• Journal of Preventive Medicine and Public Health
• /
• v.56 no.5
• /
• pp.467-474
• /
• 2023

Objectives: Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population's health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia. Methods: A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group's validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL. Results: Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score. Conclusions: Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.

• Journal of Environmental Health Sciences
• /
• v.16 no.2
• /
• pp.11-20
• /
• 1990

To investigate ionic characteristics of acid rain by the succeeding rainfall. bulk precipitation was collected every each 5mm rainfall from march to october 1990 at Dae Jeon area. pH, sulfate nitrate, chloride, ammonium ion was measured and analyzed. The result was as follows: 1. The weighted average pH of rain was 5.1$\pm$ 0.72(4.15~7.6) and rain pH less than 5.5 was appeared 51.3% 2. Average ion concentrations of sulfate, nitrate, chloride and ammonium ion was 125.12 $\mu$eq/l, 62.38 $\mu$eq/l, 31.95 $\mu$eq/l, 66.6 $\mu$eq/l and rates of each anions was 57%, 28.4%, 14.6% and rate of sulfate by nitrate was 2 times. 3. There is no correlations time interval of rainfall and Ion concentration change. 4. From initial to 15mm rainfall, each ion concentrations were decreased. and average concentration of pH, SO$^{-2}_{4}$, Cl ion concentration was increased in the succeeding rainfall 5. Only sulfate ion was correlated by the simple regression analysis with pH except NO$^{-}_{3}$, Cl$^{-}$ and NH$_{4}^{+}$ Cl$^{-}$ correlation coefficient was very high at the multiple regression analysis with pH. 6. Simple & multiple correlation coefficient among anions and NH$^{+}_{4}$ was very high especially N$^{+}_{4}$ and SO$^{2-}_{4}$ at simple regression analysis and SO$^{-2}_{4}$ and NO$_{3}^{-}$, Cl$^{-}$, NH$_{4}^{-}$ at multiple regression analysis.

• Korean Journal of Veterinary Research
• /
• v.25 no.2
• /
• pp.133-144
• /
• 1985

The changes of acid-base status in vitro of the venous blood for 24 hours in ten Korean native goat were investigated. The acid-base parameters were measured within ten minutes after collection of the blood, and every hour during the first six hours and finally after twenty four hours of storage. Blood samples were stored at two different temperatures ($0-4^{\circ}C$ and $21-24^{\circ}C$). Twelve goats were induced acute acid-base disturbances by intravenous infusion of either hydrochloric acid or sodium bicarbonate and inhalated with $CO_2$ gas mixture (20% $CO_2$, 80% $O_2$) or hyperventilation were performed by means of respirator. The results were as follows; 1. Blood samples could be stored during the first two hours in ice water ($0-4^{\circ}C$) and one hour at room temperature without significant changes in pH. The magnitudes of changes were similar to those of cow, and lower than those of men and dogs. 2. The mean values of acid-base parameters in normal goat were arterial pH, 7.40; $P_{CO_2}$, 35.4mmHg; $HCO_3{^-}$, 21.8mEq/L. 3. Both the base excess and the bicarbonate showed high correlation (r=0.99) during the metabolic disturbance and were represented as $B.E.=1.38\;HCO^-{_3}-29.7$. 4. The slope of blood buffer curve obtained from the in vivo experiment was 16.3mEq/L/pH. 5. The magnitudes of changes in hydrogen ion concentration per unit change of $P_{CO_2}$ were 0.8nM/mmHg in hypercapnia and 1.0nM/mmHg in hypocapnia. 6. The ranges of acid-base parameters in normal goat urine were pH, 6.0-8.1; $P_{CO_2}$, 42-61mmHg; $HCO_3{^-}$, 2-110mEq/L. The concentration of potassium was higher (60-200mEq/L), and that of sodium was lower (8-70mEq/L) than those of human urine.

• Journal of Korean Society for Atmospheric Environment
• /
• v.12 no.1
• /
• pp.23-28
• /
• 1996

In order to investigate the chemical components of acid precipitation at Samchok City in Korea, the rainwater was collected according to 3mm rainfall from september 1994 to december 1994. pH, electric conductivity were measured and ionic components were analyzed by Ion chromatography. As the analytical results, the average value were 6.27 for pH, 53.16 S/cm for E.C., the average concentration were 393.42 eq/1 for C $l^{[-10]}$ , 18.41 eq/1 for N $O_{3}$$^{[-10]}$ , 91.44 eq/1 for S $O_{4}$$^{2-}$, 335.92 eq/1 for N $a^{+}$, 65.66 eq/1 for N $H_{4}$$^{+}$, 18.22 eq/1 for $K^{+}$, 120.49 eq/1 for $Mg^{2+}$ and 147.04 eq/1 for $Ca^{2+}$. pH value correlated negatively with rainfall amount and the component of C $l^{[-10]}$ and N $a^{+}$ were transported to urban air by the seasalt. It showed that S $O_{4}$$^{2-}$ and N $O_{3}$$^{[-10]}$ had influence on acidity of precipitation, 73% and 27%, respectively, in this area. Ion Concentration of N $O_{3}$$^{[-10]}$ was higher than S $O_{4}$$^{2-}$ in the early rain, S $O_{4}$$^{2-}$ was higher than N $O_{3}$$^{[-10]}$ in the succeeding rain by multi-regration analysis. the percentages of removal by percipitation were higher in N $O_{3}$$^{[-10]}$ than in S $O_{4}$$^{2-}$./TEX> 2-/.

