Classification of dental caries pattern in 12-year-old Korean adolescents by multivariate analysis / 대한구강보건학회지

Objectives@#The purpose of this study was to analyze the pattern of dental caries in 12-year-old Korean adolescents through multivariate analysis. @*Methods@#This study used raw data from the 2015 Korea Children’s Oral Health Survey. The study participants were 12-year-old adolescents. A total of 27,291 people participated in the questionnaire and oral test. The statistical analysis methods used were multidimensional scaling, cluster analysis, and factor analysis. @*Results@#The result was derived after analyzing the dental caries pattern of teeth and tooth surface by multi-dimensional scaling method, cluster analysis method, and factor analysis. Morphologically homologous teeth were gathered to form clusters. Caries occurrence showed a more similar caries experience pattern when the types of tooth surfaces, such as occlusal and occlusal surfaces, were the same than when they were different. @*Conclusions@#Epidemiological data on the pattern of dental caries in 12-year-old adolescents can be used as basic data to create evidence-based dental caries management plans.

Association between oral health status and school loss in adolescents / 대한구강보건학회지

Objectives@#This study aimed to investigate the association between school loss due to dental disease and oral health status in adolescents. @*Methods@#The study participants were 881 adolescents (453 middle and 428 high school students).Data were collected through a self-administered survey and oral examination. Chi-square test and t-test were used to analyze the association between school loss due to dental disease and oral health status, and multiple logistic regression was used to analyze the factors influencing school loss. @*Results@#Dental caries was the leading cause of school loss. School loss due to dental disease was more prevalent in the group with a higher number of carious teeth than in the group without dental caries. According to bivariate analysis, school loss due to dental disease was associated with toothache, gingival bleeding, maxillofacial trauma, and caries. When controlling demographic variables, gingival bleeding, maxillofacial trauma, and dental caries were associated with school absence.Moreover, maxillofacial trauma was associated with school absence period up to 1 year. @*Conclusions@#Therefore, oral health status and school loss of adolescents are associated, and the importance of oral health in adolescents should be emphasized.

Dental caries incidence in permanent teeth of 12-year-old children in Korea / 대한구강보건학회지

Objectives@#The objective of this study was to analyze dental caries incidence in the permanent teeth of 12-year-old children. @*Methods@#This study used the raw data from the 2015 Korean children’s oral health survey. Participants of the research were 12-year-old children in their first year of middle school. A total of 27,291 people participated in the questionnaire and oral examination. Statistical analysis was performed using complex samples frequency analysis and contingency coefficient phi (φ). @*Results@#Dental caries predominately developed symmetrically with a higher tendency for left-right symmetry than for maxillary-mandibular symmetry in the mouth. The incidence of dental caries between adjacent teeth had a statistically significant correlation and was highest in the first and second premolars. @*Conclusions@#Information on symmetry in the development of dental caries and the association of dental caries incidence between adjacent teeth of 12-year-old children should be actively utilized when establishing evidence-based dental caries management plans.

School loss days due to dental diseases among adolescents / 대한구강보건학회지

OBJECTIVES: This study aimed to investigate the lost school days due to dental diseases among adolescents and to assess their oral health in relation to their socio-demographic characteristics. METHODS: A total of 881 adolescents (middle school: 453, high school: 428) were surveyed using a self-administered questionnaire. The questionnaire was composed of questions relating to the subject's socio-demographic characteristics and lost school days due to dental diseases. The lost school days due to dental diseases included absence and early leave. The differences in the lost school days by socio-demographic characteristics were analyzed by chi-square test and t-test. RESULTS: In the past year, 2% of adolescents were absent from school (approximately 2 days of absence), 7.6% left school early (about 3 days of early leave), and 8.3% were absent from school or left school early (about 4 days of absence and early leave) because of dental diseases. The most common reason for absence from school was dental caries (31.8%), followed by malocclusion (9.3%), periodontal disease (7%), and maxillofacial trauma (2.3%). Dental caries was the most common reason (18%) for early leave, followed by malocclusion (8.8%), maxillofacial trauma (2.6%), and periodontal disease (1.8%). Absence from school was higher when the educational background of the respondent's father was middle-school graduate or lower (5.6%: middle-school graduates or lower, 1.6%: high-school graduates, 1.8%: college graduates or higher). High school students with dental diseases (11.7%) were absent or went on early leave to a greater extent than middle school students (5.1%). CONCLUSIONS: To reduce lost school days due to dental diseases among adolescents, different strategies are required including prevention and early treatment of dental caries and avoidance of maxillofacial trauma.

