1.A delphi study on the feasibility of community-based oral function rehabilitation exercises and the dental hygienist workforce adequacy
Yong-Keum CHOI ; Hsiao-Ling HUANG ; Ji-Hye YUN
Journal of Korean Academy of Oral Health 2024;48(4):201-209
		                        		
		                        			 Objectives:
		                        			As community-oriented public health in oral healthcare for older adults becomes increasingly emphasized, research into community-based oral function rehabilitation interventions is emerging. This study examined the feasibility of community adoption of a previously developed oral function rehabilitation exercise program using an expert-crafted Delphi survey. 
		                        		
		                        			Methods:
		                        			An eight-expert panel was formed to develop a Delphi survey instrument and conduct a survey based on the results of previous studies. To test the community applicability of oral function rehabilitation exercises derived from this systematic review, we asked questions related to ‘independent performance’, ‘education applicability for caregivers’, ‘facility program applicability’, ‘intervention methods’, and ‘outcome indicators’. 
		                        		
		                        			Results:
		                        			Except for ‘pharyngeal exercise’ and ‘salivation exercise’, the five main exercises met the validity criteria for ‘independent performance’, ‘education applicability for caregivers’, and ‘facility program applicability’. The validity of dental hygienists as intervention providers obtained consensus from the experts with a CVR value of 0.75 or higher, an agreement of 0.75-0.85, and a convergence of 0.5. 
		                        		
		                        			Conclusions
		                        			The application of oral function rehabilitation exercises in a community setting is feasible, and the dental community should be willing to promote it so that it can be provided to many community-dwelling older adults in the future. In addition, the use of dental hygienists as intervention providers is appropriate. However, their training as intervention providers for oral function rehabilitation exercises may need to be strengthened. 
		                        		
		                        		
		                        		
		                        	
2.The Effects of Adverse Childhood Experiences, Benevolent Childhood Experiences, and Community Integration on Resilience in Psychiatric Outpatients
Journal of Korean Academy of Community Health Nursing 2024;35(4):313-324
		                        		
		                        			 Purpose:
		                        			The purpose of this study is to determine the impact of adverse childhood experiences, positive childhood experiences, and community integration on resilience in psychiatric outpatients.  
		                        		
		                        			Methods:
		                        			The study subjects were 166 psychiatric outpatients in one general hospital in South Korea who were diagnosed with schizophrenia spectrum disorder, bipolar disorder, or depression disorder. The collected data were analyzed with the t-test, ANOVA, Pearson’s correlation coefficient, multiple regression analysis, using the SPSS/WIN 24 program.  
		                        		
		                        			Results:
		                        			There were statistically significant differences in resilience in psychiatric outpatients according to age, religion, occupation, type of household, type of diagnosed disorder. In psychiatric outpatients, resilience showed a significant positive correlation with benevolent childhood experiences and community integration, but had a negative correlation with adverse childhood experiences. Multiple regression analysis for resilience in psychiatric outpatients revealed that the significant factors affecting resilience were community integration, benevolent childhood experiences, adverse childhood experiences, housing facilities (type of household), ages 40-49, and living alone (type of household). These factors explained 52.2% of the variance.  
		                        		
		                        			Conclusion
		                        			In order to improve the resilience of mentally ill people, a campaign is needed to increase the accessibility of community participation programs in mental health services for community integration and to publicize the influence of benevolent childhood experiences and adverse childhood experiences. Furthermore, it is necessary to identify individual factors such as residence type and age of mentally ill people, build a customized support system by considering their specific needs, and develop intervention programs to strengthen resilience. 
		                        		
		                        		
		                        		
		                        	
3.The Effects of Adverse Childhood Experiences, Benevolent Childhood Experiences, and Community Integration on Resilience in Psychiatric Outpatients
Journal of Korean Academy of Community Health Nursing 2024;35(4):313-324
		                        		
		                        			 Purpose:
		                        			The purpose of this study is to determine the impact of adverse childhood experiences, positive childhood experiences, and community integration on resilience in psychiatric outpatients.  
		                        		
		                        			Methods:
		                        			The study subjects were 166 psychiatric outpatients in one general hospital in South Korea who were diagnosed with schizophrenia spectrum disorder, bipolar disorder, or depression disorder. The collected data were analyzed with the t-test, ANOVA, Pearson’s correlation coefficient, multiple regression analysis, using the SPSS/WIN 24 program.  
		                        		
