어린이의 구강 내 아말감 노출이 요중 수은농도에 미치는 영향

전은숙 ( Eun Suk Jeon ),진혜정 ( Hye Jung Jin ),김은경 ( Eun Kyong Kim ),임상욱 ( Sang Uk Im ),송근배 ( Keun Bae Song ),최연희 ( Youn Hee Choi ) 한국치위생과학회 2014 치위생과학회지 Vol.14 No.1

구강 내 아말감 충전물에 의해 인체에 유리되는 수은이 요중 수은농도에 미치는 영향에 대하여 관련성을 평가하고자 하였다. 이 연구는 대도시 일부지역의 2개 초등학교 1∼4학년 학생 317명을 대상으로 6개월 간격으로 총 4번의 구강검진과 소변검사를 실시하였으며, 자료를 수합하여 분석한 결과 다음과 같은 결론을 얻었다. 각 조사 시점별 아말감 충전 여부에 따라 요중 수은농도를 비교한 결과, 모든 연구시기에서 아말감 충전한 대상자에서 아말감 비충전군에 비해 요중 수은농도가 높게 나타났으며, 2차 추적조사와 3차 추적조사는 통계적으로 유의한 차이가 있었다. 혼합모형 분석한 결과 아말감 한 치면이 증 가할수록 현재 요중 수은농도에서 0.028 μg/g creatinine 증가하였다(p<0.001). 남학생에 비해 여학생에서 0.065 μg/g creatinine (p<0.001), 생선섭취 빈도에서 일주일에 3회 이상 섭취군에서 0.099 μg/g creatinine 증가하였다(p=0.001). 누적 요중 수은농도에서 아말감 한 치면이 증가할수록 누적 요중 수은농도에서 0.017 μg/g creatinine 증가하였다(p<0.001). 남학생에 비해 여학생에서 0.071 μg/g creatinine (p<0.001), 생선섭취 빈도에서 일주일에 3회 이상 섭취군에서 0.110 μg/g creatinine 증가하였다(p<0.001). 구강 내 아말감 충전물은 미량이라도 수은을 유리시켜 체내 요중 수은농도의 변화에 영향을 미치므로 이 연구결과를 토대로 구강 내 수은흡수를 최소화할 수 있는 기준이나 방안이 마련되어야 할 것이다. This study aims to evaluate the impact of varying exposure to dental amalgam on urinary mercury levels in children by measuring the number ofamalgam-filled teeth and the variance of mercury concentration in urine over a period of 2 years. A total of 317 (male 158, female 159) elementaryschool children (1st∼4th graders) attending 2 schools in urban regions participated in this study. At 6-month intervals, 4 oral examinations wereconducted to check any variance in the conditions of dental caries and the status of dental fillings. Also, urine tests were conducted followed bya questionnaire survey. To elucidate the factors potentially affecting the mercury concentration in urine, t-test, ANOVA, chi-square test and a mixedmodel were used for the analysis. Regarding the status of dental fillings in line with examination time periods, deciduous teeth had moreamalgam-filled surfaces than those filled with resin, whereas permanent teeth had more resin-filled surfaces than those filled with amalgam. Asignificant relevance was found between the exposure to dental amalgam and urinary mercury levels. Specifically, subjects whose teeth surfaceshad been filled with dental amalgam showed higher urinary mercury levels than those who had no dental amalgam fillings. Based on the analysisusing the mixed model, the increase in the number of teeth surfaces filled with amalgam was found to be the factor affecting the increase in urinarymercury levels. The urinary mercury levels were found to be highly associated with the exposure to dental amalgam. The more the teeth surfacesfilled with amalgam, the higher the urinary mercury levels. Hence, even a trace of dental amalgam fillings can liberate mercury, affecting the variancein the urinary mercury levels. These findings suggest that some criteria or measures should be developed to minimize the exposure to dentalamalgam. Moreover, relevant further studies are warranted.

치과의료서비스 품질이 서비스가치, 고객만족 및 고객충성도에 미치는 영향

전은숙 ( Eun Suk Jeon ),최유진 ( Yu Jin Choi ),황수현 ( Su Hyun Hwang ) 한국치위생과학회 2013 치위생과학회지 Vol.13 No.3

