• 대한감각통합치료학회지
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• 제7권1호
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• pp.47-57
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• 2009

목적: 본 논문에서는 감각통합치료프로그램이 발달장애아동의 신체도식과 실행능력에 어떠한 영향을 미치는가에 대하여 알아보았다. 연구방법: 30명의 발달장애아를 대상으로 6주 동안 Ayres의 감각통합이론을 근거로 변형된 발달장애아 감각통합 치료프로그램을 적용하여 실시하였다. 연구 대상자의 실행능력의 평가는 신체도식 검사(한점 모방 검사, 신체 6퍼즐 맞추기 검사), 실행검사(언어지시실행, 구강실행, 순서실행) 및 감각통합실행검사(SIPT)를 통하여 데이터를 수집하였으며 치료 전과 치료 후의 변화를 알아보기 위하여 대응표본 t-검정으로 통계처리 하였다. 결과: 1. 감각통합치료프로그램이 발달장애아의 신체도식능력, 즉 한 점 모방과 신체 6 퍼즐 맞추기 능력에서 치료 전 후에서 유의한 차이를 나타내었다(p<0.01). 2. 감각통합치료프로그램이 발달장애아의 실행능력, 즉 언어지시실행, 구강실행 과 순서실행 모두에서 치료 전 후에서 유의한 차이를 나타내었다(p<0.01). 3. 감각통합치료프로그램이 발달장애아의 감각통합실행능력(SIPT)에서 유의한 치료 효과를 나타내었다(p<0.01).

• 여성건강간호학회지
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• 제13권4호
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• pp.310-319
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• 2007

Purpose: The descriptive correlational study was designed to examine the relationship of eating behavior to depression, trait anger, anger expression, Behavior Activation System(BAS) and Behavior Inhibition System(BIS) in adolescent women. Method: 437 women aged 15 to 18 years were recruited from two high schools located in Seoul, Korea. The instruments used were SCL's depression scale, Spielberger's state trait anger expression inventory-Korean version for trait anger and anger expression, the Korean-BAS/BIS scale for behavior activation system and behavior inhibition system, and Eating Attitude Test(EAT-26) for eating behavior. Results: The score of EAT significantly correlated with depression, trait anger, anger expression, BAS and BIS. The EAT score also had a significant relationship with anger-in and anger-out. Depression only correlated with the dieting among factors of EAT, Trait anger, anger-in and anger-out showed a significant correlation with EAT factors such as dieting and oral control. BAS significantly correlated with dieting; whereas, BIS revealed a relationship with bulimia/food preoccupation. Conclusion: Based on this results, various variables need to be included for a nursing intervention program leading to healthy diet behaviors of adolescent women.

• 문화기술의 융합
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• 제5권1호
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• pp.417-428
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• 2019

본 연구는 급성 뇌졸중 입원 환자의 연하장애 유병률과 그 관련요인을 탐색하기 위한 서술적 조사연구로, 일상급종합병원에 급성 뇌졸중으로 진단받은 입원 환자 131명(연령 범위 34-92세, 58.0% 남성)을 대상으로 수행되었다. 본 연구의 결과 급성 뇌졸중 입원 환자의 유병률은 24.4%였으며, 대상자의 나이, 뇌졸중 중증도, 구강상태, 일상활동 의존도가 연하장애에 영향을 미치는 것으로 나타났다. 이러한 결과를 기반으로 뇌졸중 발병 직후부터 연하장애 조기 발견을 위한 적극적인 간호사정과 예방적 중재 프로그램 개발과 적용이 필요하다.

• 근관절건강학회지
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• 제30권3호
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• pp.230-241
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• 2023

Purpose: This study aimed to verify the effects of a swallowing training program on swallowing function and depression for nursing home residents with dysphagia after stroke. Methods: This is a quasi-experimental study with non-equivalent control group pre-post test design. The program (oro-facial muscle strengthening exercises, swallowing exercises, expiratory muscle strengthening exercises, and brain stimulation exercises) applied to the experimental group three times per week for eight weeks, 40-45 minutes for each intervention. The final data from 42 people (21 experimental and 21 control) were analyzed by SPSS/WIN 25.0 using descriptive statistics. 𝜒² test, t-test, Wilcoxon rank sum test, and Friedman test. Results: The experimental group was significantly improved than control group in oro-facial muscle strength, swallowing symptoms (Z=-2.22, p=.026), and oral intake function level (Z=-2.00, p=.046). However, there was no significant difference between two groups in depression. Conclusion: This study is meaningful in that it reorganized and mediated a swallowing training program as a safe, non-invasive exercise that nurses can implement in a nursing facility with limited medical personnel and it could be easily followed by older adults.