		                        			Results:
		                        			There were statistically significant differences in resilience in psychiatric outpatients according to age, religion, occupation, type of household, type of diagnosed disorder. In psychiatric outpatients, resilience showed a significant positive correlation with benevolent childhood experiences and community integration, but had a negative correlation with adverse childhood experiences. Multiple regression analysis for resilience in psychiatric outpatients revealed that the significant factors affecting resilience were community integration, benevolent childhood experiences, adverse childhood experiences, housing facilities (type of household), ages 40-49, and living alone (type of household). These factors explained 52.2% of the variance.  
		                        		
		                        			Conclusion
		                        			In order to improve the resilience of mentally ill people, a campaign is needed to increase the accessibility of community participation programs in mental health services for community integration and to publicize the influence of benevolent childhood experiences and adverse childhood experiences. Furthermore, it is necessary to identify individual factors such as residence type and age of mentally ill people, build a customized support system by considering their specific needs, and develop intervention programs to strengthen resilience. 
		                        		
		                        		
		                        		
		                        	
4.The Effects of Adverse Childhood Experiences, Benevolent Childhood Experiences, and Community Integration on Resilience in Psychiatric Outpatients
Journal of Korean Academy of Community Health Nursing 2024;35(4):313-324
		                        		
		                        			 Purpose:
		                        			The purpose of this study is to determine the impact of adverse childhood experiences, positive childhood experiences, and community integration on resilience in psychiatric outpatients.  
		                        		
		                        			Methods:
		                        			The study subjects were 166 psychiatric outpatients in one general hospital in South Korea who were diagnosed with schizophrenia spectrum disorder, bipolar disorder, or depression disorder. The collected data were analyzed with the t-test, ANOVA, Pearson’s correlation coefficient, multiple regression analysis, using the SPSS/WIN 24 program.  
		                        		
		                        			Results:
		                        			There were statistically significant differences in resilience in psychiatric outpatients according to age, religion, occupation, type of household, type of diagnosed disorder. In psychiatric outpatients, resilience showed a significant positive correlation with benevolent childhood experiences and community integration, but had a negative correlation with adverse childhood experiences. Multiple regression analysis for resilience in psychiatric outpatients revealed that the significant factors affecting resilience were community integration, benevolent childhood experiences, adverse childhood experiences, housing facilities (type of household), ages 40-49, and living alone (type of household). These factors explained 52.2% of the variance.  
		                        		
		                        			Conclusion
		                        			In order to improve the resilience of mentally ill people, a campaign is needed to increase the accessibility of community participation programs in mental health services for community integration and to publicize the influence of benevolent childhood experiences and adverse childhood experiences. Furthermore, it is necessary to identify individual factors such as residence type and age of mentally ill people, build a customized support system by considering their specific needs, and develop intervention programs to strengthen resilience. 
		                        		
		                        		
		                        		
		                        	
5.A delphi study on the feasibility of community-based oral function rehabilitation exercises and the dental hygienist workforce adequacy
Yong-Keum CHOI ; Hsiao-Ling HUANG ; Ji-Hye YUN
Journal of Korean Academy of Oral Health 2024;48(4):201-209
		                        		
		                        			 Objectives:
		                        			As community-oriented public health in oral healthcare for older adults becomes increasingly emphasized, research into community-based oral function rehabilitation interventions is emerging. This study examined the feasibility of community adoption of a previously developed oral function rehabilitation exercise program using an expert-crafted Delphi survey. 
		                        		
		                        			Methods:
		                        			An eight-expert panel was formed to develop a Delphi survey instrument and conduct a survey based on the results of previous studies. To test the community applicability of oral function rehabilitation exercises derived from this systematic review, we asked questions related to ‘independent performance’, ‘education applicability for caregivers’, ‘facility program applicability’, ‘intervention methods’, and ‘outcome indicators’. 
		                        		
		                        			Results:
		                        			Except for ‘pharyngeal exercise’ and ‘salivation exercise’, the five main exercises met the validity criteria for ‘independent performance’, ‘education applicability for caregivers’, and ‘facility program applicability’. The validity of dental hygienists as intervention providers obtained consensus from the experts with a CVR value of 0.75 or higher, an agreement of 0.75-0.85, and a convergence of 0.5. 
		                        		