A comparative study of the utility of oral health indicators in adults / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to compare the value and utility of certain oral health indicators in adults. METHODS: The data used for analysis was obtained from the 6(th) Korean National Health and Nutrition Examination Survey (2013-2014). The study subjects were 7,729 adults aged between 20 and 64 years. The oral health indicators used for the analysis were T-Health (tissue health index), FS-T (functioning teeth index), and DHC of 1st molar (dental health capacity of the first molars). Descriptive statistical indices for oral health indicators were obtained (mean, skewness and kurtosis, and coefficient of variation). The correlation among oral health indicators, DMF, and sound tooth structure was analyzed. RESULTS: The oral health indicator scores had an abnormal distribution. DHC of 1st molar is found to be the most reliable indicator because it most accurately reflects the oral health decline that occurs as a result of aging. In all ages, DHC of 1st molar marked the lowest value in skewness and kurtosis. However, the skewness and kurtosis values of T-Health in adults younger than 44 years old were found to be the lowest among all age groups. FS-T is believed to most accurately reflect oral health status as it has a high correlation with sound tooth structure and sound tooth surfaces. T-Health is evaluated to most accurately reflect oral disease indicators as it appears to have a high correlation with DMF and high caries risk. CONCLUSIONS: The oral health indicators T-Health, DHC of 1st molar, and FS-T have distinct characteristics that can serve as different health indices. Therefore, they can each be utilized in various fields of oral epidemiology.

Relevance of Dental Health Capacity and Pulmonary Function Status in Adults / 치위생과학회지

The purpose of this study was to confirm the relevance of dental health capacity and pulmonary function status. The subjects of this study were adults aged 40 years and older, who participated in pulmonary function and oral examinations. The data used for this study were raw data from the sixth Korea National Health and Nutrition Examination Survey (2013~2015). Statistical analysis was performed by analysis of complex sample survey data. The results were as follows: First, restrictive and obstructive patterns were more prevalent among males than females. They were even worse in older subjects. Approximately 67% of smokers had obstructive pattern. Second, there was a relevance between dental health capacity and pulmonary function status. The functioning teeth index, number of present teeth, and number of sound teeth (ST), which are indicators of dental health, declined with decreased pulmonary function. The number of missing teeth (MT) increased as the pulmonary function deteriorated (p<0.05). Third, the relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience was statistically significant in the tissue health (T-health) index and ST among non-smokers. The relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience was statistically significant (p<0.05) for the T-health index, ST, and MT among smokers. However, there was no relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience and adjusting confounding variables. In conclusion, there was a relevance between dental health capacity and pulmonary function status after confounding variables were adjusted. However, there was no relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience and adjusting confounding variables.

Cross-sectional study of the association of vitamins C and D with periodontal status / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to examine the association between vitamin C, vitamin D, and periodontal diseases in adults. METHODS: The data used for analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (2013-2014). Subjects were 2,702 adults aged from 19 to 64 years. Complex Chi-square tests and complex logistic regression analyses were used to assess the association between vitamins and periodontal status. RESULTS: There is no statistically significant association between vitamin C intake and periodontal status. Periodontal status of subjects with a low vitamin D (25-hydroxyvitamin D) level was better than that of the subjects with a high level (P<0.05). However, multivariate analysis demonstrated that this association is not statistically significant. CONCLUSIONS: More follow-up studies are necessary to determine the association of the vitamins C and D with the periodontal diseases.

Comparison of Dental Health Capacity between Smokers and Nonsmokers / 치위생과학회지

The purpose of this study is to compare the dental health capacity of smokers and nonsmokers. This study included 9,856 adults aged 19 years or older. The data used for analysis were obtained from the Korean National Health and Nutrition Survey for the 6th round, 1st (2013), and 2nd round (2014). Statistical analysis was performed by analysis of complex sample survey data. The demographic characteristics and results of the comparison of the dental health capacity between smokers and nonsmokers were as follows: with regard to the tissue health (T-health) index, the sex, age, and education level were statistically significant in smokers and nonsmokers. For the functioning teeth (FS-T) index, age, income, and education levels were statistically significant in smokers, while sex, age, and education level were statistically significant in nonsmokers. In smokers, the age and education level were statistically significant for present teeth (PT), sound teeth (ST), and missing teeth (MT), while in nonsmokers, the sex, age, and education level were statistically significant for the same parameters (p<0.05). A comparison of the dental health capacity between smokers and nonsmokers yielded the following findings: the T-health index was higher in smokers, while the FS-T index was higher in nonsmokers. PT and ST were higher in nonsmokers (p<0.05). The results of this study show that the dental health capacity of nonsmokers was higher than that of smokers. Therefore, a clear difference was observed in the dental health capacity of smokers and nonsmokers. The results of this study can provide objective data for nonsmoking treatment.

