• Journal of Korean Public Health Nursing
• /
• v.16 no.2
• /
• pp.271-284
• /
• 2002

This study was to provide basic materials to help reduce the fatigue by analyzing what effective factor the fatigue of hospital nurses in Gwangju and Jeonnam region. and what causes their fatigue. This descriptive research by Questionaires includes two hospitals in Gwangju. and seven hospitals in Jeonnam region, total 9 hospitals sampled at convenience sampling. The periods of collecting data was from Jul.22, 2002 to Jul. 30, 2002. Multidimensional Fatigue Scale; MFS, developed by Jang Se-Jin(2000) was taken to measure the fatigue. All collected materials were got the statistics by SAS for Windows Release 8.01. The result of this study was as follows. 1. This study included total 740 nurses, whose age ranged from 22 to 50; 30 years old by average. Nurses fatigue mean score was 90.24 (the scope by the measuring instrument is 19-133). Nurses at University Hospitals marked 92.36 and those at General Hospitals marked 87.91 in the mean score of fatigue. 2. They kept tired at work, and felt more tired while working at computer in the hospital. 3. The part of body in which they felt fatigue was the calf and $feet(36.6\%)$, the shoulders and back of the $neck(30.7\%)$, and the whole $body(10.8\%)$ and the reason that they felt tired at work was mental $stress(33.0\%)$, overworking(25.2\%)$, and irregular working $conditions(14.7\%)$ in order. 4. The solution to their fatigue at work appeared nothing by $50.1\%$, and the way of releasing fatigue after work indicated getting some $sleep(30.8\%)$, and taking a bath or a $shower(21.7\%)$ in order. 5. The degree of fatigue depending on whether they were satisfied with their pay and labor condition appeared low: and when they were satisfied with doctors. and when they were getting on well with caregivers. 6. The effective factor of the degree of fatigue appeared: the influence that fatigue in the hospital makes on daily life was $10.6\%$, the cause of fatigue at work, $9.3\%$, time of fatigue at work, $7.8\%$, the relationship with caregivers, $5.3\%$. and these explanatory$(R^2)$ variables.$33\%$. To conclude. the degree of nurses' fatigue appeared high. and it was higher in nurses at University Hospitals than in ones at General Hospitals. In addition, the influence that fatigue from the hospitals made on daily life was the most explanatory.

• Journal of Korean Public Health Nursing
• /
• v.16 no.2
• /
• pp.454-468
• /
• 2002

Historically, women's health needs have been viewed primarily as reproductive, and all other health needs have been dealth with without considering their responses to disease and treatment(Strickland & Giger, 1994). It has mostly been through the efforts of women's group, especially health care team, that more recognition has been given to the overall health of women worker in recent years. The purpose of this study was to examine the depression, self-esteem and health practice in order to identify health care strategies to improve health promotion among women workers in small workplace. The consisted of 94 women workers who work at small manufacturing industry. The data were collected from January to February, 2002. The instruments for this study was Rogenburgs self-esteem scale, Zung s depression self-reporting scale and Breslow & Enstrom s health habits scale. The analysis of data were performed with frequency, percentage, t-test, ANOVA. $\chi^2$ test, pearson correlation and multiple regression using SPSS Win 10.1 program. 1. The average depression score was 1.87 which is relatively low and the average self-esteem score was 2.75 which is relatively moderate. The total mean score for health practice was 4. 10(range 0-7) which is relatively high moderately. 2. Health practice had not a statistically significant correlation with depression and self-esteem, but the depression had a statistically significant correlation with self-esteem(r=-.401, p=.000). 3. There was not a significant difference In depression, self-esteem and health practice according to the general characteristics 4. There was a significant difference in sub category of health practice according to the status of living with family and status of marriage. As far as the health practice of women workers living with family practiced better health than women workers no living with family concerning breakfast(p=.03) and as far as the health practice of women workers no living with family practiced better health than women workers living with family concerning sleeping time(p=.04). There was a significant difference in breakfast(p=.04), smoking(p=.00), and BMI(p=.05) according to the status of marriage. 5. The major factor was age and explained for $7\%$ of health practice. The repeated study should be carried out to figure out the health practice and its related factors of female workers at small manufacturing industry.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.28 no.4
• /
• pp.244-251
• /
• 2017

