Migration presents a substantial social and public health issue. However, it is unclear whether diabetes is worse among Asian migrants than natives of South Korea over time. This longitudinal study investigated the nationwide population, including 2,680,495 adults aged 20 years and older (987,214 Asian migrants and 1,693,281 natives), who received health check-ups, using the Korean National Health Insurance Service data (2009-2015). Joinpoint regression was used to estimate the annual percentage change of diabetes, and multivariable logistic regression was used to examine differences in incident type 2 diabetes between Asian migrants and natives adjusting for age, sex, economic status, body mass index, smoking status, any alcohol use, and physical activity. The age-adjusted prevalence of diabetes increased among native men (from 8.8% in 2009 to 9.7% in 2015, APC=1.64, p<0.05) compared to Asian migrant men, and the age-adjusted prevalence of diabetes increased among native women (from 6.0% in 2009 to 6.7% in 2015, APC=1.88, p<0.05) compared to Asian migrant women. In the multivariate analyses, Asian migrants were less likely to get type 2 diabetes than natives (odds ratio, 0.82; 95% CI, 0.78 to 0.86) between the first and last health check-ups. However, the odds ratio for developing type 2 diabetes was 1.15 (95% CI, 1.10 to 1.20) among low-income levels compared to high-income levels, regardless of whether they were Asian migrants or natives. The results could help to establish a new strategy for prevention, treatment, and management of diabetes among the Asian population.
Purpose: This study aimed to determine the level of postpartum posttraumatic stress disorder (PTSD) and postpartum depression (PPD) in Korean mothers with healthy babies and to explore the factors related to postpartum PTSD. Methods: This study used a longitudinal survey design to explore the levels and association of PPD and PTSD. Two hundred women were recruited during pregnancy and the data were collected via online survey from 166 mothers (84% retained) who gave birth to healthy babies, at two postpartum periods: Fear of childbirth was assessed at the 1st week; and spousal support, PPD, and postpartum PTSD were surveyed at the 4th week postpartum. Descriptive statistics, t-test, one-way analysis of variance, Chi square test, and multiple regression were done. Results: The mean age of mothers was 33.12 (±3.97) years old. Postpartum PTSD was low (8.95±6.49) with 1.8% (n=3) at risk (≥19). PPD was also low (6.68±5.28) and 30.1% (n=50) were identified at risk (≥10). The comorbid rate of PPD with PTSD was 6%. Mothers who did not have a planned pregnancy had higher scores of PPD (t=-2.78, p=.008), whereas spousal support and PPD had negative relationship (r=-.21, p=.006). The overall explanatory power for postpartum PTSD was 55.2%, of which PPD was the only significant variable (β=. 76, t=13.76, p<.001). Conclusion: While only 1.8% was at risk of postpartum PTSD at 4 weeks postpartum, PPD prevalence was 30.1% and PPD was the only influential factor of postpartum PTSD. Assessment and counseling of PPD are required as well as screening for postpartum PTSD. More research is also needed on postpartum PTSD in Korean women.
KSCE Journal of Civil and Environmental Engineering Research
/
v.41
no.4
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pp.377-386
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2021
In dense cities, which are covered by many impermeable areas, rainwater flows quickly along the roads and collects in certain areas. The surface runoff that fails to get intercepted by the roadside rain gutters results in a wider flow of water along the sides, which in turn increases the amount of water on the road and causes traffic congestion as well as accidents due to slippage. Based on these issues, this study was carried out in order to propose an intercepted flow calculation formula. To this end, the maximum longitudinal slopes of arterial roads and expressways were reflected to depict a road condition of 2~10 %, while a general traverse slope of 2 % was selected for the traverse slope on the side. As for the road lane condition, two, three, and four lanes were chosen for the area from the centerline to the sidewalk. As for the experimental flow rate, the rainwater runoffs at the actual design frequency of 5, 10, 20, and 30 years for road conditions were converted into experimental flow rates, and as a result, flow rates ranging from 1.36 l/s to 3.96 l/s were divided into ten flow rates for a hydraulic experiment. Also, an equation taking into consideration the inflow velocity and flow width along the roadsides was proposed. The results of the experiment showed an increase in flow width and a decrease in interception rate. Also, the inflow velocity at a traverse slope of 2 % was measured, while increasing the longitudinal slope. Accordingly, an equation for calculating the flow intercepted by rain gutters at a flow width reflecting the longitudinal slope of the road and rainwater runoff, according to the design frequency, was derived by performing a regression analysis using IBM SPSS Statistics 24. It is deemed that the equation derived in this study will be useful in designing rain gutters for roads.
