상아질의 치면 처리에 따른 합착용 레진 강화형 글라스 아이오노머 시멘트의 전단결합강도

최혜숙,이청희,조광헌,Choi Hye-Souk,Lee Cheong-Hee,Jo Kwang-Hun,Kim Kyo-Han 대한치과보철학회 2001 대한치과보철학회지 Vol.39 No.5

The purpose of this study was to evaluate the effect of dentin pretreatment with Dentin Conditioner, Ultra-Etch, conditioner of Fuji Plus cement on the shear bond strength of resin-reinforced glass ionomer cements to dentin and analyze the fractured surfaces. To evaluate the bond strength, the extracted human teeth which had uniform area of exposed dentin were cemented with conventional glass ionomer cement, 3M $RelyX^{TM}$ Luting (Vitremer luting cement), Fuji Plus cement after dentin pretreatment. The shear bond strength was measured using the Universal testing machine (Instron Co., USA) with a crosshead speed of 1mm/m. The effect of dentin pretreatment was evaluated by observing pretreated dentin surfaces under the scanning electron microscope, measuring the shear bond strength and observing the fractured surfaces under the scanning electron microscope. The results were as follows : On the SEM observation of surface morphology, the specimens treated with Dentin Conditioner. Ultra-Etch and conditioner of Fuji Plus cement were removed the smear layer and funneled dentinal tubules in dentin surfaces. In $RelyX^{TM}$ Luting cement group, shear bond strength of pretreated group was significantly higher than control group. In Fuji Plus cement group and Fuji I group, regardless of the type of pretreatment agents, there was tendency of increase in the shear bond strength. On the SEM observation of fractured surfaces, as the shear bond strength increase, it were shown thicker cement layers and were not shown dentinal tubules According to these results. it were shown that dentin pretreatment have much effect on bonding states.

생애주기에 따른 치아우식증 영향 요인

최혜숙,Choi, Hye-Sook 한국치위생학회 2017 한국치위생학회지 Vol.17 No.5

Objectives: This study was conducted in order to identify the various influencing factors of dental caries according to the socio-economic characteristics and oral health behaviors across the life cycle among Koreans. Methods: The data were extracted from the 6th Korea National Health and Nutrition Examination Survey (2013-2015) and a total of 4,871 subjects with ages of 7 and over were selected. The data were analyzed using SPSS 21.0 for ${\chi}^2$-test and multi-logistic regression. Results: Significant differences were observed in the socio-economic characteristics, health behaviors and in the dental caries across the life cycle. The influencing factors of DT includes the type of health insurance (p<0.05) in school aged & adolescence, Oral health examination/year (p<0.01), Residence (p<0.05) in early adults, type of health insurance (p<0.001), Oral health examination/year (p<0.001), use of oral hygiene products (p<0.01) in late Adults, Oral health examination/year (p<0.05) and Gender (p<0.05) in old age. Conclusions: This study suggests that dental health promotion can be enhanced by regular checkup. The government must provide the people with better quality of oral health care and promotion across the life cycle in the near future.

혈액투석 환자의 자가간호 수행과 영향요인

최혜숙,최의순,Choi, Hye-Suk,Choi, Euy-Soon 한국가정간호학회 2005 가정간호학회지 Vol.12 No.2

Purpose: The purpose this study was to investigate the relationship between self-care performance and influential factors in hemodialysis patients. Method: The subjects of this study were 102 hemodialysis outpatients who had been visiting C University Hospital in Seoul. The data were collected through the scale of self care, self efficacy family support, daily living activity and hope from the 1st to 31st of December 2004. The collected data were analysed using SPSS PC Win 10.0. Result: The average score of self-care performance of subjects was $3.2\pm0.4$ points(4points scale) and significantly different among groups according to age and duration of dialysis. Self care performance of subjects was in a significant positive correlation with family support and hope. Factors affecting self care performance of subjects were family support, duration of hemodialysis, age and daily living function, and the explanatory power of these factors was 31.4%. Conclusion: These findings indicate that is necessary to enhance family support, to develope and apply self-care education programs in consideration of duration of dialysis and age, to have hope-giving communication with patients and their families, and to provide nursing interventions for maintaining patients' daily living function in order to improve the self care performance of hemodialysis patients

중,고등학생의 구강보건지식,태도,행동 및 교육요구도

최혜숙 ( Hye Sook Choi ),황선희 ( Sun Hee Hwang ),안세연 ( Se Youn Ahn ),심수현 ( Soo Hyun Sim ),최부근 ( Boo Keun Choi ),공영미 ( Young Mi Kong ),한수진 ( Su Jin Han ),황윤숙 ( Yoon Sook Hwang ),장기완 ( Kee Wan Chang ),정영란 ( 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.4

