일부 성인의 치과위생사에 대한 전문직업인 이미지 관련요인

최혜정,박경화,Choi, Hye-Jung,Park, Kyung-Hwa 한국치위생학회 2020 한국치위생학회지 Vol.20 No.2

Objectives: To provide basic information for improving the professional image of the dental hygienist among adults who visit the dentist. Methods: From December 5, 2018 to January 25, 2019, 214 adults in Seoul or Gyeonggi filled out a Google online questionnaire. Data were analyzed using t-test, one-way analysis of variance (ANOVA), and multiple regression analysis. Results: The overall average score of the professional image of dental hygienists was 3.59. In addition, there were significant differences in the image according to age, education, and occupation. The image according to the dental visit experience was highest for those providing orthodontic treatment. The difference in professional image recognized by the dental hygienists and the patients was highest in the case of those dental hygienists responding that they had been educated at a four-year university, who were considered as medical practitioners, and were called a dental hygienist. Lastly, the factors related to the professional image of the dental hygienist were positively affected in the case of preventive purpose of visit, and graduate or higher education of the patients. Conclusions: In order to establish the professional image of dental hygienists, public relations for adequate occupational awareness of their work should be continued. Additionally, it is necessary to establish the role through the systematic expansion of the professional image and their being considered as medical professionals, reflecting the reality of the work field.

식은 땀을 호소하는 진행성 암 환자에서 비스테로이드성 항염증 제제를 이용한 치료

최혜정,송하나,강정훈,Choi, Hye Jung,Song, Haa-Na,Kang, Jung Hun 한국호스피스완화의료학회 2016 한국호스피스.완화의료학회지 Vol.19 No.4

목적: 진행성 암 환자에서 발열이 동반되지 않은, 암성 발한에서 NSAID (non-steroid anti-inflammatory drug) 치료 효과를 알아보고자 함이 목적이다. 방법: 다음과 같은 조건을 만족하는 환자를 대상으로 후향적으로 의무 기록을 조사하였다. 1) 수술적 절제나 항암방사선 치료로 완치가 불가능한 진행성 암 환자 2) 숫자평가등급 4점 이상의 식은 땀을 호소하며 발열이 동반되지 않은 환자 3) 식은 땀의 원인이 될 만한 감염이 없고, 마약성 진통 및 호르몬 차단제를 현재 최근 1개월 이내 새롭게 사용하지 않는 환자 4) 식은 땀 치료를 위해 NSAID를 사용하고, NRS 평가가 치료 전 후 시행한 환자. 결과: 총 13명의 환자가 등록되었다. 남자가 9명(69%)이었고, 평균 59세(범위: 50~71)였다. 암종별 빈도는 담도암, 췌장암, 위암, 전립선암 순이었다. 치료 전 환자들의 식은 땀은 평균 NRS 6.5 (최소값: 4, 최대값: 10) 이었고, 치료 후에는 NRS 1.9 (최소값: 0, 최대값: 5)이었다. 평균 추적 관찰 기간은 9.1일이었다. 결론: 진행성 암 환자에서 열이 동반되지 않은 중등도 이상의 식은 땀 환자에서 NSAID는 효과적인 치료방법이다. Purpose: Advanced cancer may accompany cold sweat as paraneoplastic symptom. Few studies have been performed on the efficacy of non-steroid anti-inflammatory drug (NSAID) in advanced cancer patients who sweated without fever. Methods: To select study participants, medical records were retrospectively reviewed for patients who satisfied the following criteria: 1) incurable, advanced solid cancer; 2) Cold sweating of 4 or higher on the numeric rating scale (NRS) 4; 3) No evidence of infection or hypoglycemia; 4) No newly started opioid or anti-hormonal agents within one month; 5) NSAID prescription for the management of cold sweating and 6) Documented NRS information before and after NSAID administration. Results: A total of 13 patients were selected after excluding four patients due to lack of NRS information or fever. The mean age was 59 years old (range: 50~71), and nine patients (69%) were male. Bile duct cancer was the most common primary tumor followed by pancreatic cancer, gastric cancer and prostate cancer. The mean NRS of cold sweating dropped from baseline 6.5 (min-max: 4~10) to 1.9 at the follow-up assessment (min-max: 0~5). The mean follow-up period was 9.1 days (range: 2~30 days) from NSAID treatment to assessment. Conclusion: NSAID was effective medication for management of sweating without fever in patients with advanced cancer.

