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The Effects of Foot Reflexology on Pain and Quality of Sleep in Patients with Terminal Cancer (말기 암 환자에게 적용한 발 반사 마사지의 통증경감 및 수면증진 효과)

  • Kim, Eun Joo;Kyong, Boo Soon
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.33-44
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    • 2008
  • Purpose: This study was performed to determine the effects of foot reflexology on pain and quality of sleep in patients with terminal cancer. Method: Quai-experimental research design was used. The subjects of this study were consisted of 19 for experimental group and 18 for control group. Visualue Scale(VAS) was used as the measurement tool of pain in this study, Verra & Snyder-Halpern Sleep Scale(VSH) and Visual Analogue Scale(VAS) were used as the measurement tool of perceived quality of sleep. Data were analyzed using statistical methods such as frequency, percent, $x^2$-test, t-test using SPSS WIN 12.0 program. Results: The hypothesis 1 that the experimental group with reflexology has less degree of pain than the control group without reflexology was supported (t=5.41, p<.001). The hypothesis 2 that the experimental group with reflexology has higher degree of VSH Scale than the control group without reflexology was supported(t=2.37, p=.02). The hypothesis 3 that the experimental group with reflexology has the difference among the mean of sleep VAS Scale during the 12 measurement periods was not supported(F=1.63, p=.08), and no significant interactions between group and time. Conclusion: It is considered that reflexology is effective for reducing cancer pain and improving quality of sleep in patients with terminal cancer.

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The association between menarche experience and mental health in middle school girls (여중생의 초경경험과 정신건강의 연관성 연구)

  • Ahn, Kyung-Min;Hong, Kyung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5737-5744
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    • 2013
  • This study was performed to identify the association between the menarche experience and mental health in middle school girls aged 14. The subjects were selected using data from the 8th Korean Youth Risk Behavior Web-based Survey (KYRBWS-V), which included 5,991 girls in 1st grade of middle school. Data were analyzed using the PASW 18.0 program for frequency analysis, t-test, chi square and logistic regression analysis. As to results, we found 4,473 girls who had experienced menarche (mean age, 12.8 0.9 years) and 1,518 girls hadn't experienced menarche. In the logistic regression analysis between the menarche experience and mental health behaviors, the odds ratio (OR) [95% confidence interval (CI)] for perceived stress (OR=1.39, 1.20-1.62, p<0.001), perceived depression (OR=1.25, 1.10-1.42, p<0.05), suicide thinking (6OR=1.60, 1.38-1.87, <0.001), suicide planning (OR=1.66, 1.33-2.81, p<0.001) and suicide trial (OR=1.42, 1.09-1.86, p<0.05) were higher in the menarche experience group than in the menarche non-experience group. Our results indicate, a viable association between the menarche experience and mental health in the 1st grade of middle school girls, and suggests that the menarche experience is an important factor influencing adolescent girls' mental health.

Effectiveness of Multimodal Pain Control in Early Phase After Arthroscopic Rotator Cuff Repair (관절경하 회전근 개 봉합술 후 다중 통증 조절법을 이용한 초기 통증 조절의 유용성)

