• 대한치과의사협회지
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• 제50권9호
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• pp.544-551
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• 2012

Dental caries is a biofilm-related oral disease, and continues to afflict the majority of the world's population. Although fluoride, delivered in various modalities, remains the mainstay for the prevention of caries, additional approaches are required to enhance its effectiveness. Natural products have been used as a major source of innovative and effective therapeutic agents throughout human history, and have shown promise as a source of components for the development of new drugs. In addition. studies using natural products to prevent or treat oral diseases such as dental caries have received a great deal of attention. A number of compounds, such as epicatechin, allicin and sanguinarine, isolated from natural products, have also been investigated for their efficacy against oral microbial pathogens. However, the use of natural products as an anti-caries agent in clinical practice was controversial because of inadequate knowledge concerning their mechanisms of action and chemical characterization. This study focuses on the current knowledge of natural products in dental caries prevention and suggests natural products are importance sources for the prevention of dental caries.

• 치위생과학회지
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• 제12권5호
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• pp.535-544
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• 2012

본 연구는 사업장 근로자들의 구강보건에 대한 인식과 실천정도와 관련요인을 파악하여 근로자들의 구강건강관리 및 증진을 위한 기초자료를 마련하고자 서울 경기 지역에 소재하는 산업체 근로자 133명을 대상으로 설문조사를 실시하여 다음과 같은 결과를 얻었다. 1. 산업체 근로자의 구강건강 인식수준에서 충치나 치주질환 예방 인지도는 높았지만, 잇솔 외 구강위생용품의 필요성에 대한 인지도는 낮은 점수를 보였다. 구강보건관리 실천 수준의 경우, 잇솔질 시 혀 세척의 중요성에 대해 가장 높은 인식을 보였으며, 구강검진의 중요성에 대해 가장 낮은 인식을 보이고 것으로 나타났다. 2. 일반적 특성에 따른 구강보건 인식에서는 평균 소득이 200~300만원인 근로자가 다른 근로자보다 구강보건 인식이 높게 나타났다. 구강보건관리 실천에서는 일반적 특성에 따른 구강보건관리 실천이 차이가 없는 것으로 나타났다. 3. 산업체 근로자의 구강보건 행동에 따른 구강보건 인식은 최근 2년 내 구강검진 경험이 있는 자, 하루 평균 잇솔질 횟수가 3회 이상인 자, 지난 1년 간 치과 내원 경험이 있는 자, 구강보건 교육 경험이 있는 자가 구강보건인식이 높았으나 유의한 차이를 나타내지 않았다. 구강보건관리 실천은 잇솔질을 3회 이상 하는 근로자와 지난 1년 간 치과 내원 경험이 있는 근로자가 다른 근로자보다 구강보건관리 실천이 높은 것으로 나타났다. 4. 산업체 근로자의 구강건강 관심 정도와 구강건강 상태에 따른 구강보건 인식은 구강건강 에 대한 관심이 높은 근로자일수록 구강보건 인식이 높은 것으로 나타났다. 구강보건관리 실천에서는 구강건강 관심 정도와 구강건강 상태에 따라 구강보건관리 실천이 차이가 없는 것으로 나타났다. 5. 산업체 근로자의 구강보건 인식과 구강보건관리 실천과의 관계에서 정적 상관관계를 보여 구강보건 인식이 높을수록 구강보건관리 실천이 높은 것으로 나타났다.