가족의례와 아내의 결혼만족도 간의 관계

최혜정,김득성,Choi, Hye-Jung,Kim, Deuk-Sung 한국가정관리학회 2009 가정과삶의질연구 Vol.27 No.6

The purpose of this study is first to examine the tendency in what kinds of activities are carried out as family rituals; what kinds of obstacles there are; and why any problems, if any, tend to arise. Second, the study seeks to discern the relationship between family rituals and wives' marital satisfaction. For this purpose, the study surveyed 251 wives who had fourth, fifth, or sixth grade children and resided in Busan, and then analyzed the data obtained from the survey. The major findings of this study can be summarized as follows: (1) Regarding the dinner ritual, it turned out that a majority of subjects had a difficult time establishing a regular ritual due to 'their busy schedule at work' and 'children's studying at academies'. For the weekend leisure ritual, in the case of difficulty in spending this kind of time it tended to be because of the wives' 'busy schedules at work' and 'lack of mutually available time for all family members'. In birthday rituals, when wives reported having trouble with her family members regarding birthdays, they explained that this was most often' because family members forget their birthday'. Finally, when the subjects reported problems related to tradition rituals, it was mainly because of 'stress from the burden of housework (2) In every dimensions including occurrence, routine, deliberateness, attendance, affect, and symbolic significance, the top-ranked group showed a high degree of satisfaction in their marriage.

내러티브 탐구를 통한 일 대학 간호학생들의 보건소실습 경험 연구

최혜정(Choi, Hye Jung) 한국보건간호학회 2005 韓國保健看護學會誌 Vol.19 No.2

신규 프로바이오틱스로서 Peanibacillus sp. BCNU 5016의 특성

최혜정(Hye Jung Choi),김동완(Dong Wan Kim),주우홍(Woo Hong Joo) 한국생명과학회 2014 생명과학회지 Vol.24 No.2

신규 프로바이오틱스 균주로서 사용하기 위하여 한국의 염장 발효 생선가공품인 젖갈로부터 Paenibacillus sp. 균주들을 탐색하였다. 이들 균주들 중에서 BCNU 5016은 그람양성균으로 gelatinase와 urease를 생산하지 않는 전형적인 Paenibacillus sp. 균주로 확인되었다. 이 균주는 16S rDNA 염기서열 분석을 바탕으로 계통적으로 Paenibacillus polymyxa의 근연종임이 확인되었다. Paenibacillus sp. BCNU 5016은 내산성 실험을 통해 pH 2.5에서 3h 배양 후에도 91.89%까지 생존함이 확인되었고, 담즙산에도 뛰어난 내성이 있음이 확인되었다. 또한 BCNU 5016은 자가응집능, 공동응집능 및 소수성 능력으로 볼 때 우수한 장점막 부착능력을 가지고 있는 것으로 판단된다. 그러므로 Paenibacillus sp. BCNU 5016은 프로바이오틱스 균주로서 우수한 잠재력을 가지고 있음을 확인할 수 있었다. We screened Paenibacillus sp. strains from Jeotgal, a Korean salted and fermented fish product, for use as a novel probiotic. Among these Paenibacillus sp. isolates, BCNU 5016 was a typical Paenibacillus sp. strain that showed gram-positive, gelatinase-negative, and urease negative activity. On the basis of 16S rDNA sequence comparisons, BCNU 5016 was most closely related phylogenetically to P. polymyxa. When Paenibacillus sp. BCNU 5016 was subjected to the acid tolerance test, this strain showed 91.89% survival after 3 h culture at pH 2.5. Paenibacillus sp. BCNU 5016 also showed excellent bile acid tolerance. Furthermore, its auto-aggregation, coaggregation, and hydrophobic capacities suggest that BCNU 5016 had the capacity to adhere well to the intestinal tract. We conclude that Paenibacillus sp. BCNU 5016 has excellent potential as a probiotic.