• The Journal of Internal Korean Medicine
• /
• v.44 no.5
• /
• pp.941-947
• /
• 2023

Objective: The purpose of this case study is to report the hydrocele of the canal of Nuck and the effectiveness of Korean medicine in post-surgery improvement of symptoms. Method: A patient who was diagnosed with hydrocele of the Nuck canal and had symptoms after Lichtenstein's operation was treated using Korean medicine, including acupuncture, herbal medicine, and moxibustion, every day. The evaluation was performed using the Numeral Rating Scale (NRS), the 5-level EQ-5D version (EQ-5D-5L), the EQ visual analogue scale (EQ-VAS), and the World Health Organization Quality of Life-Brief (WHOQOL-BREF). Results: After treatment, changes were observed in NRS (from 8 to 2-3) and EQ-VAS (from 60 to 85), whereas there was no difference in EQ-5D-5L (both 6). There was an overall improvement in the domains of WHOQOL-BREF and subjective symptoms. Conclusion: This study suggests that Korean medicine may improve symptoms after surgery of hydrocele of the canal of Nuck and can be evaluated using an overall QoL questionnaire.

• Journal of dental hygiene science
• /
• v.15 no.4
• /
• pp.480-487
• /
• 2015

The purpose of this study was to examine the association between oral health status and health related quality of life (HRQoL). The study used a nationally representative sample of Koreans (2013 Korea National Health and Nutrition Examination Survey) aged 19~64 years (n=3,252). Dependent variable was HRQoL, which was assessed with each component of EuroQol-5 dimension (EQ5D). Independent variable was oral health status (oral pain, chewing problem, speaking problem, and perceived oral health). After adjustment for confounders (socio-demographic factors, oral health behaviors, health behaviors, and physical conditions), the risk of having poor HRQoL was greater in adults with poor oral health status. The odds ratio (OR) of having pain/discomfort were 1.50 (95% confidence interval [CI], 1.22~1.86) for respondents with oral pain, 1.72 (95% CI, 1.33~ 2.22) for respondents with chewing problem, 1.79 (95% CI, 1.22~2.62) for respondents with speaking problem, and 1.36 (95% CI, 1.09~1.70) for respondents with poor perceived oral health. The OR of having anxiety/depression were 1.74 (95% CI, 1.28~2.38) when having a chewing problem, 1.72 (95% CI, 1.12~2.64) when having a speaking problem, and 1.54 (95% CI, 1.14~2.08) when rating his/her oral health poor. Among Korean adults, two of the EQ5D components were associated with oral health status. Future study is needed to examine the detailed causal relations between oral health status and HRQoL longitudinally.

• Journal of Korean Society for Atmospheric Environment
• /
• v.20 no.3
• /
• pp.381-396
• /
• 2004

In order to understand the precipitation acidity and chemical composition of ion species in Iksan area as well as to know the difference of chemical characteristics in precipitation samples from the viewpoint of precipitation sampling method, precipitation samples were collected by wet-only automatic precipitation sampler and bulk manual precipitation sampler in Iksan, from March 2003 to August 2003. The mean pH of precipitation was 5.0. There was a little significant difference in the mean value of pH between automatic and manual sampler. However, pH values of some precipitation samples were lower in automatic sampler than in manual sampler, especially in case of precipitation samples with small rainfall for March 2003. The mean concentrations of each ions in precipitation were generally a little higher in precipitation samples collected by the manual sampler than in those collected by the automatic sampler because of accumulation of dry deposition on the surface of glass funnel installed at the manual sampler during the sampling period or no rainfall. Dominant species determining the acidity of precipitation, were N $H_4$$^{[-10]}$ and nss-C $a^{2+}$ for cations and nss-S $O_4$$^{2-}$ and N $O_3$$^{[-10]}$ for anions. The mean concentration of N $H_4$$^{+}$ and nss-C $a^{2+}$ were 31 $\mu$eq/L and 9 $\mu$eq/L for the automatic sampler and 40 ueq/L and 16 ueq/L for the manual sampler, respectively. In addition, nss-S $O_4$$^{2-}$ and N $O_3$$^{[-10]}$ were 27 $\mu$eq/L and 13 $\mu$eq/L for the automatic sampler and 32 $\mu$eq/L and 17 $\mu$eq/L for the manual sampler, respectively. Although the concentrations of the acidifying ions of nss-S $O_4$$^{2-}$ and N $O_3$$^{[-10]}$ were about 3 times higher than those for foreign pristine sites, precipitation acidity were estimated to be natural due to the neutralization reaction of the alkaline species of N $H_4$$^{+}$ and nss-C $a^{2+}$ with its higher concentrations. Considering the ratios of nss-S $O_4$$^{2-}$/N $O_4$$^{[-10]}$ nss-S $O_4$$^{2-}$, it was found that ammonium sulphate was dominant in Iksan precipitation. The major non-sea salt ions were maximum concentrations for March, but decreased with increasing of precipitation amount.on amount.