		                        			Conclusions
		                        			The application of oral function rehabilitation exercises in a community setting is feasible, and the dental community should be willing to promote it so that it can be provided to many community-dwelling older adults in the future. In addition, the use of dental hygienists as intervention providers is appropriate. However, their training as intervention providers for oral function rehabilitation exercises may need to be strengthened. 
		                        		
		                        		
		                        		
		                        	
6.Endosinus Bone Gain after Osteotome Sinus Floor Elevation Without Bone Grafting: A Retrospective Study
Journal of implantology and applied sciences 2024;28(1):42-53
		                        		
		                        			 Purpose:
		                        			This retrospective study evaluated the radiographic and clinical outcomes of osteotome  sinus floor elevation (OSFE) without bone grafts, and analyzed the factors influencing endosinus  bone remodeling.Materials  and  Methods:  Radiographic  and  clinical  data  from  44  implants  in  36  patients  were  collected after a follow-up period of 6 months to 6.5 years (mean, 2.04 years). Mean residual bone  height (RBH) was 5.0 ± 1.3 mm. The length of the implant protruding into the sinus and endosinus  bone gain (ESBG) on radiographs were measured. 
		                        		
		                        			Results:
		                        			 All  the  44  implants  survived  until  the  final  follow-up  period.  Groups  were  divided  according to an RBH of 5 mm at the time of implant placement, with 22 implants per group. Mean  ESBG was 2.40 ± 1.48 mm in an RBH < 5 mm group and 2.01 ± 0.87 mm in an RBH ≥5 mm  group. Endosinus bone gain was significantly higher in the RBH < 5 mm group for up to one year  after the implant placement; however, there was no significant difference between the two groups at  the final follow-up period. 
		                        		
		                        			Conclusion
		                        			Osteotome sinus floor elevation without bone grafting is a predictable procedure for  achieving endosinus bone remodeling when RBH is < 5 mm. 
		                        		
		                        		
		                        		
		                        	
7.The Effects of Massage with Topical Agents (Mepiform Ultra Scar Gel or Scarnos Gel) on Scar Tissue Thickness and Fibroblast Proliferation in Rats
Hye Mi LEE ; Hyeon Hee LEE ; Young Cheon NA ; Keum Ha CHOI
Journal of Wound Management and Research 2024;20(1):36-45
		                        		
		                        			 Background:
		                        			Keloid and hypertrophic scars are prominent scars that are excessively repaired with upregulated synthesis, deposition, and accumulation of collagen. Topical agents are used to reduce inflammation and fibrotic changes via reduced transepithelial water loss. Increased mechanical pressure applied through scar massage can accelerate scar maturation by inducing fibroblast proliferation, which enhances the remodeling of connective tissue matrices and collagen degradation. 
		                        		
		                        			Methods:
		                        			This study comparatively analyzed the effectiveness of topical agents applied to post-burn wounds on the dorsal surface of Sprague-Dawley rats through twice-daily massaging. Postoperative histological analysis of the tissues was performed after surgical en bloc removal of the treatment area at 4, 10, and 16 weeks. 
		                        		
		                        			Results:
		                        			Histological analyses revealed larger amounts of fibroblasts in Mepiform and Scarnos gel-treated tissue than in Vaseline-treated tissue. Granulation was prevented in scars treated with the topical agents. 
		                        		
		                        			Conclusion
		                        			Mepiform Ultra scar gel and Scarnos gel, accompanied by massaging, may be effective anti-scarring topical agents to alleviate contact burn scars in Sprague-Dawley rats. 
		                        		
		                        		
		                        		
		                        	
8.Endosinus Bone Gain after Osteotome Sinus Floor Elevation Without Bone Grafting: A Retrospective Study
Journal of implantology and applied sciences 2024;28(1):42-53
		                        		
		                        			 Purpose:
		                        			This retrospective study evaluated the radiographic and clinical outcomes of osteotome  sinus floor elevation (OSFE) without bone grafts, and analyzed the factors influencing endosinus  bone remodeling.Materials  and  Methods:  Radiographic  and  clinical  data  from  44  implants  in  36  patients  were  collected after a follow-up period of 6 months to 6.5 years (mean, 2.04 years). Mean residual bone  height (RBH) was 5.0 ± 1.3 mm. The length of the implant protruding into the sinus and endosinus  bone gain (ESBG) on radiographs were measured. 
		                        		