이 연구는 치과의료서비스 품질이 서비스가치,고객만족도,고객충성도에 미치는 영향을 평가하고자 부산 · 울산광역시 소재 17개 치과병 · 의원에 내원한 환자221명을 대상으로 설문지를 이용하여 조사한 결과 다음과 같은 결론을 얻었다. 1. 치과의료서비스품질 중 의사언어에 대한 인식의 차이는 남자가 여자에 비해 높았으며, 교육수준에 따른 신체언어에 대한 인식의 차이와 신체외형에 대한 인식의 차이는 대학교 재학 및 졸업자가 높았다. 2. 서비스 가치, 고객만족도 및 고객충성도는 남자, 대학교 재학 및 종업, 기혼에서 서비스 가치, 고객만족도, 고객충성도의 점수가 높게 나타났으나 통계적으로 유의하지는 않았다. 치과의료서비스 품질과 서비스 가치, 고객만족도 및 고객충성도는 서로 장관관계가 있는 것으로 나타났다. 3. 의료서비스 품질 중 의사언이와 언이적 커뮤니케이션에 대한 인식도가 증가할수록 서비스 가치가 증가하였고, 언이적 커뮤니케이션과 신제외형의 인식도가 증가할수록 고객만족도는 증가하였으며, 언어적 커뮤니케이션, 신체외형, 신체언어에 대한 인식도가 증가하면 고객충성도가 증가 하는 것으로 나타났다. 이상의 검과를 종합해 볼 때, 치과의료서비스를 제공 시 서비스제공자가 고객의 욕구에 맞춰 상세히 설명을 해주어 서비스가치를 높게 평가하며,서비스에 만족을 느껴 타인에게 긍정적인 입소문을 내게 된다. 고객의 욕구에 맞는 상세한 설명뿐만 아니라 서비스 제공자의 깔끔한 유니폼, 바론 자세, 깔끔한 헤어 스타일 등의 신체적 외형과 고객의 눈을 바라보면서 밝은 표정을 짓고 대화 시 고개를 끄덕이는 등의 공감을 표현해주어야 본인이 이용한 치과병 의원을 지속적으로 재이용하게 되고 타인에게 자랑 및 소개를 시켜주어 치과병 · 의원의 경영성과를 증대시킬 수 있을 것 이다. The present study was carried out to evaluate the impacts of the qualities of dental medical services on service value, consumer satisfaction and consumer loyalty for 221 patients who visited 17 dental hospitals or clinics located in Busan and Ulsan using questionnaires and obtained the following conclusion. By gender, males had higher perceptions of para-language than females did in the qualities of the dental medical services,and by the level of education, college students and university graduates had higher perceptions of body language and physical appearance. Scores of service value, consumer satisfaction and customer loyalty were higher in males, college students and university graduates, and married patients,but those were not statistically significant. It turned out that the qualities of the dental medical services were correlated with service value, consumer satisfaction and consumer loyalty. As the perception of para-linguistic and verbal communication in the qualities of the medical services increased,service value increased; as the perception of verbal communication and physical appearance increased, consumer satisfaction increased; and as the perception of verbal communication, physical appearance and body language increased, consumer loyalty increased. To sum up the above findings, the qualities of dental medical services influence service value, consumer satisfaction and consumer loyalty, so in the future, it will be necessary to study quality dental medical services with which patients are satisfied.

대구지역거주 다문화가족의 구강건강 상태에 관한 조사

전은숙 ( Eun Suk Jeon ),진혜정 ( Hye Jung Jin ),최순례 ( Soo Lye Choi ),장분자 ( Bun Ja Jang ),정선영 ( Sun Young Jeong ),송근배 ( Keun Bae Song ),최연희 ( Yeon Hee Choi ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.3

Objectives: International marriages in Korea has rapidly increased for the last decades. Women who has lived with Korean husband were called `multicultural women`. The aim of this study was to assess oral health status and treatment needs among multicultural family females. Methods: The study participants were recruited from multiculture family center in a metropolis. The final sample size was 215 women. Oral examination were conducted to obtain dental caries experience with DMFT/S index, treatment needs, and periodontal health with community periodontal index(CPI). An interview questionnaire was used to collect information on socioeconomic level and general characteristics related to oral state. The statistical analysis was done by using the SPSS 14.0 program. Results: The distribution of their nationality was China(40%), Vietnam(40%) and others as like Philippine, Cambodia, and Mongol etc. They were almost twenties and thirties and mainly has lived from 2006 year. Their socioeconomic status were likely lower and most of them were housewives. The prevalence of caries experience, periodontitis, denatl calculus, and treatment need for tooth removal, restoration, and prosthetics was 90.5%, 29.2%, 61.8%, and 81.5%, respectively. Conclusions: This study is the first report for multiculture family women`s oral health stauts in Korea. Their oral health status was poorer than those who were the same age in Korean female. More attention for multiculture family women will be needed in aspect of oral disease prevention and treatment.