Pattern of dental caries in Korean adolescents with a high risk of caries / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to analyze the pattern of dental caries in a high-risk group of Korean adolescents. METHODS: Raw data on 10,542 adolescents between the ages of 12 and 15 years from the 2012 Korean National Oral Health Survey was used. The subjects were divided into a high caries risk group and non-high caries risk group for analysis. For the statistical analyses, we utilized a frequency analysis, descriptive statistics, and a multidimensional scaling analysis. RESULTS: The pattern of dental caries in the high caries risk group were divided into six classifications for 12-year-olds and five for 15-year-olds, including the mandibular first molar occlusal surface (Cluster 1). In the high caries risk group, the frequency of Cluster 1 was approximately 4-times higher in 12-year-olds than that in the non-high caries risk group of Cluster 1, and about 3-times higher in 15-year-olds. The multidimensional scaling analysis found that in the high caries risk group, the same types of tooth surfaces formed separate groups. The prevalent dental caries pattern of 12-year-olds in the high caries risk group was left-right symmetry, while in the 15-year-olds of the high caries risk group, the caries pattern also included the antagonistic teeth, along with left-right symmetry. However, the non-high caries risk group had a pattern of left-right symmetry only in the 15-year-olds. CONCLUSIONS: When dental caries occur in the first molar, there is a high possibility of being classified into the high caries risk group. Therefore, preventative measures should focus on the antagonistic teeth and the teeth on the opposite side.

Caries prediction using the caries activity test with a sulfisomidine mixture: a 3-year follow-up study / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to evaluate the prediction validity of the caries activity test with a sulfisomidine mixture (SAHS test). METHODS: This longitudinal follow-up study was conducted for 3 years. The subjects were 155 elementary schoolchildren. Oral examination was performed by examining each tooth surface of the subjects. The number of teeth with new caries lesions was calculated by comparing between the baseline data of the initial oral examination and the results of the second oral examination performed after 3 years. The Dentocult SM test was used as the reference in the analysis of the caries prediction validity of the SAHS test. The items of the validity test for carries prediction were as follows: sensitivity, specificity, predictive value, and likelihood ratio. RESULTS: The correlation between new caries lesions and the SAHS test scores was greater than that between new caries lesions and the Dentocult SM test scores. The receiver-operating analysis revealed that the area under the curve of the SAHS test was higher than that of the Dentocult SM test. The caries prediction validity of the SAHS test (grade 12) was as follows: sensitivity, 0.71-0.70; specificity, 0.60-0.58; positive predictive value, 0.79-0.78; negative predictive value, 0.49 (screening criterion 5). The SAHS test scores were similar to or higher than the scores in the items of the Dentocult SM test. CONCLUSIONS: The SAHS test is considered useful for clinical applications.

First aid knowledge and educational needs related to maxillofacial trauma among elementary school teachers in Jeollabuk-do / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to examine the knowledge of elementary school teachers regarding first aid for maxillofacial trauma and the need for education on this topic in an effort to provide information for the development of teacher education programs. METHODS: In this cross-sectional study, 320 elementary school teachers who visited the Education and Training Center of Jeollabukdo to take training courses answered a self-administered survey. RESULTS: We found that 38.8 percent of the elementary school teachers had witnessed the occurrence of maxillofacial trauma in students. While 53.4 percent of the teachers replied that they did not have adequate knowledge of first aid for maxillofacial trauma, only 10.7 percent reported receiving this education while they served as teachers or when they were studying to be teachers at college. The teachers who had received instruction for dealing with maxillofacial trauma as teachers or as college students were 3.6-fold more likely to report that they would provide first aid for maxillofacial trauma compared with those who had not received such training. Many teachers had incorrect knowledge about how to cope with this type of trauma, indicating the need for providing correct information to this population. Finally, 99.1 percent of the elementary school teachers considered receiving education about first aid for maxillofacial trauma necessary. CONCLUSIONS: The development of teacher education programs is required to help elementary school teachers offer appropriate first aid when maxillofacial trauma occurs.