  • Park, Chang-Min;Kim, Jong-Hae;Kim, Suk-Jun;Choi, Chang-Hyuk
    • Clinics in Shoulder and Elbow
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    • v.15 no.1
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    • pp.1-7
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    • 2012
  • Purpose: The purpose of this study was to identify the effectiveness of multimodal pain control method in an early phase after arthroscopic rotator cuff repair, under interscalene brachial plexus block, this study was performed. Materials and Methods: The study was progressed with the 80 cases of arthroscopic rotator cuff repair. Interscalene brachial plexus block was used to all of the 80 cases and patients were divided into 2 groups. Group A consisted of patients injected with bupivacaine, through subacromial space catheter after surgery, and group B consisted of patients with additional method of multimodal pain control using oral opioids, acetaminophen-tramadol complex and selective COX2 inhibitor. Subacromial cathter was removed after injection in both groups. The pain during the day time and night time was compared on the operation day, postoperative 1st, 2nd, 3rd day and 2nd weeks, and it was measured with VAS (visual analogue scale) score. Additionally, the number of ketolorac injection and side-effect related to analgesics was compared between the 2 groups. Results : The mean VAS score of night time on the operation day and day/night time pain of the 1st, 2nd, 3rd day and 2nd weeks was 7.4, 7.0/6.8, 4.5/5.2, 4.8/5.0, 2.2/2.7 on group A and 6.5, 4.3/5.4, 3.2/4.3, 3.0/4.1, 2.4/2.5 on group B, respectively. Significant difference was observed in the night pain on the operation day, 1st, 2nd, 3rd day time and 1st night time pain (p<.05). The average number of ketololac injection was 1.1 and 0.5 in each group, and there was no difference in the frequency of side effects. Conclusion: Multimodal pain control method, after arthroscopic rotator cuff repair, showed an effective early pain control and improved patients' satisfaction.

A RADIOGRAPHIC STUDY OF THE POSITION AND SHAPE OF MENTAL FORAMEN IN PANORAMIC RADIOGRAPHS (파노라마방사선사진상의 이공에 관한 연구)

  • CHOI Karp-Shik;BAE Yong-Chul;KIM Dong-Youn;SOHN Jeong-Ick
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.189-201
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    • 1997
  • The purpose of this study was to evaluate the position and shape of mental foramen in panoramic radiographs. For this study, panoramic radiographs were obtained from the 200 adults and evaluated the position and shape of mental foramen. According to various positional changes in panoramic radiographs of the patients, the author also obtained panoramic radiographs from the 100 adults and then evaluated the positional and shape changes of mental foramen. The following results were obtained: 1. Shapes of mental foramen were observed elliptical(43.3%), round or oval(42.5%), unidentified(7.5%) and diffuse (6.7%) type in descending order of frequency. 2. Horiwntal position of mental foramen were most frequently observed at the 2nd premolar area(54.2%), and area between the 1st premolar and 2nd premolar(43.1%), area between the 2nd premolar and 1st molar(2.7%) in descending order of frequency. 3. Vertical position of mental foramen were most frequently observed at the inferior of apex(88.2%), and at apex (9.7%), overlap with apex(1.9%), superior of apex(0.2%) in descending order of frequency. 4. According to various positional changes in panoramic radiographs of the patients, shape changes of mental foramen were more obviously observed at the forward 10mm and chin down 100 positioned panoramic radiographs. And changes of horiwntal and vertical position were observed in similar to compared with normal positioned panoramic radiographs.

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Dental hygiene students' knowledge, attitude in an influenza A (H1N1) (일부 치위생과 학생들의 신종인플루엔자 인식도 및 예방태도)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.3
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    • pp.301-311
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    • 2011
  • Objectives : In order to identify the awareness of influenza A (H1N1) having currently high frequency and risk as an infectious disease, to find problems and to reflect them on curriculum improvements from students before/after clinical practices. Methods : The data was collected from 279 dental hygiene students of 1st and 2nd years at G health college university from December 6th 2010 to December 10th 2010. The questionnaire were consisted of awareness of influenza A (H1N1), preventive attitude, sociodemographic characteristics. Results : 1. 1st year was 51.6%, the case having dental experience was 51.2%, in the infection control training experience 'had' was 46.6%. In the route acquiring the information, the mass media was 70.6%, in obtained information, personal hygiene was 82.1%. In the impact on human body, 'great impact' was 58.1%. In terms of the most need for response and preparedness, vaccination was the highest, 67.4%. People who experienced influenza A (H1N1) were 10.7%. 2. Awareness of influenza A (H1N1) was 0.71 points, and treatment and spreading mechanism was 0.78 points, prevention was 0.63 points, causes and definition was 0.53 points. 3. In the attitude for infection prevention of influenza A (H1N1), 'washing hands before practice' was the highest, 0.99 points and 'wear the mask only in case of contact with patient within 1~2 meters upon occurrence of no aerosol' was the lowest, 0.72 points. 4. Awareness of influenza A (H1N1) according to sociodemographic characteristics showed the significant differences upon the impacts on systemic health (p<0.05). Preventive attitude didn't show a significant difference in grade, clinical experience, experience in infection control training, acquiring rmation routes, the possibility for occurrence, impact on systemic health, the most need for prevention, experience in influenza A (H1N1) (p>0.05). 5. The significantly correlated between awareness of influenza A (H1N1) and preventive attitude(p<0.01). Conclusions : Information and preventive attitude for influenza A (H1N1) as well as systematic training programs to identify actual affecting factors and to improve the practice are needed. Also government's institutional support is needed.