일부 치위생과 학생의 학교 진로지원 평가와 진로 탐색 효능감이 진로 탐색 행동에 미치는 영향

전은숙 ( Eun Suk Jeon ),노은미 ( Eun Mi Noh ),고효진 ( Hyo Jin Ko ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.5

본 연구는 치위생과 학생들이 효과적인 진로 탐색 행동으로 성공적인 취업을 할 수 있도록 진로지도 및 진로지원 프로그램 개발에 필요한 기초 자료를 제시하고자 시행하였다. 2014년 12월 1일부터 2014년 12월 12일까지 울산 지역과 대구 지역에 소재하는 2개 대학 치위생과 여학생들을 편의 표본추출하여 자기기입식 설문조사를 실시하고 자료를 분석한 결과는 다음과 같다. 학교 진로지원 평가와 진로 탐색 효능감은 전공에 대하여 만족하거나 자신의 적성에 맞을 경우 높았고, 가정형편이 좋지 않거나 성적이 하위권일 경우에는 낮았다. 관계구축 효능감이 높은 사람은 졸업 후 교육계를 희망하거나 취업성공에 있어서 적극적인 태도와 정보습득이 중요하다고 생각하였으며, 진로 탐색 행동은 학교 진로지원 평가와 진로탐색 효능감과 모두 양의 상관관계가 있었다. 진로 탐색 행동에 가장 큰 영향을 미치는 요인은 직업탐색 효능감 (β=0.702, p<0.001)이며 개인탐색 효능감(β=-0.242, p<0.001), 실제적 진로지원(β=0.165, p<0.05)과 관계구축 효능감(β=0.152, p<0.05) 순으로 나타났다. 이상의 결과를 종합해 볼 때 치위생과 학생의 효과적인 진로 탐색 행동으로 성공적인 취업을 이끌기 위해서는 전공 만족도 향상과 자신의 적성에 맞는 학과 선택이 아주 중요하고 체계화된 직업 탐색 프로그램과 대인관계 및 의사소통 강화 프로그램 활용이 필요하며 대학의 실제적인 진로지원이 강화되어야 할 것이다. 또한, 진로 및 취업지도에 관한 지원부서 및 전문 상담기관 활용, 직업 탐색 프로그램의 운영효과 등에 관한 추후 연구가 필요하다고 생각된다. For the purpose of investigating the effect of evaluation on career support by the college and career exploration efficacy of dental hygiene students on the career exploration behavior, a survey was conducted in December 2014 with students of dental hygiene at universities located in Ulsan and Daegu as subjects. In the result, correlation was found among sub-factors of evaluation on career support by the college, career exploration efficacy, and career exploration behavior. Increase of career exploration efficacy (β=0.702, p<0.001), practical career support (β=0.165, p<0.05), and relationship establishment efficacy (β=0.152, p<0.05) led to increase of career exploration behavior, while increase of individual exploration efficacy (β=-0.242, p<0.001) led to decrease of career exploration efficacy. Therefore, it is necessary to build appropriate value system related to job seeking, conduct active discussions to increase relationship establishment efficacy by using interpersonal relationship reinforcement program, and expand career support program by the college.

明末淸初 艶情小說의 특징과 사회 문화적 배경 연구

全恩淑(Jeon, Eun-suk) 중국어문학연구회 2013 중국어문학논집 Vol.0 No.79

부산광역시 해운대구민의 수돗물불소농도조정사업에 대한 의식 조사연구

전은숙 ( Eun Suk Jeon ),이혜진 ( Hye Jin Lee ),배수명 ( Soo Myung Bae ) 한국치위생과학회 2006 치위생과학회지 Vol.6 No.1

치위생과 학생들의 정신건강에 영향을 미치는 요인

전은숙 ( Eun Suk Jeon ),황수현 ( Su Hyun Hwang ),고효진 ( Hyo Jin Ko ) 한국치위생과학회 2014 치위생과학회지 Vol.14 No.3

The purpose of study is to understand the relation with factors which affect the mental health and to investigate self-esteem, department satisfaction and career stress among dental hygiene students. The study performs self-administered questionnaires survey from March to May, 2013, among dental hygiene students of college in Busan and Ulsan with the convenience sampling and finally analyzes 376 questionnaires. The study performs the path analysis to analyze the impact of the mental health on self-esteem, department satisfaction and career stress and the correlation among these variables. The analysis result shows that the self-esteem most affects and the direct effect on the mental health. The factor which affects the self-esteem is the department satisfaction show direct effect, also career stress has direct and indirect effect. Self-esteem is important factors in the department satisfaction, career stress and mental health. Thus, a stable mental health for students and groups of individuals who need to take advantage of professional counseling and career exploration program structured should be configured.