Objectives : The purpose of this study was to examine the oral health knowledge, attitude, behavior among 918 secondary students and their needs for oral health education in Seoul, Gyeonggi Province and Choongbuk Province. Methods : The collected data were analyzed by the statistical package SPSS 18.0, and frequency analysis, correlation analysis, crosstabs, t-test and ANOVA were utilized. Results : The girls proceeded the boys in oral health knowledge, and the high school students were ahead of the middle schoolers in oral health knowledge, attitude and behavior. Those who ever received oral health education surpassed the others who didn`t in oral health knowledge and behavior(p<0.01). The students hoped to be provided with oral health education by dental hygienists during regular classroom hours once per semester, 30 minutes to one hour at a once, and their favorite ways of oral health education were videotape watching and practice. As for needs for oral health education, the middle school students had higher needs for that than the high schoolers, and the former`s needs scores were above the average(p<0.05). Conclusions : There were differences among the students in oral health knowledge, attitude and behavior according to their school system, gender and oral health education experiences, but oral health education was provided without taking their differences into account. It was recommended, efficient oral health education programs should be developed by focusing on how to take care of and prevent oral diseases, and videotape watching and practice that were preferred by the secondary students should be included in the programs. (J Korean Soc Dent Hygiene 2011; 11(4): 533-546)

소통 단절 부부의 통합적 접근 부부상담 사례연구

최혜숙 ( Hye Sook Choi ),권현용 ( Hyoun Yong Kwon ) 한국동서정신과학회 2015 동서정신과학 Vol.18 No.1

본 사례연구는 소통 단절로 이혼위기를 경험하고 있는 부부의 관계 개선에 영향을 주는 요인들을 탐색하였다. 이마고부부대화법을 기본으로 보웬의 가족체계이론과 인지행동치료 등을 통합적으로 적용하여 부부상담을 수행한 사례이다. 통합적 접근 부부상담은 총 12회기로 진행하였다. 통합적 접근 부부상담의 효과를 알아보기 위하여, 부부치료의 과정을 요약하였고, 결혼만족도와 부부관계만족도의 사전사후 변화를 살펴보았다. 통합적 부부상담 결과, 부부간 소통단절과 일방적 의사소통, 배우자에 대한 악화된 부정적 감정과 냉소적 태도 등의 역기능적 갈등이 줄어들었다. This case study investigated the factors influencing the marital conflicts of couple experiencing a divorce crisis at a communication breakdowns. In this case study, an integrated approach couple counseling was used such as cognitive behavioral therapy, family systems theory of Bowen and Imago couple therapy. Integrated approach couple counseling was conducted in a total of 12 sessions. To examine the effect of the integrated approach couple counseling, it summarizes the course of treatment of a married couple, were examined for changes in the pre-post marriage satisfaction and marital satisfaction. Result of integrated approach couple counseling, reduced dysfunctional conflict, such as negative emotions and cynical attitude worse for the spouse, marital communication disconnection, and one-sided communication.

신종인플루엔자 확산에 따른 지식과 예방행동에 관한 연구

최혜숙 ( Hye Sook Choi ),전미진 ( Mee Jin Jeon ),임미희 ( Mi Hee Lim ) 한국치위생학회 2010 한국치위생학회지 Vol.10 No.4

다약제 내성 Acinetobacter baumannii에 의한 폐렴에서 Colistin 분무치료의 효과

최혜숙 ( Hye Sook Choi ),황연희 ( Yeon Hee Hwang ),박명재 ( Myung Jae Park ),강홍모 ( Hong Mo Kang ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.64 No.1

