• 제목/요약/키워드: Oral health management

검색결과 814건 처리시간 0.024초

포스트 코로나 시기 농촌 거주 노인의 호흡기감염 예방 프로그램 개발: 보건진료 전담공무원 대상 델파이 기법 (Development of a Respiratory Infection Prevention Program for the Rural Elderly in the Post COVID-19 Era: A Study Using Delphi Method of Community Health Practitioners)

  • 권명순;유정순;장지혜
    • 한국보건간호학회지
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    • 제36권3호
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    • pp.417-430
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    • 2022
  • Purpose: The purpose of this study was to develop a respiratory infection prevention program for the rural elderly in the post-coronavirus disease 2019 (COVID-19) era. Methods: The Delphi method was used to validate the contents of the program. Two rounds of Delphi surveys and one individual interview were conducted on four subjects and 16 categories with nine experts. Content validity was calculated using the content validity ratio (CVR) and coefficient of variation (CV). Results: This study verified the content validity of the existing program components, such as respiratory infection prevention characteristics, cough etiquette, correct hand washing, oral hygiene, correct tooth brushing, and exercise by walking. The study comprised 28 categories covering seven subjects, including the provision of knowledge and information about COVID-19, environmental management for respiratory infection prevention, and exercise training for immunity enhancement. Conclusion: This Delphi study examined the respiratory infection prevention program that was redesigned for the post-COVID-19 era and confirmed the validity of the educational contents. The findings of this study suggest that the program can be used practically for the prevention of respiratory infection among the rural elderly.

교정과 부정교합에 대한 지식에 관한 조사 (KNOWLEDGE OF ORTHODONTICS AND MALOCCLUSION)

  • 이원유;김형돈;한부석
    • 대한치과교정학회지
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    • 제22권4호
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    • pp.815-822
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    • 1992
  • Orthodontists want why the patients want orthodontic treatment. Demand and need for orthodontics is very important factors of cooperation and management. Chief complaint would be different according to the race and culture. Our results show that in the control group, Korean female adolescents[chief complaint is cowding$(30.6\%)$, spacing$(26.5\%)$, upper anterior protrusion$(18.4\%)$, anterior cross bite$(8.2\%)$ in order. Korean female adolescents considered anterior cross bite is more nonacceptable than spaeing and anterior protrusion. The purpose of orthodontics seemed to enhance esthetic, dental health, and to improve oral function.

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최신 치아우식 진단기준 : International Caries Detection and Assessment System (ICDAS) (International Caries Detection and Assessment System (ICDAS))

  • 최연희
    • 대한치과의사협회지
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    • 제49권8호
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    • pp.451-460
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    • 2011
  • Dental caries has been widely prevalent with presence of cavitation on teeth. For the last several decades, the prevalence of dental caries in developed countries has rapidly decreased so there has been needed a new and detailed diagnostic guideline to differentiate the severity of dental caries, especially for early status of caries. The cariology specifically requires the development of an integrated definition of dental caries and uniform systems for measuring the caries process in the fields of clinical diagnosis and treatment, epidemiological researches, and dental education and so forth. The international Caries Detection and Assessment System (ICDAS) optically measures the enamel surface changes and potential histological depth of carious lesions by relying on surface characteristics of teeth. ICDAS is a visual classification system that was developed to diagnose the subtle changes of enamel surface, predict the progress direction of early caries, allow standardized data collection in relation to caries in different settings, and to enable better comparison of oral health between countries worldwide and research studies.

General anesthesia in the management of early childhood caries: an overview

  • Oubenyahya, Hanan;Bouhabba, Najib
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제19권6호
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    • pp.313-322
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    • 2019
  • Early childhood caries is a global healthcare concern in developing and industrialized countries. If left untreated, it leads to immediate and long-term complications that affect the well-being and quality of life of concerned families. Therefore, many preventive and treatment approaches are available to the healthcare provider to curb this virulent form of caries. After behavioral interventions, general anesthesia is used in specific settings when a young patient presents with extensive teeth damage and exhibits a lack of cooperation that is incompatible with conventional dental office care. However, without proper follow-up, any positive results might be lost over time.

턱관절의 날 제정 의의와 치과의사의 역할 (The meaning of Temporomandibular Joint Day Inauguration and the Role of Dentists)

  • 이상구
    • 대한치과의사협회지
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    • 제58권6호
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    • pp.347-353
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    • 2020
  • The Korean Academy of Orofacial Pain and Oral Medicine inaugurated Temporomandibular Joint Day in November 9th, 2018 and aimed to emphasize the importance of the temporomandibular joint in maintaining overall orofacial health and celebrates the benefits of proper treatment of its related disorders including temporomandibular disorders to raise awareness of the public on significant temporomandibular joint-related conditions. Three essential statements were made on this memorable day as below: 1) Dentists of Korea are responsible of maintaining a healthy status of the temporomandibular joint of the people. 2) Dentists of Korea strive for the research and management of temporomandibular joint related conditions 3) November 9th is annually celebrated as the Temporomandibular Joint Day in Korea.

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정확한 임시 보철물을 이용한 심미적 전치 수복 (- Esthetic Anterior Restorations By The Use of Precise Provisional Restorations -)

  • 이정호;임영준;장문성;이종엽
    • 대한심미치과학회지
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    • 제11권2호
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    • pp.9-13
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    • 2002
  • In the last decade, the replacement of old PFM restorations has been a common dental procedure, especially on the anterior regions. Gingiva conditions in most re-treatment cases are not healthy with the old restorations due to ill-fitting margin, improper tooth reduction and poor oral hygiene. Practitioners must carefully evaluate and manage periabutmental gingiva for final restorations. The role of provisional restoration became a major clinical concern at this point. Well-fabricated provisional restorations with precise-fit margin and proper anatomy are critical for achieving good gingival health. Thus, the key of success in replacing old PFM crown depends on the proper tissue management by precise provisional restorations.