중추신경계 손상환자의 재활운동 사례

최혜정(Choi, Hye-Jung),이강우(Lee, gang-woo) 대한운동학회 2008 아시아 운동학 학술지 Vol.10 No.1

본 연구의 목적은 중추신경계손상 환자의 복합적인 재활운동이 신체특성 및 체력, 기능적독립성에 미치는 영향을 알아보는데 그 목적이 있다. 본 연구의 대상은 Embolic infarct & bacterial endocarditis 으로 Left side Weakness를 주 증상으로 중추신경계손상 운동재활에 참여한 여성(25세) 1명으로 하였다. 환자는 입원 초기 재활프로그램에 6개월간 참여 후 회복기 재활운동과 병행하여 본 연구에 참여하였다. 운동 참여 전 신체조성검사, 기초체력검사 및 운동부하검사, 독립적기능검사(Functional Independent Measurement : FIM)를 실시하였다. 재활운동은 초기에 가벼운 ROM 회복과 더불어 근력운동(4-items)을 실시하였다. 2개월부터 보행운동과 함께 트레드밀 워킹, 근력운동(4-items)을 대근육 강화위주로 실시하였다. 3개월에는 유산소운동과 근력운동(4-items)실시 하였다. 재활운동 3개월 후의 결과로서 체중은 0.5kg감소, 제지방량1.3kg과 골격근0.9kg 향상, 체지방율은 2.9kg감소하였다. 기초체력검사결과 좌측 무릎신전근 10.6kg, 무릎 굴곡은 5kg의 향상을 보였다. Trunk extension은 22.6kg의 향상을 하였으며, trunk flexion은 2.5kg의 향상을 확인할 수 있었다. 유연성은 15.5cm 향상하였고, 평형성은 10초의 향상을 보였다. 기능적 체력항목의 tandem-gait 검사는 5,65초의 시간단축을 보였으며, time-up and go검사에는 7,08초 시간단축으로 기능향상을 확인할 수 있었다. 운동부하검사시 운동수행력은 5METs 로 증가하였다. 독립적기능검사(FIM)는 참여전 115점 이었으나, 3개월 후 122점으로 독립적인 수행력이 향상되었다. 결론적으로 중추신경손상후 회복기 재활운동의 사례로서 유용한 자료가 될 것으로 사료된다. The purpose of this study was to investigate the effect of complex exercise rehabilitation on body composition, physical fitness and functional independent on central nerve injury patient. The subject was a 25 years old female, who had central nerve injury d/t embolic infarct & bacterial endocarditis, and the main symptom was left side weakness. The patient participated in latter periodrehabilitation program after early rehab program for 6 months. Body composition, physical fitness, ergometer test and functional independent measurement(FIM) test were screened before and after exercise program. The rehab program was carried out ROM and strengthening(4-items) program in the early stage. After 2 month, exercise program added gait training, treadmill walking, and strengthening exercise focus on large muscle group. The aerobic exercise and strengthening(4-items) was put in force after 3 month. Body weight(0.5kg) and % fat(2.9kg) decreased, on the other hand, lean body mass(1.3kg) and skeletal muscle(0.9kg) improved after exercise rehabilitation. Physical fitness function increased the leg extension power(10.6kg), leg flexion power(5kg), trunk extension(22.6kg) and trunk flexion(2.5kg). Flexibility and balance function also improved 15.5cm and 10sec respectively. After exercise rehabilitation, the patient showed faster tandem-gait(5.6sec) and time-up and go(7.08sec) than pretest. Moreover, Exercise performance on exercise stress test(5METs) and FIM test(from 115 to 122 points) also improved. This program would be useful data for exercise rehabilitation on latter period-rehabilitation program on central nerve injury patient.

Pseudomonas sp. BCNU 106이 생산하는 유기용매 내성 리파아제의 특성

최혜정(Hye Jung Choi),황민정(Min Jung Hwang),김동완(Dong Wan Kim),주우홍(Woo Hong Joo) 한국생명과학회 2016 생명과학회지 Vol.26 No.5

유기용매 내성 세균 Pseudomonas sp. BCNU 106으로부터 생산된 리파아제 조효소액은 pH 4-10의 넓은 범위의 pH와 37°C에서 매우 안정적이었다. BCNU 106의 리파아제 안정성은 25% xylene, hexane, octane, toluene, chloroform 및 dodecane에서 증가하였으며, 상업적인 고정화 효소와 비교해도 우수한 안정성을 보이고 있다. 그리고 Cu<SUP>2+</SUP>, Hg<SUP>2+</SUP>, Zn<SUP>2+</SUP> 및 Mn<SUP>2+</SUP> 존재 하에서 110% 이상의 상대활성을 나타낸 반면에, Fe<SUP>2+</SUP>에서는 효소활성이 억제되었다. 게다가 계면활성제인 tween 80과 triton X-100 및 SDS에서도 높은 안정성을 유지됨이 확인되었다. 본 연구에서 유기용매 내성 Pseudomonas sp. BCNU 106의 리파아제는 고정화 효소에 못지않은 효소 활성 및 안정성을 유지함이 밝혀져 다양한 산업공정에서 잠재적인 생물촉매로 적용될 수 있는 가능성을 확인할 수 있었다. A crude extracellular lipase from solvent-tolerant bacterium Pseudomonas sp. BCNU 106 was highly stable in the broad pH range of 4-10 and at temperature of 37°C. Crude lipase of BCNU 106 exhibited enhanced stability in 25% organic solvents such as xylene (121.85%), hexane (120.35%), octane (120.41%), toluene (118.14%), chloroform (103.66%) and dodecane (102.94%) and showed excellent stability comparable with the commercial immobilized enzyme. In addition, the stability of BCNU 106 lipase retained above 110% of its enzyme activity in the presence of Cu<SUP>2+</SUP>, Hg<SUP>2+</SUP>, Zn<SUP>2+</SUP> and Mn<SUP>2+</SUP>, whereas Fe<SUP>2+</SUP> strongly inhibited its stability. The detergents including tween 80, triton X-100 and SDS were positive signals for lipase stability. Because of its stability in multiple organic solvents, cations and surfactants, the Pseudomonas sp. BCNU 106 lipase could be considered as a potential biocatalyst in the industrial chemical processes without using immobilization.