Breast Lesions in Adolescents and Young Women in Pakistan - a 5 Year Study of Significance of Early Recognition

  • Khurshid, Amna;Faridi, Naveen;Arif, Afreen M.;Naqvi, Hanna;Tahir, Muhammad
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3465-3467
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    • 2013
  • Background: Breast cancer is the most frequent malignant disease amongst young women. If we review local data in Pakistan then breast cancer represents approximately a third of all cancers in females. The age standardized incidence rate (ASR) world per 100,000 is 53.8 and crude incidence rate is 30.9. We have observed during our surgical pathology practice and it is also reported by other Asian studies that breast carcinoma is amongst the leading malignancies in the region and the patients are at least a decade younger than counterparts in developed nations. Age is an important issue in effective screening, diagnosis and management of breast cancer, especially in this geographical region where late presentation and poor prognosis are a hallmark of the disease. Objective: The aim of this study is to determine the frequency of malignant breast lesions in symptomatic young females presenting with breast lumps. Materials and Methods: This is a retrospective study conducted at the Pathology Department, Liaquat National Hospital and Medical College, Karachi. Descriptive and pathology data of malignant breast tumors 1st January 2004 to 31st December 2009 were reviewed, using the departmental archived data. It included both male and female patients up to the age of 25 years. Results: A total of 714 surgical specimens from/of symptomatic breast lesions were received at the pathology department of Liaquat National Medical, in the five years study period, in young females. There were 575 (80%) benign, 119 (16%) inflammatory and 20 (2.8%) malignant lumps. Conclusions: The obtained data for females only up to 25 years of age suggest a massive burden which requires urgent attention. Early assessment of lesions is essential in order to avoid mortality from malignancies.

The relationship between emotional intelligence and cultural competency of dental hygiene students (치위생(학)과 학생의 감성지능과 문화 역량과의 관련성)

  • Park, Min-Seon;Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.3
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    • pp.385-397
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    • 2018
  • Objectives: The study was a cross-sectional research to examine dental hygiene students' multi-cultural experiences, emotional intelligence and cultural competency and to understand the correlations among them. Methods: The study was conducted from September $1^{st}$ to October $31^{st}$ 2016, based on the survey of 449 students in the department of dental hygiene at 7 Universities. The questionnaire consisted of 57 questions including general characteristics (n=7), multi-cultural experiences (n=7), emotional intelligence (n=16) and cultural competency (n=27). Results: Each score of students' emotional intelligence and cultural competency is 3.43 and 3.01 respectively in 5-point scale. An analysis of correlations between emotional intelligence and cultural competency shows that the higher the emotional intelligence, the higher the cultural competency (r=0.342). The factors affecting the cultural competency include use of emotions (${\beta}=0.327$, p<0.001), control of emotions (${\beta}=0.254$, p=0.001), frequency of multi-cultural media (${\beta}=0.221$, p<0.001) and experience of multi-cultural class (${\beta}=0.221$, p=0.002). The modified explanatory power in this model is 28.2% (F=10.856, p<0.001). Conclusions: There was a positive correlation between emotional intelligence and cultural competency, and the contacts with multi-culture and experience of class are identified as the affecting factors. Dental hygiene students should acquire theoretical experiences regarding the multi-culture through curriculum or continuous educations and it is necessary to promote such educations in order to develop and apply the programs for the enhancement of emotional intelligence.