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Diagnosis and treatment of multidrug-resistant tuberculosis

  • Jang, Jong Geol;Chung, Jin Hong
    • Journal of Yeungnam Medical Science
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    • 제37권4호
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    • pp.277-285
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    • 2020
  • Tuberculosis (TB) is still a major health problem worldwide. Especially, multidrug-resistant TB (MDR-TB), which is defined as TB that shows resistance to both isoniazid and rifampicin, is a barrier in the treatment of TB. Globally, approximately 3.4% of new TB patients and 20% of the patients with a history of previous treatment for TB were diagnosed with MDR-TB. The treatment of MDR-TB requires medications for a long duration (up to 20-24 months) with less effective and toxic second-line drugs and has unfavorable outcomes. However, treatment outcomes are expected to improve due to the introduction of a new agent (bedaquiline), repurposed drugs (linezolid, clofazimine, and cycloserine), and technological advancement in rapid drug sensitivity testing. The World Health Organization (WHO) released a rapid communication in 2018, followed by consolidated guidelines for the treatment of MDR-TB in 2019 based on clinical trials and an individual patient data meta-analysis. In these guidelines, the WHO suggested reclassification of second-line anti-TB drugs and recommended oral treatment regimens that included the new and repurposed agents. The aims of this article are to review the treatment strategies of MDR-TB based on the 2019 WHO guidelines regarding the management of MDR-TB and the diagnostic techniques for detecting resistance, including phenotypic and molecular drug sensitivity tests.

The Association Between Social Support and Impaired Fasting Glucose and Type 2 Diabetes

  • Kang, Yun-Jung;Park, Sang-Nam
    • 대한의생명과학회지
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    • 제22권4호
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    • pp.189-198
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    • 2016
  • The purpose of this study was to examine the effect of social support on type 2 diabetes by classifying it into diabetes and impaired fasting blood sugar, a pre-diabetic state. Subjects of this study were 22,846 adults aged 30 years or above who agreed and registered to participate in the "Korean Health Examine Cohort (KOEX)" study that simultaneously collects questionnaires and biological samples at 8 university hospitals around the nation. Normal fasting blood sugar was defined as below 100 mg/dL, and impaired fasting blood sugar was defined as 100~125 mg/dL. Diagnosis of diabetes was defined as fasting blood sugar of 126 mg/dL or above, diagnosis by a doctor, or medication of insulin or oral hypoglycemic agent. Social support groups were divided into 4 groups, and Group 1 (G1) had high positive support and low negative support. This is the reference group with the highest social support. During multivariate analysis, female group (G3) that had high positive support and high negative support showed prevalence of impaired fasting blood sugar 1.19 times higher (95% CI = 1.02~1.41) than G1. As this study confirmed that social support increases fasting blood sugar of women after correction for socioeconomic status, health behavior, and biological and medical variables, it implies the importance of social relations such as social support in addition to management of personal risk factors for prevention of type 2 diabetes.

포괄적 중재 프로그램이 취약계층 허약노인의 기능 상태와 골밀도에 미치는 효과 (The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly)

  • 이인숙;이광옥
    • 지역사회간호학회지
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    • 제27권1호
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    • pp.51-59
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    • 2016
  • Purpose: The purpose of this study is to provide a disease management, nutrition education, and group exercise program for three months to the moderately frail elderly whose physical functions have deteriorated, and to investigate its effects in order to develop an intervention program. Methods: As a quasi-experiment, this study was conducted based on non-equivalence studies designed as a similar experiment. The milk intake group and calcium intake group participated in the disease education, individual nutrition education, and group exercise program for three months, and the control group was visited once in the three months by a nurse who provided disease education, nutrition education, and oral instruction of exercise, and asked them to exercise on their own every day. For the data analysis, ${\chi}^2$-test, ANOVA and $Scheff{\acute{e}}$ test were used. Results: After three months of intervention, there was a significant difference in the frailty level (p=.029) and bone density (p=.001) between the groups. Conclusion: The comprehensive intervention program had an effect on the bone density and the frailty level of the socially-vulnerable and moderately frail elderly, suggesting that the program can be used as a nursing intervention to prevent functional deterioration and damage of the moderately frail elderly.

한국 성인의 비만과 치아우식증과의 관련성 : 제6기(2013-2015년) 국민건강영양조사를 바탕으로 (The relationship between dental caries and obesity in Korean adults : The 6th Korea National Health and Nutrition Examination Survey (6th KNHANES, 2013-2015))

  • 박경화;이미라
    • 한국치위생학회지
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    • 제20권5호
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    • pp.593-602
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    • 2020
  • Objectives: This study aims to assess the relationship between the body mass index and waist circumference, which are indicators of obesity, and dental caries according to gender. Methods: Data were used from the 6th Korean National Health and Nutrition Examination Survey (2013-2015). Out of a total of 29,321 subjects, 13,222 persons aged 19 or older and who responded to the survey items of this study were selected as subjects to determine the relationship between obesity and dental caries. Results: In the body mass index, the obese group had a higher prevalence of dental caries in both males (1.25 times) and females (1.35 times) than the normal group. Even in the underweight group, males were 1.83 times more likely to have dental caries than the normal group. In the waist circumference, the obese group had a 1.48 times higher prevalence of dental caries than the normal group in women only. Conclusions: According to the results of this study, it was observed that obesity was related to dental caries, and it was thought that obesity management and oral care education programs for adults in Korea were necessary.