노인의 스트레스 인지가 전반적인 건강상태 및 구강건강상태에 미치는 영향

최은실,조한아,Choi, Eun-Sil,Cho, Han-A 한국치위생학회 2017 한국치위생학회지 Vol.17 No.5

Objectives: This study was conducted to identify the rates of perceived stress of elderly people over 65 years old and to confirm the influence of stress on general health and oral health status. Methods: Using data from the National Health and Nutrition Survey for 2014, 1,472 people over 65 years of age were selected as final subjects. Stress was used as an independent variable and dependent variables were included physical health (perceived health status), mental health (depression), and oral health (perceived oral health status). The following confounding variables were adjusted for the current study: demographic characteristics (gender, age, education level, house income) and health - related characteristics (drinking, smoking, exercise, frequency of tooth brushing, using oral care product, dental exam, comorbidity, restrict activity). Complex sampling analysis was applied and logistic regression was performed to determine the effects of stress on physical health, mental health and oral health status. Odds ratio (OR) and 95% confidence interval (95% Confidence Interval, 95% CI) were calculated. Results: Logistic regression indicated that stress was significantly associated with low physical health (OR=2.18, 95%CI: 1.49-3.20), low mental health (OR=8.68, 95%CI: 4.98-15.11), low oral health (OR=1.53, 95%CI: 1.06-2.21) after adjusting for confounding variables. Conclusions: The perceived stress of the elderly was found to be related to the general health and oral health status. Therefore, it is necessary to evaluate stress as a predictor of health risk for the health promotion of the elderly on multidisciplinary assessment and continuous evaluation. In addition, health support policies should be provided to achieve good health status for elderly.

38. Isotope carrying polymeric microemulsion as a targetable diagnostic device

최은실(Eun Sil Choi),박시내(Si Nae Park),박윤정(Y . J . Park),이승진(Seung Jin Lee),이용진(Yong Jin Lee),정재민,정준기(Jun Key Jeong) 한국약제학회 1997 한국약제학회 총회 및 학술대회 요지집 Vol.- No.27

읽기 및 쓰기 학습 부진 아동을 위한 학습치료 프로그램 효과

최은실(Eun-Sil Choi) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.10

본 연구의 목적은 읽기 및 쓰기 학습 부진을 가진 다문화 아동을 대상으로 학습치료 프로그램을 실시하여 그 효과를 검증하고자 하는 것이다. 이를 위해 기초학력검사(KISE-BAAT)를 실시하여 읽기와 쓰기에 어려움을 가진 다문화 아동을 선별하여 대상자를 모집하였다. 읽기 및 쓰기 학습 부진 아동 17명 중, 부모와 아동의 동의를 얻어 9명은 학습치료 프로그램 집단에 8명은 통제 집단에 배정하였다. 학습치료 프로그램은 상향식 접근을 근간으로 하고 직접 교수법을 사용하여 학습치료를 실시하도록 구성되었으며, 주 1회 총 16회기(4개월)로 구성되었다. 읽기 쓰기 능력에 대한 효과 비교에서 학습치료 프로그램 집단은 사후 평가에서 읽기와 쓰기 능력에서 향상이 있었으며, 통제 집단에서는 변화가 없었다. 이러한 연구 결과를 바탕으로 본 연구의 의의와 제한점 그리고 향후 연구 방향을 논의하였다. This study aims to testify the effect of reading and writing abilities improvement program for elementary school children from multicultural families. Methods: The research design used in this study was a non-equivalent control group pretest-posttest research design. The participants were divided into two groups, an experimental group(n=9) and a control group(n=8). Data were analysed by using Mann-Whinety U test, Wilcoxon Signed Ranks, Cohens d with SPSS(PASW)18.0 program. Result: Significant differences were found in scores for reading ability (z=-2.668, p=.008, ES(d)=0.6) and writing ability (z=-2.670, p=.008, ES(d)=0.5) in experimental group. Conclusion: The results indicate that the reading and writing abilities improvement program should be used with elementary school children of multicultural families to help them and to improve their reading and writing abilities.

뇌졸중 환자의 우울이 재활동기에 미치는 영향에 대한 극복력의 매개효과

최은실(Choi, Eun Sil),이은남(Lee, Eun Nam),조정림(Cho, Jeong Lim) 대한근관절건강학회 2016 근관절건강학회지 Vol.23 No.1

성별에 따른 흡연여부와 치주질환 관련성: 성향점수 매칭 방법

최은실 ( Eun-sil Choi ),김혜영 ( Hae-young Kim ) 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.2

Objectives: The purpose of this study was to investigate the gender-related difference in the relation-ship between smoking status and periodontal diseases using data from the 2014 National Health and Nutrition Survey. Methods: A total of 4,332 subjects were included in the study. Propensity score matching (PSM) was used to control selection bias, and factors affecting the smoking status were used as covariates in PSM. The chi-squared and t tests were used for bivariate analysis. Multiple logistic regression analysis was used to adjust for covariates (age, education level, household income, monthly drinking, stress, excises, dental visits, frequency of daily tooth brushing, and dental product usage). Results: After adjusting for all covariates, the smoking status was associated with periodontal diseases. Among the male smoking group showed a 2.1-times higher probability of periodontal diseases than the non-smoking group (OR=2.1, 95% CI: 1.66-2.68). Among the female smoking group showed a 2.3-times higher probability of periodontal disease than the non-smoking group (OR=2.3, 95% CI: 1.12-4.89). Conclusions: Smoking was significantly associated with periodontitis in Korean male and even female al-though prevalence of smoking in women was very low. This result could suggest that smoking cessation program should be educated for men and women as well in order to prevent from periodontitis in Korea.

