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.

저온 상압 플라즈마의 치아 미백 효과 및 법랑질 표면형상의 변화에 미치는 효과

최혜숙(Hye-Sook Choi),유은미(Eun-Mi You),최은하(Eun-Ha Choi),김경남(Kyoung-Nam Kim),김광만(Kwang-Mahn Kim) 대한치과재료학회 2013 대한치과재료학회지 Vol.40 No.1

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)

폐동맥고혈압에서 폐혈관계 작용약물

최혜숙 ( Hye Sook Choi ),이상도 ( Sang Do Lee ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.60 No.2

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)

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

한국 노인의 치과의료이용 영향 요인

최혜숙 ( Hye-sook Choi ) 한국치위생학회 2022 한국치위생학회지 Vol.22 No.2

Objectives: It is crucial to detect and prevent oral problems early. Older adults, in particular, should go for regular dental checkups to maintain a healthy oral environment. This study identified the factors affecting regular dental examinations and unmet dental needs in older adults. Methods: This study analyzed 3,362 older adults aged 65 or over using the data from the 7th Korean National Health and Nutrition Examination Survey (KNHANES). Frequency analysis was performed on general characteristics. In addition, chi-square tests were done to determine differences in regular dental checkups and unmet dental needs according to general characteristics. Logistic regression analysis was performed on factors influencing regular dental checkups and unmet dental needs. Results: Factors influencing regular dental checkups were statistically significant according to residential areas, level of education, household income, and levels of physical activity (p<0.05). Factors influencing unmet dental needs were statistically significant according to residential areas, level of education, private medical insurance, and levels of dental pain (p<0.05). Conclusions: National level policy strategies should be implemented to improve the oral health of older adults. These strategies should encourage regular dental checkups to effectively lower the rate of unmet dental needs.

데님(Denim)을 이용한 패션디자인 연구

최혜숙(CHOI Hye-Sook),노윤선(ROH Youn-Sun) 한국디자인학회 2009 디자인학연구 Vol.22 No.6

선별 검사를 위한 탁상용 폐활량기 (HI-801)의 임상적 유용성에 관한 고찰

최혜숙 ( Hye Sook Choi ),최천웅 ( Cheon Woong Choi ),박명재 ( Myung Jae Park ),강홍모 ( Hong Mo Kang ),유지홍 ( Yoo Ji Hong ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.4

연구배경: 폐활량 검사는 간단하고 저렴한 폐질환의 선별 검사방법으로 흡연자나 호흡기 증상이 있는 환자에게 폐질환의 조기 발견을 위한 선별검사로 권고되고 있으며, 이에 따라 간단하고 저렴한 탁상용 폐활량 기기들이 공급되고 있다. 본 연구의 목적은 환기장애 소견을 보인 환자를 대상으로 탁상용 폐활량기와 병원 폐기능 검사실의 폐활량기의 폐활량 측정값을 비교 분석하여 그 일치도를 알아보고 이를 통해 탁상용 폐활량기의 임상환경에서의 정확성과 두 기기간의 임상적 상호 대체 허용성을 알아보고자 하였다. 방법: 2006년 4월부터 2006년 9월까지 경희의료원 건강검진 센터에서 HI-801기로 폐활량검사를 시행한 사람들 중 환기장애 소견을 보인 환자를 대상으로 폐기능 검사실에서 Vmax spectra 22d 폐활량기로 재검사를 시행하였다. 결과: 총 109명의 환자가 참여하였으며, 이 중 남자가 70명(64.2%)이었다. HI-801 기와 Vmax spectra 22d기로 측정한 폐활량 값들은 각각 FVC(3.03±0.62 vs. 3.38±0.67 L), FEV1(2.44±0.57 vs. 2.61±0.58 L), PEFR(5.83±2.01 vs. 7.70±2.11 L/s), FET(5.12±1.71 vs. 6.68±1.11 sec), FEF25%-75%(2.61±1.09 vs. 2.48±1.08 L/s)였다. 두 기기간의 FVC, FEV1, PEFR, FEF25%-75% 측정값의 상관 계수는 각각 r= 0.93, 0.94, 0.81, 0.84였으며, FVC, FEV1은 Bland and Altman plot에서 95% 신뢰구간의 일치도 제한에서 각각 4%, 5% 만이 ±1.96SD 밖에 위치하였다. 결론: 탁상용 폐활량기인 HI-801 기는 병원 폐기능 검사실 Vmax spectra 22d 기와의 비교에서 높은 상관관계와 좋은 일치도를 보여, 탁상용 HI-801 기의 정확성을 알 수 있었으며, HI-801로 측정한 FVC, FEV1 값은 Vmax spectra 22d 기의 측정값을 임상적으로 대체할 수 있음을 보여주었다. Background: A national health care initiative recommends routine spirometry screening of all smokers over age 45 or patients with respiratory symptoms. In response to the recommendation, new, simple, and inexpensive desktop spirometers for the purpose of promoting widespread spirometric screening were marketed. The performance of these spirometers was evaluated in vivo testing with healthy subjects. However, the clinical setting allows spirometric assessment of various pathologic combinations of flow and volume. Objective: The aim of this study was to compare the accuracy of a desktop spirometer to a standard laboratory spirometer, in a clinical setting with pathologic pulmonary function. Method: In a health check-up center, where screening pulmonary funct test was performed using the HI-801 spirometer. Subjects who revealed the ventilation defect in screening spirometry, performed the spirometry again using the standard Vmax spectra 22d spirometer in a tertiary care hospital pulmonary function laboratory. Pulmonary function test with both spirometer was performed according to the guidelines of the American Thoracic Society. Results: 109 patients were enrolled. Pulmonary function measurements (FVC, FEV1, PEFR, FEF25%-75%) from the HI-801 correlated closely (r=0.94, 0.93, 0.81, 0.84, respectively) with those performed with the Vmax spectra 22d and showed the good limits of agreement and differences between the 2 devices; FVC +0.35 L, FEV1 +0.16 L, PEFR +1.85 L/s, FEF25%-75% -0.13 L/s. With the exception of FEV1, FEF25%-75%, these differences were significant(p<0.05) but small. Conclusion: The HI-801 spirometer is comparable to the standard laboratory spirometer, Vmax spectra 22d, with high accurary for FEV1 and FVC and acceptable differences for clinical use. (Tuberc Respir Dis 2007; 62: 276-283)

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.