		                        			Results:
		                        			 All  the  44  implants  survived  until  the  final  follow-up  period.  Groups  were  divided  according to an RBH of 5 mm at the time of implant placement, with 22 implants per group. Mean  ESBG was 2.40 ± 1.48 mm in an RBH < 5 mm group and 2.01 ± 0.87 mm in an RBH ≥5 mm  group. Endosinus bone gain was significantly higher in the RBH < 5 mm group for up to one year  after the implant placement; however, there was no significant difference between the two groups at  the final follow-up period. 
		                        		
		                        			Conclusion
		                        			Osteotome sinus floor elevation without bone grafting is a predictable procedure for  achieving endosinus bone remodeling when RBH is < 5 mm. 
		                        		
		                        		
		                        		
		                        	
9.A delphi study on the feasibility of community-based oral function rehabilitation exercises and the dental hygienist workforce adequacy
Yong-Keum CHOI ; Hsiao-Ling HUANG ; Ji-Hye YUN
Journal of Korean Academy of Oral Health 2024;48(4):201-209
		                        		
		                        			 Objectives:
		                        			As community-oriented public health in oral healthcare for older adults becomes increasingly emphasized, research into community-based oral function rehabilitation interventions is emerging. This study examined the feasibility of community adoption of a previously developed oral function rehabilitation exercise program using an expert-crafted Delphi survey. 
		                        		
		                        			Methods:
		                        			An eight-expert panel was formed to develop a Delphi survey instrument and conduct a survey based on the results of previous studies. To test the community applicability of oral function rehabilitation exercises derived from this systematic review, we asked questions related to ‘independent performance’, ‘education applicability for caregivers’, ‘facility program applicability’, ‘intervention methods’, and ‘outcome indicators’. 
		                        		
		                        			Results:
		                        			Except for ‘pharyngeal exercise’ and ‘salivation exercise’, the five main exercises met the validity criteria for ‘independent performance’, ‘education applicability for caregivers’, and ‘facility program applicability’. The validity of dental hygienists as intervention providers obtained consensus from the experts with a CVR value of 0.75 or higher, an agreement of 0.75-0.85, and a convergence of 0.5. 
		                        		
		                        			Conclusions
		                        			The application of oral function rehabilitation exercises in a community setting is feasible, and the dental community should be willing to promote it so that it can be provided to many community-dwelling older adults in the future. In addition, the use of dental hygienists as intervention providers is appropriate. However, their training as intervention providers for oral function rehabilitation exercises may need to be strengthened. 
		                        		
		                        		
		                        		
		                        	
10.The Effects of Adverse Childhood Experiences, Benevolent Childhood Experiences, and Community Integration on Resilience in Psychiatric Outpatients
Journal of Korean Academy of Community Health Nursing 2024;35(4):313-324
		                        		
		                        			 Purpose:
		                        			The purpose of this study is to determine the impact of adverse childhood experiences, positive childhood experiences, and community integration on resilience in psychiatric outpatients.  
		                        		
		                        			Methods:
		                        			The study subjects were 166 psychiatric outpatients in one general hospital in South Korea who were diagnosed with schizophrenia spectrum disorder, bipolar disorder, or depression disorder. The collected data were analyzed with the t-test, ANOVA, Pearson’s correlation coefficient, multiple regression analysis, using the SPSS/WIN 24 program.  
		                        		
		                        			Results:
		                        			There were statistically significant differences in resilience in psychiatric outpatients according to age, religion, occupation, type of household, type of diagnosed disorder. In psychiatric outpatients, resilience showed a significant positive correlation with benevolent childhood experiences and community integration, but had a negative correlation with adverse childhood experiences. Multiple regression analysis for resilience in psychiatric outpatients revealed that the significant factors affecting resilience were community integration, benevolent childhood experiences, adverse childhood experiences, housing facilities (type of household), ages 40-49, and living alone (type of household). These factors explained 52.2% of the variance.  
		                        		
		                        			Conclusion
		                        			In order to improve the resilience of mentally ill people, a campaign is needed to increase the accessibility of community participation programs in mental health services for community integration and to publicize the influence of benevolent childhood experiences and adverse childhood experiences. Furthermore, it is necessary to identify individual factors such as residence type and age of mentally ill people, build a customized support system by considering their specific needs, and develop intervention programs to strengthen resilience. 
		                        		
		                        		
		                        		
		                        	
            
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