A Study on the Liquor Market Segmentation by Patterns of Choosing Liquor (주류 선택 유형에 따른 주류 소비 행태에 관한 연구)

  • Kim, Young-Ah;Kim, Dong-Jin;Byun, Gwang-In
    • Culinary science and hospitality research
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    • v.16 no.2
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    • pp.232-242
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    • 2010
  • The purpose of this study is to provide basic data for forthcoming liquor development and market diversification by finding out the consumers' characteristics related to their patterns of choosing liquor and identifying the liquor consuming patterns. For the study, a survey questionnaire was composed of 11 questions related to the considerations by the consumers in choosing liquor, 5 questions on their demographics, and 5 questions on the types of choosing liquor. The survey was conducted between October 21st and November 1st of 2007 to 400 adults over 19 years old residing in Korea, and then sorted out 377 out of 400 for the analysis. As for the analysis, frequency analysis, K-means clustering, and correspondence analysis were employed. In order to find out the choice considerations associated with the perception of liquor, consumers were divided into four equivalent groups, and liquor consuming patterns and demographics were investigated based on the empirical study.

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(A Design of Adaptive Neural Network Filter to Remove the Baseline Wander of ECG) (심전도 신호의 기저선 잡음 제거를 위한 적응 신경망 필터 설계)

  • Lee, Geon-Gi;Kim, Yeong-Il;Lee, Ju-Won;Jo, Won-Rae
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.39 no.1
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    • pp.76-84
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    • 2002
  • In this paper, it is studied to remove the baseline wander and to minimize the distortion of ST segment in the noise filtering of ECG. In general, the standard filter and adaptive filter are used to remove the baseline wander of the ECG. But the standard filter is limited because the frequency of the baseline signal is variable and the apative filter is difficult to select the reference signal in case of using the adaptive filter. So we proposed a new method of the structure without reference signal using neural networks. To be convinced of the performance of this method, we used ECG data of MIT-BIHs. and obtained the result of the high performance,(-53.3[dB]) than standard filter(-16.3[dB]) and adaptive filter (-44.9[dB]).

Correlations among Sleep Quality, Depression and Satisfaction with Enrolled in the Nursing College Students (간호대 재학생의 수면의 질, 우울, 학과만족도 간의 상관관계 연구)

  • Jeong, Gyeongsun;Park, Euijeung
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.3
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    • pp.93-100
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    • 2016
  • Purpose : The purpose of this research is to measure the correlations among sleep quality, depression and department satisfaction in the students enrolled in the nursing college located in the B city. Method : 268 students enrolled in the nursing college located in the B city participated in this research from the 1st May 2016 to the 31st May 2016. SPSS 18.0 was applied to the collected data to calculate the frequency, percentage, average and standard deviation. In addition, t-test, ANOVA, Scheffe test and Pearson correlation coefficient were used for the analysis. Result : The result of the average sleep quality, depression and department satisfaction in the nursing college students were measured to be $2.41{\pm}0.57$, $3.59{\pm}0.50$ and $3.56{\pm}0.57$ respectively. The sleep quality based on the general characteristics indicated a significant difference when applied to the health status(F=4.46, p=.012). The depression indicated a significant difference when applied to the living with parents(t=-2.18, p=.030) and relationship with friends(F=8.62, p=.000). The department satisfaction indicated a significant difference when applied to the grade(F=3.45, p=.017), personality(F=3.46, p=.033), and reason for applying for their department(F=2.49, p=.044). As a result of analyzing the correlations among sleep quality, depression and department satisfaction in the nursing college students, the sleep quality indicated a negative correlation with the depression(r=-.528, p=.000) and a positive correlation with the department satisfaction(r=.144, p=.018). The depression indicated a negative correlation with the department satisfaction(r=.119, p=.051). Conclusion : It is necessary to conduct a replication research by increasing the number of the research subjects. In addition, it is necessary to conduct a systematic research on the factors influential on sleep quality, depression and department satisfaction in order to develop a program capable of enhancing the sleep quality and decreasing the depression.