• 치위생과학회지
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• 제24권2호
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• pp.71-83
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• 2024

Background: Dental hygienists, who play a vital role in promoting oral health, experience burnout due to various factors. This study aimed to identify these factors through a scoping review of the literature on burnout among dental hygienists in Korea to develop prevention and intervention strategies for burnout. Methods: The literature review was conducted following a scoping review protocol, which included five stages: identifying the literature question, identifying relevant studies, study selection, charting the data, summarizing, and reporting the results. Of the 352 documents initially reviewed, 35 were ultimately selected as final studies. These documents were analyzed to identify general characteristics and key variables related to burnout and to review the recommendations made by the studies. Results: Analysis of the final documents revealed that most studies published between 2013 and 2018 involved sample sizes ranging from 201 to 300 participants. Burnout-related characteristics include age, salary, work experience, and marital status. Emotional labor was the key variable most frequently identified, followed by intention to leave, job stress, job satisfaction, job involvement, and self-efficacy. Conclusion: This study suggests that strategies for preventing and intervening in burnout should be developed through both personal efforts and institutional measures. This approach will improve the work environment for dental hygienists and, consequently, enhance the quality of dental healthcare services.

• 대한간호학회지
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• 제25권2호
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• pp.372-389
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• 1995

The frequency with which administration of chemotherapy for gynecological cancer treatment is used has increased along with the use of surgery and radiotherapy Among the various side effects of chemotherapy, stomatitis causes a problem of function and sensation in the oral cavity. This oral discomfort can be categorized into two components ; perceived oral symptoms and observed oral symptoms. If the oral problem continues, it may cause infection, bleeding and nutritional deficiencies. As a result of this condition, compliance with the treatment process can be affected as well as the prognosis for the cancer patients. But as the oral discorrfort usually appears after chemotherapy, it is often not reported to the health care personnel as a patient problem. Without problem identification of the oral discomfort and ability to assess the problem, effective intervention cannot be planned. Therefore, this study was conducted to identify the pattern and the degree of oral discomfort due to cancer chemotherapy and thus to provide data for identification of the patient problem and for nursing assessment. The design of this study was a longitudinal de-scriptive study The subjects were in - patients who received chemotherapy under the diagnosis of gynecological cancer between Mar. 15, 1994 and May 15, 1994 at a general hospital in Seoul, Korea. The number of subjects was 64 and they were divided into two groups, one of 41 (A : 5FU & Neoplatin), the other of 23(B : Neoplatin, Cytoxan, Adriamycin), according to the treatment regimen. The data were collected for 24 days using self-re-port instruments. The instruments were the 「Perceived Oral Symptom Assessment Tool」 and 「Observed Oral Symptom Assessment Tool」 developed by this researcher. Data were analyzed using the SPSS-PC program, ANOVA, t-test, paired t-test and the Pearson Correlation Coefficient were applied. The results of this study are as follows : 1. In A regimen the peak time for perceived oral symptom scores was the fifth day after chemotherapy, and the tenth day for observed oral symptom scores. Both of the problems started on first day of chemotherapy and were not resolved completely until the 24th day after treatment. 2. In B regimen, the peak time for perceived oral symptom scores was on the seventh day after chemotherapy, and the eighth day for observed oral symptom scores. It was noted that perceived oral symptom scores were higher than observed oral symptom scores consistently for 24 days. Both also started on first day of chemotherapy, and were not resolved completely until the 24th day after chemotherapy. 3. There were no differences statistically in perceived oral symptom scores between A and B regimen. The loss of appetite and xerostomia caused the most severe discomfort in both of these two groups. 4. The were no differences statistically in observed oral symptom scores between the A and B regi moil. In the A regimen, the highest observed symptom scores were the lips, gingiva, tongue and buccal membrane in that order. But in the B regimen, the highest observed symptom scores were tongue, lips, buccal membrane and gingiva in that order. 5. In A regimen, the patients who had gingival edema and dentures had significantly higher perceived oral symptom scores. And those who had gingival edema and bleeding, foul odor and aphthous stomatitis had significantly higher observed oral symptom scores. 6. In B regimen, the patients who had the experience of stomatitis in the last course of chemotherapy had significantly higher perceived oral symptom scores. Those who had gingival edema had significantly higher observed oral symptom scores. 7. In the A regimen there was no correlation between lab values for lymphocytes and albumin with perceived oral symptom scores and observed oral symptom scores. In the B regimen, there was a significant negative correlation between lymphocytes and albumin with the observed oral symptom scores, but not between perceived oral symptom scores and lymphocytes and albumin values. In conclusion, the nurse should expect that the patient undergoing chemotherapy will complain severely about subjective discomfort and before objective physical change is observed. Also the patients who have chronic oral problems such as dentures, gingival edema and bleeding, foul odor, aphthous stomatitis will complain of severe oral discomfort due to chemotherapy.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제41권
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• pp.3.1-3.9
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• 2019