Journal of Korean Tunnelling and Underground Space Association
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v.21
no.4
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pp.479-499
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2019
State assessment of an operational tunnel is usually done by performing visual inspection and durability tests by following the detailed guideline for safety inspection (SI) and/ or precision inspection for safety and diagnosis (PISD). In this study, 12 NATM tunnels, which have been operational for more than 10 years, were inspected to figure out the cause of longitudinal cracks for the purpose of modifying the scoring items in the state assessment NATM tunnel related to the longitudinal crack and the thickness of concrete lining. All investigated tunnels were classified into four groups depending on the shape and usage of each tunnel. The causes of longitudinal crack occurrence were analyzed by investigating the correlations between the longitudinal crack and the following four factors: the patterns of ground excavation; construction state of primary support system; characteristics of material properties of the concrete lining; and thickness of lining which was obtained by Ground Penetration Radar (GPR) tests. It was found that influencing factors causing longitudinal cracks in the lining were closely related with the construction condition of the primary support system, i.e. shotcrete, rockbolt, and steel-rib; crack occurrences were not much affected by the excavation patterns. As for the properties of concrete lining materials, occurrence of the longitudinal crack was mostly affected by the following three items: w/c ratio; contents of cement; and strength of lining. When estimating the lining thickness of the concrete lining by GPR tests and taking thickness effect into account in the statement assessment, it was concluded that increase of the index score by an average of 0.03 (ranging from 0.01 up to 0.071) is needed; a more realistic way of state assessment should be proposed in which the increased index score caused by lack of lining thickness should be taken into account.
This study was to examine the effects of simulation used additionally in clinical practicum and evaluate its applicability in an undergraduate nursing curriculum. A longitudinal survey was used to measure the changes on the scores of clinical competency, clinical confidence, critical thinking and problem solving ability of students(N=77) who had experienced simulation in the clinical practicum curricula throughout their junior and senior years. Variables were measured 4 times, at the beginning and the end of each year, and data were analyzed using repeated measures of ANOVAs. Clinical competency score in senior year improved significantly(t=-13.75, p<.001) whereas no significant changes in junior year. Clinical confidence and critical thinking disposition over 2 years showed significant increases(F=177.86, p<.001; F=247.79, p<.001, respectively). Problem solving ability increased throughout the junior and senior years, however, it did not make a significant difference at any point of measures.
Since growth promotion was defined by Koch(1935), many researches like Benholdt and Thomsen(1942) have conducted studies for understanding problem of puberty growth. Growth promotion means that growth is developed in puberty, and several researchers have reported that the more becomes economic growth, the more becomes growth promotion. Thereupon, this study was attempted to find Maximum Growth Age(M.G.A.), as an index of height growth promotion in Korea, which was obtained by longitudinal observations of the same group. Thus, this study can explain the earlier tendency of growth. To investigate domestic changes in M.G.A., M.G.A. was calculated with the results of cross-sectional researchs using 25 representative papers between 1940-1953 including measurements by Lee(1940) and data by Kim(1953) in this study. Based on the research data published between 1940 and 2000, height and M.G.A. of males and females who were born between 1925 and 1983 were gotten by years, and a trend of growth promotion for height in Koreans was suggested by examining study subjects. Findings of this study are as follows; 1. M.G.A. for height decreased both in males and females; for males, 14.28 years in 1940, 14.24 in 1953, 13.86 in 1967, 12.74 in 1985, and 11.71 in 2000; for females, 12.0 in 1940, 11.52 in 1965, 10.00 in 1978 and 9.77 in 2000. 2. Regression equations and standard errors of estimate concerning M.G.A. for height by years were obtained; for males, Y$_1$(M.G.A.) = 17.21 - 0.059X$_1$, S$_{Y1X1}$(standard error of estimate about the regression line) = ${\pm}$0.62; for females, Y$_2$(M.G.A.) = 13.81-0.042X$_2$, S$_{Y2X2}$(standard error of estimate about the regression line) = ${\pm}$0.64 3. As a result of finding correlation between year and M.G.A. r=-0.763 (p<0.001) for male and r=-0.699(p<0.001) for female were obtained 4. From a view that the growth promotion has been continued before 2000, M.G.A. decreased 0.6 years for male and 0.4 for female per 10 years. 5. M.G.A. for height is as shown in Table 2. 6. It is thought that the future trend of growth promotion for height will follow the progress from 1940s to now. It shall be reviewed again after development of coming several years is investigated.