일부 성인의 일상생활구강영향지수(OIDP)와 구강건강관리 행태와의 관련성

전은숙(Eun-Suk Jeon),박현경(Hyun-Kyung Park),김혜진(Hye-Jin Kim) 한국구강보건과학회 2020 한국구강보건과학회지 Vol.8 No.4

Objectives: This study would understand the negative factors related to the adult subjects’ oral conditions through the oral impact on daily performance(OIDP), concerning the impacts of oral health on life and investigate the correlations with their oral health care behaviors to promote their oral health care, which can be used as baseline data necessary for the development of more specific and more systematic oral health education programs. Methods: This study was conducted as a self-administered survey finally with 198 subjects who were the participants visiting for the clinical dental hygienist practice at the Dept. of Dental Hygiene of D. University in B. from September 2019 through December 2019. Results: In a comparison of oral environments according to the subjects’ oral health care behaviors, the longer the subjectively felt brushing time, the lower the dental plaque index became, which was statistically significant (p<0.05). In the relationships of seven items with which the subjects responded that they had experienced with oral health care behaviors, of 10 items of the OIDP, the relationships of checking sugar content and chewing food were significant (p<0.01), and the relationships of snack intake frequency and speaking accurately were significant (p<0.05). the relationships of toothbrush replacement period and sleeping were significant (p<0.01), and the relationships of actual brushing time, laughing, and showing teeth were significant (p<0.05). Conclusions: This study has a significance that it conducted a comparative analysis of the subjects’ experience of discomfort in the OIDP items, oral health care behaviors, and oral environments, using the OIDP and checked the degree of oral health to examine the correlation between the OIDP and oral health care behaviors and the correlation with the quality of life, accordingly.

明末淸初 艶情小說의 “性” 콤플렉스

全恩淑(Jeon, Eun-suk) 중국어문학연구회 2014 중국어문학논집 Vol.0 No.85

일부 대학생의 악안면외상경험과 측두하악장애 유병상태와의 관련성

전은숙(Eun-Suk Jeon),이정화(Jung-Hwa Lee) 한국콘텐츠학회 2009 한국콘텐츠학회논문지 Vol.9 No.7

이 연구는 악안면외상경험과 측두하악장애 유병상태와의 관련성을 조사하여 측두하악장애의 예방과 치료계획에 도움을 주고자 울산광역시에 소재한 C보건대학 학생 370명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 이용하여 분석하여 다음과 같은 결론을 얻었다. 1. 측두하악관절잡음 유병률은 남학생 25.7%, 여학생 22.7%로 남학생이 측두관절잡음 발생이 높았으나(p<0.01), 학년별로는 유의한 차이를 보이지 않았다. 2. 측두하악동통 유병률은 여학생이 높게 나타났다. 3. 개구장애 유병률은 여학생 10.8%, 남학생 7.0%로 여학생이 개구장애 발생이 약간 높게 나타났다. 4. 측두하악장애로 인한 치료경험은 남학생 6.5%, 여학생 4.3%로 남학생이 측두하악장애 치료경험률이 높게 나타났다(p<0.05). 5. 악안면외상 경험률은 남학생이 높게 나타났으며(p<0.01), 악안면외상 경험 경로 중 넘어짐이 가장 많았으며, 운동, 기타 순으로 나타났다. 6. 악안면 외상과 측두하악장애와의 관련성은 악악면외상과 측두하악관절잡음 간에 통계적으로 유의한 관련성을 보였다(p<0.01). 이상의 결과 악안면외상 경험유무와 측두하악장애간에는 관련성이 존재하며 악안면외상을 측두하악장애 발생의 기여요인으로 볼 수 있겠다. 따라서 향후 측두하악장애를 일으키는 요인이 무엇인지 그 관련요인에 대한 추가연구가 필요하다고 사료된다. This study was to investigate the relation between maxillofacial trauma experience and temporomandibular disorder prevalence with a view to helping prevent and cure temporomandibular dysfunctions by conducting a questionnaire survey with 370 students attending C Health Care College located in Ulsan Metropolis. Data collected underwent an analysis using SPSS program, resulting in the following:1. As for TMJ(temporomandibular joint) clicking prevalence rate, with 25.7% of male students and 22.7% of female students answering positively, the former showed higher rate of temporomandibular joint clicking(p<0.01), while no significant difference was identified depending on school years. 2. In terms of temporomandibular pain prevalence rates, females were found to have been more affected than male students. 3. When it comes to trismus prevalence rates, 10.8% of female students and 7.0% of male students responded they had experienced the dysfunction and female students showed slightly higher rate of trismus prevalence. 4. 6.5% of males and 4.3% of female students responded they had got treatment experience resulting from temporomandibular disorders, indicating that more male students had gone through treatment for temporomandibular disorders(p<0.05). 5. Male students showed higher experience rate of maxillofacial trauma(p<0.001), mostly due to falling or tumbling down, followed by exercises and etc. 6. The relation between maxillofacial trauma and temporomandibular disorders showed statistically significant relation between maxillofacial trauma and TMJ(temporomandibular joint) clicking(p<0.01).