• Journal of Welding and Joining
• /
• v.16 no.3
• /
• pp.111-120
• /
• 1998

To predict and evaluate metallurgical and mechanical behavior of th welds, it is essential to understand solidification behavior and microstructural evolution experienced in the welds, neither of which follows the equilibrium phase diagram because of rapid heating and cooling conditions. Metallurgical phenomena in austenitic stainless steel fusion welds, types 304, 309S, 316L, 321 and 304N, were investigated in this study. Autogenous GTA welding was performed on weld coupons, and primary solidification mode and phase distribution were investigated from the welds. Varestraint test was employed to evaluate solidification cracking susceptibilities of the alloys. GTA weld fusion zones in type 304, 321 and 304N stainless steels experienced primary ferrite solidification while those in type 309S primary austenite solidification. Type 316L exhibited a mixed type of primary ferrite and primary austenite solidification. The primary solidification mode strongly depended on $Cr_{eq}/Ni_{eq}$ ratio. In terms of solidification cracking susceptibility, type 309S that solidified as primary austenite exhibited high cracking susceptibility while the alloys experienced primary ferrite solidification showed low cracking susceptibility. The relative ranking in solidification cracking susceptibility was type 304=type 304N < type 321 < type 316L < type 309S.

• Journal of Korean Home Economics Education Association
• /
• v.34 no.4
• /
• pp.1-18
• /
• 2022

This study aimed to investigate the association between plant protein intake and health-related quality of life (HRQoL) in Korean individuals aged 50 years or older. Using the 2016-2018 Korea National Health and Nutrition Examination Survey data, 7,956 participants (3,434 men and 4,522 women) were included in the study. HRQoL was measured using the Euro-quality of life five-dimension (EQ5D), composed of physical function, self-care, daily activities, pain/discomfort, and anxiety/depression problems. The EQ5D estimates were converted into an EQ5D index score. The association between daily intake of plant proteins and HRQoL was evaluated using regression analysis. The intake of total plant protein, legume nut seed (LNS), and fermented bean (FERMB) proteins were all positively associated with HRQoL in both men and women (p < 0.01). Of EQ5D's five dimensions, physical function and daily activities were most commonly associated with plant protein intake. Compared to LNS protein or FERMB protein intake, total plant protein intake showed a better association with HRQoL. In conclusion, a significant association was observed between plant protein intake and HRQoL. It suggests that adequate intake of plant protein might be helpful for the maintenance or improvement of HRQoL in Korean adults.

• The Journal of the Acoustical Society of Korea
• /
• v.42 no.6
• /
• pp.603-616
• /
• 2023

In this study, machine learning-based clustering and classification of residential noise in apartment buildings was conducted using frequency and temporal characteristics. First, a residential noise source dataset was constructed . The residential noise source dataset was consisted of floor impact, airborne, plumbing and equipment noise, environmental, and construction noise. The clustering of residential noise was performed by K-Means clustering method. For frequency characteristics, L_eq and L_max values were derived for 1/1 and 1/3 octave band for each sound source. For temporal characteristics, Leq values were derived at every 6 ms through sound pressure level analysis for 5 s. The number of k in K-Means clustering method was determined through the silhouette coefficient and elbow method. The clustering of residential noise source by frequency characteristic resulted in three clusters for both L_eq and L_max analysis. Temporal characteristic clustered residential noise source into 9 clusters for L_eq and 11 clusters for L_max. Clustering by frequency characteristic clustered according to the proportion of low frequency band. Then, to utilize the clustering results, the residential noise source was classified using three kinds of machine learning. The results of the residential noise classification showed the highest accuracy and f1-score for data labeled with L_eq values in 1/3 octave bands, and the highest accuracy and f1-score for classifying residential noise sources with an Artificial Neural Network (ANN) model using both frequency and temporal features, with 93 % accuracy and 92 % f1-score.