Activity restriction caused by maxillofacial trauma in adolescents / 대한구강보건학회지

OBJECTIVES: This study aimed to (1) survey cases of maxillofacial trauma in adolescents and (2) analyze the relationship between maxillofacial trauma and activity restriction. METHODS: This cross-sectional study included 881 participants selected using the convenience sampling method in the Jeollanam-do and Jeollabuk-do regions. Individual self-reporting questionnaire surveys were performed. RESULTS: It was found that 17.2% of adolescents experienced maxillofacial traumas, and 45.3% of them reported activity restrictions caused by the the traumas. The occurrence ratio of maxillofacial trauma was higher in male students (20.6%) than in female students (14.0%). Among the activity restrictions caused by maxillofacial traumas, chewing disturbance was the most frequent activity restriction type, showing an incidence of 54.6%, and taste disturbance was the least frequent, showing an incidence of 9.3%. All the activity restrictions in adolescents were found to have relationships with maxillofacial trauma occurring within the recent one year. Among the activity restrictions, chewing disturbance was most closely related with the trauma. CONCLUSIONS: Since maxillofacial traumas cause activity restrictions in adolescents, it is necessary to prepare policies for the prevention of maxillofacial trauma. Furthermore, it is necessary to intensify the education regarding treatment methods for maxillofacial trauma.

Patterns of dental caries experience on tooth surface in Korean adolescents / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to analyze the patterns of dental caries experience on the tooth surface of Korean adolescents of the ages of 12 and 15 years. METHODS: The raw data from the 2012 Korean National Oral Health Survey were reviewed, and the records of a total of 10,542 adolescents were analyzed in this study. The surfaces of the 28 permanent teeth were categorized into the occlusal, smooth, and proximal surface types. Descriptive statistics, correlation analysis, multidimensional scaling analysis, and cluster analysis were performed to analyze the data. RESULTS: The analysis of the relationship of the dental caries experience on the tooth surfaces between the oral quadrants revealed that the correlation between the surface relationship of the left and right teeth was higher than that between the upper and lower teeth, in all of the quadrants. As a result of multidimensional scling analysis, the adolescents aged 12 were classified into six clusters: occlusal surface of mandibular first molars, occlusal surface of maxillary first molars, smooth surface of maxillary first molars, smooth surface of mandibular first molars, occlusal surface of mandibular second molars and the rest of tooth surface. Similarly, the dental surfaces of the 15-year-old adolescents were classified into seven clusters: occlusal surface of the mandibular first molars, occlusal surface of the maxillary first molars, smooth surface of the first molars, occlusal surface of the mandibular second molars, occlusal surface of the maxillary second molars, smooth surface of the mandibular second molars, and the surfaces of the. The patterns of caries experience are usually clustered on the same types of tooth surfaces; for example, patterns on an occlusal surface clustered with those on another occlusal surface, or patterns on a smooth surface with those on another smooth surface. CONCLUSIONS: Knowledge about the caries patterns on the tooth surfaces might be useful for the prevention and management of dental caries.

The Degree of Bacterial Contamination While Performing Spine Surgery

STUDY DESIGN: Prospective experimental study. PURPOSE: To evaluate bacterial contamination during surgery. OVERVIEW OF LITERATURE: The participants of surgery and ventilation system have been known as the most significant sources of contamination. METHODS: Two pairs of air culture blood agar plate for G(+) bacteria and MacConkey agar plate for G(-) bacteria were placed at 3 different locations in a conventional operation room: in the surgical field, under the airflow of local air conditioner, and pathway to door while performing spine surgeries. One pair of culture plates was retrieved after one hour and the other pair was retrieved after 3 hours. The cultured bacteria were identified and number of colonies was counted. RESULTS: There was no G(-) bacteria identified. G(+) bacteria grew on all 90 air culture blood agar plates. The colony count of one hour group was 14.5+/-5.4 in the surgical field, 11.3+/-6.6 under the local air conditioner, and 13.1+/-8.7 at the pathway to the door. There was no difference among the 3 locations. The colony count of 3 hours group was 46.4+/-19.5, 30.3+/-12.9, and 39.7+/-15.2, respectively. It was more at the surgical field than under the air conditioner (p=0.03). The number of colonies of one hour group was 13.0+/-7.0 and 3 hours group was 38.8+/-17.1. There was positive correlation between the time and the number of colonies (r=0.76, p=0.000). CONCLUSIONS: Conventional operation room was contaminated by G(+) bacteria. The degree of contamination was most high at the surgical field. The number of bacteria increased right proportionally to the time.

A study on Korean nursing students' educational outcomes / 보건의료교육평가

The purpose of this study was to describe outcome indicators of nursing education including critical thinking, professionalism, leadership, and communication and to evaluate differences among nursing programs and academic years. A descriptive research design was employed. A total of 454 students from four year baccalaureate (BS) nursing programs and two three-year associate degree (AD) programs consented to complete self-administered questionnaires. The variables were critical thinking, professionalism, leadership and communication. Descriptive statistics, chi2-test, t-tests, ANOVA, and the Tukey test were utilized for the data analysis. All the mean scores of the variables were above average for the test instruments utilized. Among the BS students, those in the upper classes tended to attain higher scores, but this tendency was not identified in AD students. There were significant differences between BS students and AD students for the mean scores of leadership and communication. These findings suggested the need for further research to define properties of nursing educational outcomes, and to develop standardized instruments for research replication and verification.