동계 시즌 전후 알파인 스키 선수들의 신체 조성, 무산소 파워 및 등속성 근기능의 변화 분석

최혜정 ( Hye Jung Choi ),김석희 ( Seok Hee Kim ) 대한스포츠의학회 2018 대한스포츠의학회지 Vol.36 No.3

Purpose: The purpose of this study was to investigate the changes on alpine skiers’ body composition, anaerobic power, isokinetic knee strength and muscle balance ratio (hamstring to quadriceps [HQ] ratio) before and after winter season. Methods: The subjects of this study was 22 elite alpine skier, aged 16-20 years. Participants were divided into two groups (male, 12; female, 10). The study conducts a periodization training program in the winter season for 4 months. The data processing of this study was analyzed by paired t-test, using SPSS 21.0 statistics program. Results: There was significance on fat free mass in male group (p<0.05); there was significance on anaerobic power and average power in female group (p<0.01), and fatigue index significantly increased in male group (p< 0.05). There was significance on extension power of male group and flexion power of female group in 30°/sec. There was significance on extension power of both groups in 180º/sec (p<0.05). There was significant increase on flexion power of male group in 240º/sec (p<0.01). There was significant increase on H/Q% of female right side in 30°/sec (p<0.01). There was significance on right side of both groups in 180°/sec (p<0.05). There were significances on right and left side of both groups in 240o/sec (male, p<0.01; female, p<0.05). Conclusion: Therefore, this study suggests that the periodization training should be important to maintain and to develop seasonal condition of alpine skiers.

