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- 저자 : 조경숙 ( Kyung-sook Jo ) (검색결과 2 건)
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커뮤니티케어 기반의 방문노인구강관리 중재 프로그램 개발을 위한 기초연구
장종화 ( Jong-hwa Jang ),조자원 ( Ja-won Cho ),김여주 ( Yeo-ju Kim ),기지윤 ( Ji-yun Ki ),조경숙 ( Kyung-sook Jo ),김지량 ( Ji-ryang Kim ),박정은 ( Jung-eun Park ),김다희 ( Da-hui Kim ) 대한예방치과·구강보건학회 2020 大韓口腔保健學會誌 Vol.44 No.3
Objectives: We evaluated the level of oral health status and oral health behavior in the elderly prior to their participation in a visiting oral health care intervention program as part of a community healthcare project in Cheonan city, South Korea. Methods: The oral hygiene conditions, oral health behaviors, and oral senility of 64 elderly people subject to community care were measured during the period January 1 to February 15, 2020 using dental health surveys and questionnaire-based interviews conducted in line with World Health Organization standard criteria. Results: The systematic disease retention rate of the elderly in this study was 90.6%, followed by hypertention (70.7%), and diabetes (51.7%). Scores were 1.69 out of 5 for subjective health evaluation, 1.8 out of 5 for subjective awareness of oral health, and the number of natural teeth was 14.9 per person (average mean for elderly people 18.38-19.34). During the day, 94.9% practiced brushing, after dinner 58.9%, and before bedtime 26.8%, which shows a diminished rate of practice. The percentage of participants dissatisfied with dental treatment was high at 67.2%, and the six measures of oral sensitivity, masticatory discomfort, pronunciation discomfort, and tongue pressure, presented less than average scores. Conclusions: The level of oral health and oral health behavior of the elderly prior to the visiting oral health care community intervention program, was very poor. Therefore, the results of this study suggest that there is a need to develop a more systematic and thorough strategy to activate visiting community oral health care intervention programs.
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초기 임산부에서 마취유도시 Propofol의 요구량은 감소하는가
조경숙,이현숙,김명희,김수연,조대현,방은치,강용인 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.1
Background : Minimum alveolar concentration (MAC) is decreased during pregnancy, but there are no data regarding the requirements for intravenous agents. Recently only one study showed that the requirement for thiopental in pregnant women of 7∼13 weeks' gestation was less than the requirement obtained in nonpregnant women. Thus we wanted to determine whether pregnant patients needed less propofol for hypnosis and anesthesia than nonpregnant patients. Methods : One hundred nonpregnant women having gynecologic surgery and 100 pregnant women of 5∼13 weeks' gestation undergoing elective abortions were recruited. They were randomly allocated 10 groups according to the doses of propofol and each group had 10 patients. During a period of 30 seconds, one of the doses of propofol 1.0, 1.25, 1.5, 1.75, 2.0, 2.25, 2.5, 2.75, 3.0 or 3.25 mg/kg was administered. Two minutes later, patients were asked to open their eyes as a test for hypnosis. Patients who did not open their eyes were given a 10 seconds, 50-Hz, 80-mA trscutaneous tetanic electrical stimulus to the ulnar nerve as a test for anesthesia. Estimates of ED50 and ED95 for hypnosis and anesthesia were obtained by logistic regression. Results : In the pregnant women, the median effective doses (ED50) (95% confidence interval) for hypnosis and anesthesia were 1.25 (1.13∼1.35) mg/kg and 2.71 (2.49∼3.04) mg/kg, the ED95 (95% CI) were 1.51 (1.16∼1.87) mg/kg and 3.04 (2.80∼3.58) mg/kg respectively. Whereas in the nonpregnant women, the ED50 for hypnosis and anesthesia were 1.27 (1.39∼1.90) mg/kg and 4.12 (3.50∼6.01) mg/kg, the ED95 were 1.53 (1.41∼1.93) mg/kg and 4.35 (3.66∼7.26) mg/kg respectively. Conclusions : In early pregnant women, the doses of propofol for hypnosis and anesthesia were 1.6% and 34.2% less compared with those in nonpregnant women. (Korean J Anesthesiol 1999; 36: 93∼98)
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