Background: The infratemporal fossa (ITF) is an anatomical lateral skull base space composed by the zygoma, temporal, and the greater wing of the sphenoid bone. Due to its difficult approach, surgical intervention at the ITF has remained a heavy burden to surgeons. The aim of this article is to review basic skull base approaches and ITF structures and to avoid severe complications based on the accurate surgical knowledge. Methods: A search of the recent literature using MEDLINE (PubMed), Embase, Cochrane Library, and other online tools was executed using the following keyword combinations: infratemporal fossa, subtemporal fossa, transzygomatic approach, orbitozygomatic approach, transmaxillary approach, facial translocation approach, midface degloving, zygomatico-transmandibular approach, and lateral skull base. Aside from our Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) trial, there have been very few randomized controlled trials. The search data for this review are summarized based on the authors' diverse clinical experiences. Results: We divided our results based on representative skull base approaches and the anatomy of the ITF. Basic approaches to the ITF include endoscopic endonasal, transzygomatic, orbitozygomatic, zygomatico-transmandibular, transmaxillary, facial translocation, and the midfacial degloving approach. The borders and inner structures of the ITF (with basic lateral skull base dissection schemes) are summarized, and the modified zygomatico-transmandibular approach (ZTMA) is described in detail. Conclusions: An anatomical basic knowledge would be required for the appropriate management of the ITF pathology for diverse specialized doctors, including maxillofacial, plastic, and vascular surgeons. The ITF approach, in conjunction with the application of microsurgical techniques and improved perioperative care, has permitted significant advances and successful curative outcomes for patients having malignancy in ITF.

• Journal of Periodontal and Implant Science
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• 제43권4호
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• pp.177-182
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• 2013

Purpose: Diabetes and periodontal disease are two common diseases with high prevalence rates. Recent evidence has shown a bidirectional relationship between diabetes and periodontitis. The aim of this study was to investigate the effects of nonsurgical periodontal therapy on glycemic control in type 2 diabetes mellitus patients. Methods: Sixty subjects aged 35-45 years with blood sugar controlled by oral hypoglycaemic agents were randomly divided equally among 3 groups: group A (scaling, mouthwash, and brushing), group B (mouthwash and brushing), and group C (brushing only). Glycated haemoglobin (HbA1c), fasting blood sugar (FBS), probing pocket depth (PPD), gingival index (GI), plaque index (PI), and the relevant drug history were recorded at baseline and after 3 months of intervention. Comparison of the mean difference among the variables was performed by parametric and nonparametric tests, which were further evaluated using multiple regression analysis. Results: The mean differences between the PPD, FBS, HbA1c, GI, and PI in groups A and B were found to be statistically significant (P<0.001). Multiple regression analysis in group A showed that out of all the independent variables, GI and frequency of drug administration independently (b=0.3761 and b=0.598) showed a significantly greater impact on HbA1c ($R^2$=0.832, P<0.05). Conclusions: Nonsurgical periodontal therapy can effectively decrease HbA1c levels in type 2 diabetes mellitus patients on medication.