Objectives: The objective of this study was to investigate the effect of pharmacological treatments for attention-deficit hyperactivity disorder (ADHD) on motor coordination, using the Developmental Coordination Disorder Questionnaire (DCDQ). Methods: The participants were recruited from April 2015 to November 2016 from the Department of Psychiatry of Asan Medical Center and were treated for 3 months with methylphenidate or atomoxetine. The illness severity at baseline and 3 months were scored using the ADHD Rating Scale (ARS), Clinical Global Impression-Severity Scale (CGI-S) and/or Clinical Global Impression-Improvement Scale (CGI-I). A total of 39 children with ADHD (age $8.0{\pm}1.4years$, 36 boys) completed the Advanced Test of Attention (ATA) and their parents completed the DCDQ at baseline and 3 months. The paired t-test, mixed between-within analysis of variance and correlation analysis were used. Results: The CGI-S (p<0.001), ARS (p<0.001), and fine motor/hand writing (p=0.005) on the DCDQ were significantly changed between pre-treatment and post-treatment. When the participants were divided into those who were suspected of having developmental coordination disorder (DCD) (n=23) and those who probably did not (n=16), the control during movement, fine motor/hand writing and general coordination scores on the DCDQ showed the main effects for group (p<0.001, p<0.001 and p<0.001, respectively). The fine motor/hand writing on the DCDQ has a significant main effect for time [F(1,37)=7.31, p=0.010, ${\eta}^2=0.405$] and the interaction effect between group and time was also significant [F(1,37)=4.63, p=0.038, ${\eta}^2=0.111$]. The baseline visual commission error on the ATA is significantly correlated with the changes in the DCDQ total scores (r=0.330, p=0.040). Conclusion: Our results provide preliminary evidence that pharmacological treatment for ADHD improves not only the core symptoms of ADHD, but also the motor coordination. Further studies are needed to confirm the effect of the pharmacological treatment for ADHD on the motor coordination.

• Women's Health Nursing
• /
• v.7 no.4
• /
• pp.642-656
• /
• 2001

The purpose of this study is to find the difference of the climacteric symptoms and quality of life according to hormone replacement therapy (HRT) in climacteric women. The research design was a descriptive survey with questionaries. A convenience sample of 181 climacteric women aged 45-65 who had climacteric symptoms were selected in Kwangju city, Korea. Sixty-six climacteric women among those subjects were receiving HRT at K university hospital in Kwangju city. Data were collected by the interview with questionaries from Feb 3. 1999 to March 25, 1999. Climacteric symptoms were measured using scores developed by Neugarten(1965) and modified by Park(1989), and the quality of life scale related to climacteric symptoms developed by Hildtich(1996) and modified Kim(1998). Data were analyzed by $x^2$-test, t-test, ANOVA and Pearson's correlation procedures, using SAS/win PC+. The results were as follows ; 1. No statistically significant differences were found between the receiving HRT group and not receiving HRT group in demographic, obstetrical and health related characteristics. 2. There were no significant difference on the climacteric symptoms between the group of women receiving HRT (score 2.4) and the group of women who were not (score 2.6) except psychological area (t= 2.407, p= 0.017). 3. The quality of life of the group of women receiving HRT was significantly higher than that the group of women who were not (t=2.151, p=.032). 4. The quality of life of the group of women receiving HRT were high scores There were significantly high of the quality of life in the vaso-motor change area (t=2.634, p= 0.009), psycho-social change area (t=3.239, p=0.001), and physical change area (t=2.031, p=0,043) in the group of receiving HRT compared to not receiving HRT group. 5. The variables showed significantly differences on the degree of climacteric symptoms of the group of women not receiving HRT were the subjective health state (t=15.81, p=0.000), age (t=7.50, p=0.007), feeling of menopause (t=30.88, p=0,000) and climacteric periods (t=8.66, p=0.003), and receiving HRT were number of para (t=3.95, p=0.050) and feeling of menopause (t=3.94, p=0.050). 6. The variables showed significantly difference on the quality of life of the group of women not receiving HRT were the subjective health state (t=4.14, p=0.044) and feeling of menopause (t=10.86, p=0.001). 7. There were significantly positive correlations between the climacteric symptoms and the quality of life in climacteric women (r=0.512, p=0.000).