연구배경: Acinetobacter baumannii는 항생제에 대한 내성균이 자주 발생하며 MDR Acinetobacter baumannii 감염의 치료 시 항생제 선택에 어려움이 있다. Colistin은 그람 음성균에 효과적이며 MDR Acinetobacter균에 감수성을 보이나 전신투여 시 신독성, 신경독성 등의 부작용으로 인해 잘 쓰이지 않는 약제이다. 전신투여에 의한 부작용을 회피하는 방법으로 분무치료가 있다. 그러나 MDR Acinetobacter baumannii 페렴환자에서 colistin 분무치료의 효과와 부작용에 대한 국내연구는 부족한 실정이어서 저자들은 다음과 같은 연구를 시행하였다. 방 법: 2006년 12월부터 2007년 8월까지 중환자실의 폐렴환자 중에서 호흡기검체 배양검사를 통해 imipenem에 내성을 포함한 MDR Acinetobacter baumannii균에 의한 폐렴이 진단된 환자를 대상으로 하였다. 이들 중 항생제 정맥주사와 더불어 하루 3번의 colistin 분무치료를 시행했던 환자들의 의무기록을 후향적으로 분석하여 임상 소견, 신기능, 인공호흡기의 최대기도압의 변화를 분석 하였다 결 과: 총 31명의 환자에서 colistin 분무치료를 시행하였다. Colistin 사용기간은 14±7일이었으며, 하루 흡입용량은 225∼300 mg이었다. Colistin 분무치료 후 25명/31 명(80.6%)에서 Acinetobacter균이 제거되었으나 이 중 11 명(44%)에서는 2차 감염에 의한 새로운 균이 배양되었다. Colistin 분무치료 전, 후로 백혈구 수는 감소하였다. Colistin 분무치료 후 신기능의 장애는 발생하지 않았으며 의미 있는 기관지경련의 소견도 관찰되지 않았다. 결 론: 적절한 항생제를 선택하기 어려운 MDR Acinetobacter baumanii에 의한 폐렴을 치료하는데 colistin 분무치료는 비교적 높은 균 제거율과 낮은 부작용을 보이므로 고려해 볼 수 있는 치료방법으로 사료된다. Background: Acinetobacter infections are difficult to treat as they often exhibit multiple resistance to the antibiotics that are currently available for the treatment of pneumonia. Colistin is active against gram-negative bacteria, including the multiple drug resistant (MDR) Acinetobacter species. However, intravenous administration of colistin was abandoned because of its nephrotoxicity and neurotoxicity. The aims of this study were to examine the efficacy and safety of colistin administered by aerosol in the treatment of pneumonia caused by MDR Acinetobacter baumannii. Methods: We retrospectively reviewed the medical records of patients admitted to the intensive care unit (ICU) from Dec. 2006 to Aug. 2007 who had been diagnosed as suffering from pneumonia due to MDR Acinetobacter baumannii and had been treated with nebulized colistin. Results: 31 patients received aerosolized colistin. The average duration of the treatment was 14±7 days and the daily dose of ranged from 225 mg to 300 mg. All patients received concomitant intravenous antimicrobial agents. The average length of the stay in the ICU was 34±21 days and in the hospital 58±52 days. The overall microbiological eradication was observed in 25 patients (80.6%). 14 of these (56%) were cured, and 11 (44%) were infected with other microorganisms. The overall crude mortality of the ICU was 48%. Nephrotoxicity and significant bronchial constriction did not occur in any patient during neublized colistin treatment. Conclusion: Nebulized colistin may be a safe and effective option in the treatment of pneumonia due to MDR Acinetobacter baumannii. Its role in therapy warrants further investigation in comparative studies. (Tuberc Respir Dis 2008;64:8-14)

초등 예비교사들의 지속가능 발전에 대한 인식, 태도 및 실천 의지에 대한 조사 연구

최혜숙(Hyeh-Sook Choi),심규철(Kew-Cheol Shim),소금현(Keum-Hyun So),여성희(Sung-Hee Yeau) 한국환경교육학회 2010 環境 敎育 Vol.23 No.2

The purpose of this study was to examine the pre-service elementary teachers’ perceptions and attitudes toward sustainable development. Subjects were 152 university students, who were surveyed by questionnaire. The instrument consisted of totally 41 items which were constructed by 3 components; ’the perception of concept of sustainable development’, ’the attitude toward the relationship between economy and environment’ and ’the practical intention of personal change for sustainable lifestyle’. The key findings suggest that most students associate strongly the concepts of sustainable development with their environmental as against economic and social aspect. Most of them incline toward eco-centrism but they had complex attitudes concerning the relationship between economy and environment. They have intention to act for sustainable lifestyle such as purchasing habits, recycling, energy?water saving, forms of transportation, nature conservation and education. However, they prefer to act passively than actively in a certain aspect of sustainable lifestyle. Understanding of pre-service elementary teachers’ perceptions of and attitudes toward sustainable development will be helpful to work out teaching and learning strategies in environmental education.

정보탐색이 치과의료기관 선택에 미치는 영향

최혜숙 ( Hye Sook Choi ) 한국치위생과학회 2009 치위생과학회지 Vol.9 No.5

당뇨병 환자의 구강질환과 구강건강관리 실태

최혜숙 ( Hye Sook Choi ),정영란 ( Young Ran Jung ) 한국치위생학회(구 한국치위생교육학회) 2015 한국치위생학회지 Vol.15 No.5

Objectives: The aim of this study is to investigate the relationship between diabetes mellitus and oral disease in the Korea adults by using the representative data of Korea National Health and Nutrition Examination Survey (KNHANES) V. Methods: Using data from a cross-sectional survey of Korea National Health and Nutrition Examination Survey V. The subjects were 5,602 adults over 19 years old. The survey data and the examination data are used for the independent variables. KNHANES included health status, nutrition survey, and oral examination. The health status was obtained by a self-reported questionnaire of the study subjects and direct interview was carried out on economic status, prevalence rate, and use of medical services. Results: The regular dental checkup of diabetes patients was significantly lower than the general population. Regular dental visits allow adults to receive early diagnosis and obtain restorative care at the first visit. The regular annual oral examination is very important to prevent and manage the chronic diseases including diabetes mellitus. Conclusions: Diabetes mellitus can be fully prevented and managed by the regular annual dental checkup. The establishment of the regular dental checkup system can prevent and manage the complication due to diabetes mellitus and other chronic diseases.