This study aims to explore effects of social exclusion on poverty of people who are 45 years old and over with disability. It also analyzed the difference between the urban and the rural area in relation to the effects of social exclusion on poverty. The researchers conducted a secondary data analysis using the fourth wave of Korean Longitudinal Study of Ageing. The sample included in this study was 640 people who were 45 years old and over with disability. Logistic regression results showed that urban residents who were younger, did not live with a spouse, were not at workforce, and lived in a rented house tended to be on welfare. For rural residents, on the other hand, only age and marital status were significantly related to poverty. Based on the findings, the researchers indicated political implications to diminish social exclusion and poverty of people with disability.
In orthodontic field, it is very important to understand the normal growth. Such an understanding can be derived from observation of normal growth in various samples from childhood to adulthood, and this builds a foundation from which growth abnormality or variation can be defined. Thus, a broad data collection of normal children, as well as basic study reviewing such data become necessary. The relationship between the mean values of cephalometric measurements in Growth and Development was studied among the groups(boys and girls) of Korean chidren from the ages 6-years to 16-years. 220 boys 170 girls were chosen as subjects : Cephalometric X-ray were taken for 3 years and hard tissue analysis on McNamara and Ricketts Analysis which was divided into measurements of 5 parts(Cranial base, Cranial base and Maxilla & Mandible, Maxilla and Mandible, Mandible, Dental measurements). The relationship of craniofacial growth was studied. The following conclusions were obtained: 1. There were statistically significant differences in anterior cranial base between the two sexes of 14 and 15-year grouips. 2. In comparison of growth amounts among different age groups, statistically singnificant difference in Posterior facial height exhisted among $10\~11,\;12\~13\;and\;14\~15$ year-old interval groups. This pattern increased with aging. 3. Na perpendicular to A showed earlier growth peak in females(11-12years) than males(12-13years). When horizontal measurements of point A and Pogonion are compared, mandibular growth appeared to be greater. 4. Maximum growth peak of cranial base and mandible was earlier in females (11-12years) than males(13-14 years). 5. Upper central incisor flared out with aging, and there were increases in lower incisor to A-Pg, and lower incisor inclination There was significant difference between the two sexes in 10-year-old group.
Objectives: The aims of this study are to examine the associations between marital satisfaction and life satisfaction among Korean retirees in later life and to test whether the degrees of associations increased over time. Method: Nationally representative Korean Longitudinal Study of Ageing data from wave 1 (in 2006) to wave 4 (in 2012) was utilized and retirees in later life (65-89 years old, N=402) were analyzed. Latent growth modeling (LGM) and model constraint were applied using Mplus 7.3. Age, sex, household income, subjective health, depressive symptoms and elapsed time after retirement were included as control variables. Results: Linear unconditional LGM fitted the data well and showed gradual decrease in life satisfaction. Conditional LGM revealed significant associations between marital satisfaction and life satisfaction from time 1 to time 4. According to model constraint test, the size of associations between marital satisfaction and life satisfaction did not change with time. Conclusions: To sum up these results, the associations between marital satisfaction and life satisfaction were significant and relatively stable over time among retirees in later life. This study suggests one's spouse is a fundamental component of social convoy among Korean retirees in later life. Therefore, intervention programs targeted toward enhancing marital relationships among retirees' couples will help them to live a better life.
Purpose: Pes planus is a common foot deformity that involves the loss of the medial longitudinal arch. The medial longitudinal arch deformity is usually asymptomatic; however, it can lead to an increased risk of pain and injury. Low-Dye taping is designed to treat plantar heel pain and pes planus. However, low-Dye taping is relatively complex, and a considerable amount of time is required to apply the tape correctly. The purpose of this study was to compare the acute effect of two different types of taping (low-Dye taping and modified Mulligan taping) on arch reformation, plantar pressure, and gait characteristics in participants with asymptomatic flexible pes planus. Methods: Twenty subjects (9 males and 11 females; mean age = 21.95 years) with asymptomatic flexible pes planus voluntarily participated in this study. Arch reformation was evaluated using navicular height measurements. Changes in plantar pressure distribution were measured using BioRecue equipment. Gait parameters were measured using spatiotemporal data collected during consecutive gait cycles using a G-WALK device. One-way analysis of variance was used to compare the three different conditions (i.e., bare foot, low-Dye taping, and modified Mulligan taping) for each variable. Results: Navicular height was significantly increased in subjects who underwent the two types of taping compared to those who experienced the bare foot condition. The plantar pressure was significantly shifted to the posterolateral area after modified Mulligan taping compared with the bare foot condition. There were no significant differences in the gait parameters. Conclusion: The findings of this study indicate that modified Mulligan taping has a similar effect to low-Dye taping, and modified Mulligan taping is a simpler method than low-Dye taping.
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