가임기 여성의 사회, 심리적 요인과 구강건강상태 및 치과의료 이용에 따른 구강건강 관련 삶의 질 연구

최혜정 ( Hye Jung Choi ),이명선 ( Myung Sun Lee ) 대한보건협회 2014 대한보건연구 Vol.40 No.2

연구목적 : 가임기 여성을 대상으로 인구사회학적 요인, 사회·심리적 요인, 구강건강상태, 치과의료 이용을 포함하는 포괄적인 요인접근법을 통하여 구강건강 관련 삶의 질의 결정요인을 규명함으로써 가임기 여성의 구강건강증진을 위한 계획을 수립하는 등 구강건강증진 사업 및 정책에 필요한 효율적인 자료를 제공하고자 하였다. 연구방법 : 서울 및 경기지역에 위치한 치과병의원을 임의표본추출방법을 통해 13곳을 선정하고, 병원기관장의 승인을 얻은후 2013년 10월 1일부터 10월 18일까지 약 3주 동안 치과병의원에 내원하여 검진 및 치과치료를 받고 있는 현재 임신하지 않은가 임기 여성(만 19세에서 39세까지)을 조사하였으며 486명을 최종 연구대상자로 하였다. 수집된 자료는 SPSS Program Version 20.0을 이용하여 분석하였다. 연구결과 : 가임기 여성의 구강건강 관련 삶의 질에 영향을 미치는 요인의 경우, 치주질환 진단유무(β=.286, p<.001), 치아 우식증 진단유무(β=.179, p<.01), 본인인지 구강건강상태(β=-.146, p<.001), 사회적지지(β=-.119, p<.01), 연평균 치과치료비(β=.103, p<.001), 치과방문 횟수(β=.081, p<.05)가 구강건강 관련 삶의 질에 통계적으로 유의한 영향을 미치는 결과를 얻었다. 결론 : 본 연구를 통해 구강건강증진사업 계획을 실시함에 있어 가임기 여성의 구강건강수준 증진도모를 위해 구강건강상태, 치과의료 이용, 사회적 지지는 구강건강 관련 삶의 질의 결정요인에 중요한 영향을 미치므로, 종합적인 접근을 통한 지속적인 연구가 활성화 되어야 한다고 볼 수 있다. 또한 자가 구강건강관리의 역량을 강화시킬 수 있는 프로그램이 개발할 수 있도록 적절한 자원배분과 정책적 지원이 뒷받침되어야 할 것이다. Objectives : The purpose of this study is to provide efficient information for oral health enhancement businesses and policies such as oral health promotion plan for women of childbearing age by establishing determinants of oral health-related quality of life through comprehensive factor approach including sociodemographic factors, psychosocial factors, oral health status, and the use of dental clinic service for women of childbearing age. Methods : We selected dental clinics located in Seoul and Gyeonggi-do area(7 clinics in Seoul, 6 clinics in Gyeonggi-do) by convenience random sampling and received approval from the clinic directors. We conducted a survey targeting women of childbearing age between 19 and 39 years old who were going to the dental clinic but not pregnant for 3 weeks from October 1, 2013 to October 18, 2013. 486 of surveyed women of childbearing age were finally chosen as study participants. Collected data were analyzed by using SPSS Program Version 20.0. Results : For factors influencing oral health-related quality of life in women of childbearing age, factors such as having periodontal disease(ββ=.286, p<.001), having dental caries(ββ=.179, p<.01), self-recognition for oral health status(ββ=-.146, p<.001), social support(ββ=-.119, p<.01), annual average dental care cost(ββ=.103, p<.001), the number of visits to a dental clinic(ββ=.081, p<.05) had statistically meaningful influence on the life quality related to oral health. Conclusion : From this study, in case of fulfilling health promotion plan, since oral health status, the use of a dental clinic, and social support have important influence on oral health-related quality of life, continuous study through comprehensive approach needs to be promoted. In addition, rational allocation of resources and policy support should be backed up to develop programs for beefing up self dental care ability of women of childbearing age.

스트렙토조토신으로 유도한 당뇨 마우스에서 번행초 다당 추출물의 항당뇨 효과

최혜정(Hye Jung Choi),이성태(Sung-Tae Yee),주우홍(Woo Hong Joo) 한국생명과학회 2017 생명과학회지 Vol.27 No.5

번행초는 주요 화합물인 수용성 다당류와 cerebroside의 작용에 기인하여 기대되는 항궤양성 약용작물이다. 스트렙토조토신 유도 당뇨마우스에서 번행초의 다당 추출물(TPE)의 항당뇨 효과는 이전에 보고된 바가 없다. 본 연구는 체중 1 kg 당 65 mg의 스트렙토조토신을 복강에 주사하여 확립된 당뇨 마우스에서 TPE의 항당뇨효과를 측정하기 위해 실시하였다. 100 mg 농도의 TPE를 3주간 투여했을 때, 당뇨 마우스의 체중은 유지되었으며, 혈당, 중성지방, 그리고 lactate dehydrogenase, alkaline phosphatase 및 glutamic pyruvic transaminase가 낮은 수준으로 감소함이 관찰되었다. 또한 내당능 실험에서도 TPE의 투여는 대조군인 당뇨 마우스에 비해 혈당수준을 현저하게 감소시켰으며, 실험 가능한 거의 모든 생화학적 요인을 당뇨마우스에 비해 낮은 수준으로 회복시켰다. 따라서 전통적인 약용작물인 번행초의 잠재적인 항당뇨 효능을 본 연구에서 처음으로 증명하였다. Tetragonia tetragonioides seems to be a promising antiulcer medicinal plant due to the presence of water-soluble polysaccharide and cerebroside as its major constituents. There have been no previous studies using T. tetragonioides polysaccharide extract (TPE) to assess its antidiabetic effect in streptozotocin (STZ)-induced diabetes in mice. This study was designed to evaluate the antidiabetic effect of TPE in diabetic mice, which was established by one-week intraperitoneal injection of 65 mg/kg STZ. After three weeks of TPE treatment at a dose of 100 mg/kg, a maintenance of body weight, a decrement in plasma glucose, and low levels of triglyceride, lactate dehydrogenase, alkaline phosphatase, and glutamic pyruvic transaminase were observed in diabetic mice. Furthermore, the ingestion of TPE lowered the blood glucose levels during the oral glucose tolerance test (OGTT) and restored most of the tested parameters to their normal levels. Therefore, the antidiabetic potential of T. tetragonioides has been demonstrated for the first time by our research.