한국노인의 전신건강상태와 주관적 구강건강 관련성

최은실 ( Eun Sil Choi ),유지영 ( Jiyoung Lyu ),( Lauren L. Patton ),김혜영 ( Hae-young Kim ) 한국치위생과학회 2017 치위생과학회지 Vol.17 No.1

Systemic health conditions increase with advancing age, and may be linked to poor self-reported oral health. The purpose of this study was to evaluate the association between systemic health conditions and poor self-reported oral health among Korean elderly. The study used a nationally representative sample of Koreans (2012 Korea National Health and Nutrition Examination Survey) aged 65∼98 years (n=1,595). Systemic health conditions in this population were assessed by the presence of one or more of the following conditions: obesity, hypertension, diabetes, and hypercholesterolemia. The relative risk of poor self-reported oral health according to the occurrence of systemic health conditions was estimated by multivariate logistic regression after controlling for several potential confounders (i.e., socio-demographic factors, oral health behaviors, health behaviors, and psychological factors). After adjustment for these confounders, the relative risk of having poor self-reported oral health was greater among the elderly with one or more systemic health conditions than in those without a systemic health condition. The odds ratio of having poor self-reported oral health according to the occurrence of systemic health conditions was 1.51 (95% confidence interval, 1.08∼2.12). Among the Korean elderly, perception of poor oral health was associated with the presence of one or more systemic health conditions. Future studies are needed to examine the detailed causal relation between systemic health conditions and poor oral health longitudinally.

앤더슨 모형을 적용한 일부 성인의 치과 의료이용 행태에 영향을 미치는 요인

최은실 ( Eun Sil Choi ),김미나 ( Mi Na Kim ),노선미 ( Sun Mi Noh ),박지은 ( Ji Eun Park ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.1

This study aims to determine the factors affecting the dental service utilization of adults. The subjects in this study were 455 adults, whom a survey was conducted form May 7 to June 7, 2013. Statistical verification conducted through PASW Statistics was 18.0. The difference in the distribution of independent variables related with the dental service utilization was verified with chi-square test. Relevant factors were determined using Hierarchical logistic regression analysis. Model I is predisposing factor, Model II is predisposing factor and enabling factor. Model III is predisposing, enabling, need factor. Andersen model factor which infuences dental service utilization of adults resulted that use dental floss (OR, 2.32; CI, 1.39∼ 3.86), use electric toothbrush (OR, 2.98; CI, 1.0∼8.89), use interdental brush (OR, 2.55; CI, 1.36∼4.78), self-efficacy (OR, 0.68; CI, 0.48∼0.96), barriers (OR, 1.45; CI, 1.04∼2.04). Predisposing factor and need factor were found to be determinants for dental service utilization in adult.

국내 포털 모바일 앱 인터페이스 디자인에 관한 연구 -레이아웃을 중심으로-

최은실(주저자) ( Eun Sil Choi ),전양덕(교신저자) ( Yang Deok Chun ) 한국정보디자인학회 2015 정보디자인학연구 Vol.24 No.-

미디어의 등장은 변화의 속도를 가속화 시켰다. 최근의 혁신적인 기기는 손 안에 있는 작은 컴퓨터인 스마트폰 이다. 무선 인터넷을 통해 스마트폰으로 많은 정보를 얻게 되었고, 우리의 생활을 영위하는데 있어 없어서는 안 될 위치에 놓여 있다. 현재 모바일 기기의 발전과 네트워크 기술의 발달로 인해 모바일 앱 사용자가 급격하게 증가하고 있는 추세이다. 오늘날 많은 사람들이 앱을 사용함에 있어 각자의 편리성에 맞게 다양한 스마트기기를 선택하여 사용한다. 그러나 기기가 다양해진 만큼 웹의 구조도 변하기 마련이다. 그러한 이유는 각각의 화면 사이즈가 다르기 때문이다. pc의 웹의 화면은 넓고 시원한 구조로 되어있지만 스마트폰의 기기는 화면 사이즈가 작다. 따라서 좁은 화면에 너무 많은 텍스트가 존재한다면 가독성이 떨어지며 복잡함을 느끼게 한다. 이러한 문제들로 인해 많은 모바일 웹들은 각 기기에 맞는 해상도와 사용자들의 편리성이 우선시 되는 모바일 웹 인터페이스 디자인을 고려해야 한다. 따라서 원활한 모바일 앱의 사용성을 높이기 위해 국내의 대표적 포털사이트인 네이버와 다음의 앱의레이아웃 구조를 연구해 보았다 A pace of the change has accelerated with the advent of a media. A recent innovative device is a ‘smartphone’ which is a small-computer in hand. People get a lot of information through smartphones. Now, therefore, those smart devices play an essential role in the lives of human. These days, the number of mobile app users is dramatically increasing with a development of mobile device and network technology. People choose among different smart-devices when they use a variety of apps. This provide a lot of convenience for them. As devices are highly diversified, however, a structure of Web changes. It’s because size of each screens are different. The screens of smart phones are much smaller than the PC’s screen. Too much texts on these tiny screens not only drops the readability of written materials but also make people feel complicated. So, it is necessary to study a customized display-resolution and convenient mobile-web-interface design. This research mainly analyzes the layout structures of apps on ‘NAVER’ and ‘DAUM’ to increase mobile apps’ usability.