• 한국산학기술학회논문지
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• 제19권8호
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• pp.303-311
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• 2018

본 연구는 심뇌혈관질환위험군의 구강건강인식과 구강건강행위가 심뇌혈관질환 예방행위에 미치는 영향을 파악하여 간호중재 프로그램의 기초자료로 제공하고자 한다. 자료수집은 전라남도에 소재한 2개의 종합병원 및 보건소, 보건진료소, 노인복지관에서 관리하고 있는 심뇌혈관질환위험군 131명을 대상으로 설문지를 통하여 조사하였다. 연구기간은 2018년 2월부터 3월까지 2개월간 시행되었다. 수집한 자료는 기술통계와 t-test, Pearson 상관분석, 단계적 다중회귀분석으로 분석하였다. 연구결과 심뇌혈관질환 예방행위는 치주질환인식인 주관적 구강건강상태(r=.261, p=.003), 구강건강의 중요성(r=.250, p=.004), 그리고 구강건강행위(r=.303, p<.001)와 양의 상관관계가 있었고, 심뇌혈관질환 예방행위에 영향을 미치는 요인은 구강건강행위(${\beta}=.29$, p<.001), 연령(${\beta}=.27$, p=.001), 주관적 구강건강상태(${\beta}=.24$, p=.003)로 나타났다. 즉, 구강건강행위가 높을수록, 연령이 높을수록, 주관적 구강건강상태가 좋을수록 심뇌혈관질환 예방행위의 점수가 높아진다고 할 수 있다. 이들 변수의 설명력은 19.3%이었다. 따라서 심뇌혈관질환위험군의 구강건강 수준을 향상시키기 위한 교육 및 중재프로그램 개발이 필요하며 구강건강 인식, 태도 및 행동과 구강건강상태 등에 관한 지속적인 추후연구가 필요할 것이다.

• 한국치위생학회지
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• 제17권1호
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• pp.145-153
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• 2017

Objectives: This paper aimed to contribute to better oral disease prevention and practice of health behavior for immigrant women in multi-cultural families, to define missing and filled permanent teeth index of immigrant women, data from the 6th Korea National Health and Nutrition Examination Survey from the Korea Centers for Disease Control and Prevention was used. Methods: For the immigrant women to be subjects, they needed to be born overseas, had acquired Korean citizenship as a married immigrant women, and the estimate of the number of subjects was 133,093 women. For analyzing data, SPSS 21statistical program was used. We used covariance analysis (ANCOVA) andgeneral linear models for finding the relation with the missing and filled permanent teeth index. The significance level was 0.05. Results: DMFT-index of immigrant women was 7.33 points. $R^2$ was 0.416; and increased with age, and $R^2$ was 0.126 points higher (p<0.01). In household income, 'lower' was 5.933 points lower than 'upper' (p<0.05), and in toothbrushing after lunch, 'yes' was 3.598 points lower than 'no' (p<0.01). In preventive treatment, 'yes' was 4.301 points lower than 'no' (p<0.05). Conclusions: The result of this paper is as follows: for maintaining oral health of immigrant women, we think that the government needs to develop an oral health policy and a customized education system suited to immigrant women for preventive management of dental disease in immigrant women. In addition, basic data will be provided for public dental health programs based on the result of the study.

• 치위생과학회지
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• 제12권6호
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• pp.545-557
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• 2012

Dental caries is biofilm induced disease throughout life and is recognized significant oral health problem. This article reviewed new trends in dental caries management by risk assessment, including history, protocol/guideline, and collaborated model. Dental caries prevention and treatment according to caries management by risk assessment (CAMBRA) model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into clinical dental hygiene education based on dental hygiene process of care as standard of dental hygiene practice and education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

• 한국치위생학회지
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• 제11권5호
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• pp.773-782
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• 2011