A Study on Nurses' Self-Leadership, Self-Esteem, and Organizational Effectiveness / 간호행정학회지

PURPOSE: This study was conducted to define nurses' level of self-leadership, self-esteem, and organizational effectiveness, and to examine relationships among above variables. METHODS: The subjects of this study were 313 nurses from two general hospitals located in Seoul Metropolitan area in Korea. The data was collected by self-reported instruments: Self-leadership scale, Self-esteem scale, Job satisfaction scale, Organizational commitment scale, and Turnover intention scale. Data was analyzed by descriptive statistics, Pearson correlation coefficient, and stepwise multiple regres don u dng SPSS-PC program. RESULTS: The average scores of variables were; self-leadership, 3.72/5.00 self-esteem, 3.76/5.00 Job satisfaction, 3.36/5.00 organizational commitment, 3.29/5.00 and turnover intentioncri 2.94/5.00. Self-leadership was dgnificantly correlated to self-esteem, job satisfaction, organizational commitment, and turnover intention. Self-leadership, job satisfaction, and turnover intention explained 52.3% of organizational commitment. Self-leadership and organizational commitment explained 43% of turnover intention. CONCLUSIONS: It is recommended to develop standardized self-leadership curriculum in the nursing school to build a foundation of self-leadership from undergraduate nursing students. Educational programs are needed that promote nurses' self-leadership as regular continuing education. Organizational effectiveness would be improved by providing programs to enhance nurses' self-esteem, educational motivation, and organizational commitment, which boost self-leadership.

The Effects of Exercise Program for the Elderly

No abstract available.

Analysis of Researches on Nursing Intervention for Elderly Health Promotion from 1994 to 2004

PURPOSE: The purpose of this study was to analyse researches on nursing intervention for elderly health promotion. METHOD: A literature review of 38 researches was carried out using guidelines developed by the present researchers. RESULT: The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elders and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%), and each group consisted of 10 to 29 elders. The dependent variables used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self-concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risks of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%). CONCLUSION: We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.

Stage of Change for Exercise and Health-Related Quality of Life in Korean Adults / 성인간호학회지

PURPOSE: Many studies have shown that regular exercise produces positive effects on health. The purpose of this study was to examine the differences of health-related quality of life by stage of exercise and the interaction effect of age, sex and stage of exercise. METHOD: A total of 1266 participants were interviewed with structured questionnaire. Stage of exercise was assessed with a single item and respondents were classified with respect to exercise intention and behavior. Health-related quality of life was measured with SF-36 Health Survey Questionnaire. RESULT: Health-related QOL were found to be different by stage of exercise. The subjects who were reached maintenance stage showed significantly higher scores on physical functioning, bodily pain, general health perception, mental health, role limitation due to emotional problems, social functioning, and vitality than those in preparation, contemplation, and precontemplation stage. In addition a significant interaction effect between stage of exercise and age was found on physical functioning, bodily pain, general health perception, mental health, and vitality. CONCLUSION: Perceived health-related QOL varies with stage of exercise. This finding suggests that health is related to both intention and behavior of exercise. Therefore it is important to consider cognitive-motivational and behavioral stage of change for developing exercise programs.

Perceived Barriers to Exercise of Adults: Difference by Age, Gender and Residence / 성인간호학회지

PURPOSE: Perceived barriers to exercise were investigated for adults. METHOD: A total 1266 subjects were selected by a quota sampling method with age, gender, and residence. Perceived barriers were categorized under 4 groups: knowledge, psychological, physical, and external factors. All 23 items of perceived barriers were responded on a dichotomous (yes/no) scale. RESULT: Mean number of perceived barriers was 4.61 and 87.9% subjects perceived at least one barrier which prevented involvement in exercise. External barriers ranked highest, followed in order by psychological, knowledge, and physical barriers. Most factors of perceived barriers were found to be different by age, gender, and residence, in that, the younger, female, living in Daejeon subjects were found to respond with more barriers than the older, male, living in Chungju or Seoul. CONCLUSION: Perceived barriers to exercise are differenct by age, gender, and residence. Therefore, it is recommended that age, gender, and residence of subjects must be considered in order to develop exercise programs and public campaigns.