학술연구 : 공도서관과 학교도서관의 협력방안 연구 -포천 지역을 중심으로-

최은실 ( Eun Sil Choi ) 한국디지틀도서관포럼 2013 디지틀 도서관 Vol.72 No.-

포천 지역에 있는 학교들 중에는 사서교사가 없이 교과교사가 도서관까지 담당하게 되거나, 비전공자가 도서관을 담당하고 있는 경우가 많다. 교과교사가 담당하게 되면 업무과중으로 인하여 학교도서관 운영에 어려움이 발생하게 된다. 비전공자가 도서관을 담당하는 경우에도 학교도서관이 제대로 활성화되지 않는 경우가 많다. 이처럼 열악한 환경에 처해 있는 포천 지역의 학교도서관을 어떻게 개선시켜나갈 수 있을 것인지에 대해 여러 사례들을 토대로 연구해보고자 한다. 포천시의 공공도서관과 학교도서관의 협력 방안을 제시하면 다음과 같다. 첫째, 공공도서관에서 학교도서관으로 교육자료 공유가 필요하다. 둘째, 공공도서관과 학교도서관의 컴퓨터시스템상 교육자료 공유가 필요하다. 셋째, 공공도서관과 학교도서관의 자료 구입에 관한 정보 교류가 필요하다. 넷째, 공공도서관에서 학교도서관으로 순회사서 파견이 필요하다. 다섯째, 공공도서관과 학교도서관의 독서교육 및 각종 프로그램 서비스 교류가 필요하다. In some schools in Pocheon area, there are many cases that subject teachers are responsible for the library without school librarians or non-majors are in charge of the library. When subject teachers are responsible for it, they have difficulties in operating the school library due to their heavy workload. Even if non-majors are in charge of it, there are many cases that the school library doesn`t activate properly. This researcher tries to examine how the school libraries in Pocheon area in such a harsh environment improve based on several cases. The cooperation plans between public libraries and school libraries in Pocheon-si presented are as follows: First, it is needed to share educational resources from public libraries to school libraries. Second, it is needed to share educational resources of computer systems in public and school libraries. Third, it is required the exchange of information on the purchase of materials in public libraries and school libraries. Fourth, it is needed to send itinerant librarians from public libraries to school libraries. Fifth, it is required the exchange of reading education and various programs in public and school libraries.

성인의 구강건강 상태와 건강관련 삶의 질 관련성: EuroQoL-5 Dimension 구성요소를 중심으로

최은실 ( Eun Sil Choi ),유지영 ( Ji Young Lyu ),김혜영 ( Hae Young Kim ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.4

The purpose of this study was to examine the association between oral health status and health related quality of life (HRQoL). The study used a nationally representative sample of Koreans (2013 Korea National Health and Nutrition Examination Survey) aged 19∼64 years (n=3,252). Dependent variable was HRQoL, which was assessed with each component of EuroQol-5 dimension (EQ5D). Independent variable was oral health status (oral pain, chewing problem, speaking problem, and perceived oral health). After adjustment for confounders (socio-demographic factors, oral health behaviors, health behaviors, and physical conditions), the risk of having poor HRQoL was greater in adults with poor oral health status. The odds ratio (OR) of having pain/discomfort were 1.50 (95% confidence interval [CI], 1.22∼1.86) for respondents with oral pain, 1.72 (95% CI, 1.33∼ 2.22) for respondents with chewing problem, 1.79 (95% CI, 1.22∼2.62) for respondents with speaking problem, and 1.36 (95% CI, 1.09∼ 1.70) for respondents with poor perceived oral health. The OR of having anxiety/depression were 1.74 (95% CI, 1.28∼2.38) when having a chewing problem, 1.72 (95% CI, 1.12∼2.64) when having a speaking problem, and 1.54 (95% CI, 1.14∼2.08) when rating his/her oral health poor. Among Korean adults, two of the EQ5D components were associated with oral health status. Future study is needed to examine the detailed causal relations between oral health status and HRQoL longitudinally.