• 치위생과학회지
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• 제12권6호
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• pp.624-633
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• 2012

본 연구는 중년층 성인의 삶의 질 결정에 있어 건강상태의 중요성을 분석함으로써 삶의 질 향상을 위한 프로그램 기획이나 보건정책수립에 필요한 기초자료를 제공하고자 하였다. 본 연구목적을 달성하기 위해 2011년 1월 14일부터 2월 22일까지 경기 인천 지역에 거주하는 만 40세 이상의 중년층 성인에게 설문조사를 시행하였으며, t-test와 One way ANOVA 분석 및 다중선형회귀분석을 시행한 결과 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따라 삶의 질 수준을 분석한 결과 일반적 삶의 질 수준은 40~50세 연령층과 고졸 이상, 가정 월평균 수입이 201만원 이상, 가족 등과 동거자 및 기혼자에서 높았다(p<0.05). 또한 구강건강관련 삶의 질은 40~50세와 고졸 이상, 가정 월 평균 수입이 201만원 이상 및 기혼자에서 높게 나타났다(p<0.05). 2. 건강상태에 따른 삶의 질 수준을 분석한 결과 일반적 삶의 질 수준은 전반적으로 건강하다고 인식하고 있고, 위장질환이 없으며, 이환된 전신질환이 없고, 매일 복용하는 약물이 없으며, 월경이 있고 우울증 증상이 9점 이하인 집단에서 높게 나타났다(p<0.05). 또한 구강건강관련 삶의 질 수준은 전반적으로 건강하다고 인식하고 있고, 당뇨병이 없으며, 이환된 전신질환이 없고, 매일 복용하는 약물이 없으며, 월경이 있고 우울증 증상이 9점 이하인 집단에서 높게 나타났다(p<0.05). 3. 구강건강상태에 따른 삶의 질 수준을 분석한 결과 일반적 삶의 질은 전반적으로 구강상태가 건강하다고 인식하고 있고, 밤시간에 입마름 등 구강건조증 증상을 전혀 인식하지 않는 집단에서 높게 나타났다(p<0.05). 또한 구강건강 관련 삶의 질은 치주질환 증상이 3개 이하이고 밤시간에 입마름 등 구강건조증 증상을 전혀 인식하지 않는 집단에서 높게 나타났다(p<0.05). 4. 일반적 삶의 질, 구강건강관련 삶의 질과 관련된 요인들의 연관성 강도를 분석한 결과 일반적 삶의 질은 우울증 증상($\beta$=-0.561)과, 구강건강관련 삶의 질은 구강건조증 증상($\beta$=-0.566)과 가장 높은 연관성을 보였다(p<0.001). 이상의 연구결과를 바탕으로 우울증과 구강건조증 인식도에 따라 일반적 삶의 질 또는 구강건강관련 삶의 질 수준이 다르게 나타남을 알 수 있었다. 따라서, 중년층에서 우울증과 구강건조증의 예방 및 조기관리는 삶의 질을 향상시키는데 크게 기여할 것으로 생각한다.

• Journal of Periodontal and Implant Science
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• 제31권3호
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• pp.555-564
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• 2001

The purpose of this study is to evaluate the bioresorbability of Calcium Polyphosphate added with $Na_2O$ and chitosan. Though calcium phosphate ceramics meet some of the needs for bone replacement, they have some limitation of unresorbability and fibrous encapsulation without direct bone apposition during bone remodelling. To solve these problem, we developed a new ceramic, calcium polyphosphate(CPP), and report the biologic response to CPP in extraction sites of beagle dog. Porous CPP granules were prepared by condensation of anhydrous $Ca(H_2PO_4)_2$ to form non-crystalline $Ca(PO_3)_2$. CPP granules added with $Na_2O$ and chitosan were implanted in extraction sockets and histologic observation were performed at 12 weeks later. Histologic observation at 12 weeks revealed that CPP matrix were mingled with and directly apposed to new bone without any intervention of fibrous connective tissue. CPP granules added with chitosan were well adatped without any adverse tissue reaction and resorbed slowly and spontaneously. CPP granules added with $Na_2O$ and chitosan show multinucleated giant cells and osteoblast-like cells around grafted material and newly formed bone. This result revealed that CPP, regardless of its additive component, had a high affinity for bone and had been resorbed slowly. From this results, it was suggested that CPP is promising ceramic as a bone substitute and addition of $Na_2O$ and chitosan help biodegradation. In further study , it will be determined which concentration of $Na_2O$ help biodegradation and the other additive components increase the degradation rate.