Objectives : The purpose of the study was to investigate self-reported oral health attitudes and behaviors among patients receiving scaling services and provide guidelines for developing preventive programs for dental disease. Methods : The survey was administered to a sample of 462 receiving voluntary scaling service in the practice lab in the department of dental hygiene at J health college. Results : 1. Of all participants, 261(56.5%) reported that they received scaling services in the past. 134 of the women (62.6%) and 127 of the men (51.2%) received scaling services 2. Analysis of the regular scaling attendance rates showed that only 16.2% of all participants received routine scaling. 13.7% of the male participants and 19.2% of the female participants received scaling on a regular basis. 3. Participants commonly reported "self-motivation" and "suggestion by others" (37.9% and 34.1%, respectively) as the main reasons for obtaining scaling services. 4. The main reasons for not obtaining scaling services were "I did not know about scaling" (39.3%), "I don't feel it is necessary" (27.4%) and "because I am scared" (20.9%). More men (42.1%) than women (35%) reported that they did not know about scaling. 5. Of the total participants, 41.6% reported that they were concerned about oral health at a moderate level, and 30.3% reported that they were concerned about oral health at a high level. 6. Of the participants who responded "very concerned about oral health" and "extremely concerned about oral health", the majority obtained scaling service (70.2% and 84.2%, respectively). Conclusions : The study suggested that researchers and national health authorities should develop routine scaling, preventive dental care, and oral health programs for oral health promotion and disease prevention.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8843-8846
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• 2014

Background: Malignant mesothelioma (MM) is almost always fatal and few treatment options are available. The aim of this study was to evaluate the efficacy of oral cyclophosphamide and etoposide for patients who underwent standard treatment for advanced MM. Materials and Methods: This study included 22 malignant pleural mesothelioma patients who were treated with oral cyclophosphamide and etoposide (EE). Results: The average follow-up period of the patients was 39.1 months. Under the treatment of oral EE, median progression-free survival was 7.7 months [95%CI HR (4.3-11.1)] and median overall survival was 28.1 months [95%CI HR (5.8-50.3)]. The treatment response rates were as follows: 4 patients (27.3%) had a partial response (PR), 12 (54.5%) had stable disease (SD), and progressive disease (PD) was observed in 6 (35.9%). Conclusions: Oral EE can be administered effectively to patients with inoperable malignant mesothelioma who had previously received standard treatments.

• 한국치위생학회지
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• 제12권2호
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• pp.379-389
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• 2012

Objectives : The purpose of this study was to improve the practice level on dental hygienists'infection prevention by examining the actual condition of dental hygienists'infection control and analyzing factors of having influence upon this. Methods : A questionnaire survey was carried out from July 18, 2011 to August 26 targeting dental hygienists who work at medical institutions where are located in Daegu, Busan and Ulsan Metropolitan Cities and Gyeongsangnam buk-do. After then, the following conclusions were obtained. Results : 1. As a result of surveying practice by item in the practice level of infection prevention, the items with high practice level in the management of infectious diseases were surveyed to be 12 months(89.6%) for health-checkup cycle and to be having experience of vaccination(78.0%) for hepatitis type B. The items with high practice level in the management and practice of washing hands were indicated to be in order of regularly paper towel(87.7%) and hands cleaning after regular medical examination(80.5%). In the item of the practice on wearing and managing individual protection equipment, regularly wearing(93.1%) rubber globes given washing implements was indicated to be high. 2. As a result of analyzing working career, working institution, working region, and practice level of infectious-disease management, the appearance of fulfilling infection control guidelines at medical institution and the experience of education for infection control were indicated to have difference depending on working institution. Regularly health checkup was indicated to have difference depending on respondents' working career and working institution. 3. The whole average in the practice level of infection prevention according to working career, working institution, and working region was indicated to be 2.55 out of 3-point perfection. 4. Wearing latex gloves was indicated to have statistically significant difference depending on working institution(p<0.001) and working region(p<0.001). The exchange of latex gloves every patient and the use of paper apron had statistically significant difference depending on working region(p<0.001). 5. As a result of comparing the frequency of using protection equipment for preventing infection according to the management of infectious diseases, the statistically significant difference was shown depending on the appearance of infection control guidelines at medical institution(p<0.001), the appearance of having experience of health checkup(p<0.01), and the appearance of having experience of vaccination for hepatitis type B(p<0.05). Conclusions : The above-mentioned findings showed that the denture satisfaction of the denture-wearing senior citizens was linked to their subjective oral health awareness. Therefore it will be possible to improve denture-wearing elderly people's quality of life when oral health plans geared toward boosting their denture satisfaction are carried out.