• Asian-Australasian Journal of Animal Sciences
• /
• v.16 no.8
• /
• pp.1108-1117
• /
• 2003

In Guadeloupe small ruminants (SR) are reared for meat production under pasture conditions. Intensive rotational grazing systems (irrigated, fertilised and high stocked) allow reasonable levels of production but generate high post-grazing residues. Experiments were designed to control them. A system in which residuals were mown (RM) was tested in comparison to the control system (Residuals Remained, RR). The same design was carried out for two years with Creole goat (G) and Martinik sheep (S). An accelerated reproductive rate (3 parturitions over 2 years) was carried out. Systems were compared at three parturition seasons per year(dry, intermediate and rainy seasons). Each group was composed of 20 goats ($36.0{\pm}2.5kg$) or 20 ewes ($46.8{\pm}2.4kg$). The female body traits did not vary according to pasture management and seasons. The stocking rate averaged 1,400 kg LW/ha. The mean fertility rate for does varied significantly (p<0.05) within the kidding season, from $80.4{\pm}0.5%$ to $93.7{\pm}2.9%$ while the mean litter size was $2.30{\pm}0.07$ total kids born. No effect of pasture system was observed. Corresponding values for ewes were $83.2{\pm}12.8%$ vs. $75.6{\pm}12.5%$ (p<0.05) and $2.43{\pm}0.24$ vs. $2.03{\pm}0.29$ (p<0.01) total lambs born for SRM and SRR ewes, respectively. A seasonal effect was observed upon ewe performances. The preweaning mortality of kids and lambs averaged 16.3% and 14.4%, respectively. It was 7 and 9 percentage points more (p<0.01) for RR than for RM kids and lambs, respectively. For both species, weaning took place at an average age of $81.4{\pm}3.6days$. In Creole kids, live weight at birth and at weaning were $1.9{\pm}0.2kg$ and $8.9{\pm}0.8kg$, respectively. In the Martinik sheep, the traits averaged $2.9{\pm}0.2kg$ and $18.9{\pm}0.9kg$. For both traits in both species, significant (p<0.05) group${\times}$season interactions were recorded. The consequences of elimination of post-grazing residues varied according to the SR species, the environmental conditions and the animal physiological status. The forage characteristics were not limiting factors since forage availability in the RM systems (2,300 and 2,600 kg DM/ha, respectively) and chemical composition were at satisfactory levels (CP content averaged 12 and 10%). It is recommended to develop new grazing system which would allow the use of post-grazing residues instead of mowing the refusals.

• Asian-Australasian Journal of Animal Sciences
• /
• v.25 no.3
• /
• pp.410-420
• /
• 2012

A trial was conducted to: i) evaluate the BW growth, energy intakes and energetic efficiency of pigs fed high and low density diets from 27 to 141 kg BW, ii) evaluate sire line and sex differences when fed both diets, and iii) to compare ME to NE as predictor of pig performance. The experiment had a replicated factorial arrangement of treatments including four sire lines, two sexes (2,192 barrows and 2,280 gilts), two dietary energy densities and a light or heavy target BW, 118 and 131.5 kg in replicates 1 to 6 and 127 and 140.6 kg in replicates 7 to 10. Pigs were allocated to a series of low energy (LE, 3.27 Mcal ME/kg) corn-soybean meal based diets with 16% wheat midds or high energy diets (HE, 3.53 to 3.55 Mcal ME/kg) with 4.5 to 4.95% choice white grease. All diets contained 6% DDGS. The HE and LE diets of each of the four phases were formulated to have equal lysine:Mcal ME ratios. Pigs were weighed and pen feed intake (11 or 12 pigs/pen) recorded at 28-d intervals. The barrow and gilt daily feed (DFI), ME (MEI) and NE (NEI) intake data were fitted to a Bridges function of BW. The BW data of each sex were fitted to a generalized Michaelis-Menten function of days of age. ME and NE required for maintenance (Mcal/d) were predicted using functions of BW (0.255 and 0.179 BW^0.60 respectively). Pigs fed LE diets had decreased ADG (915 vs. 945 g/d, p<0.001) than pigs fed HE diets. Overall, DFI was greater (p<0.001) for pigs fed the LE diets (2.62 vs. 2.45 kg/d). However, no diet differences were observed for MEI (8.76 vs. 8.78 Mcal/d, p = 0.49) or NEI (6.39 vs. 6.44 Mcal/d, p = 0.13), thereby indicating that the pigs compensated for the decreased energy content of the diet. Overall ADG:DFI (0.362 vs. 0.377) and ADG:Mcal MEI (0.109 vs. 0.113) was less (p<0.001) for pigs fed LE compared to HE diets. Pigs fed HE diets had 3.6% greater ADG:Mcal MEI above maintenance and only 1.3% greater ADG:Mcal NEI (0.152 versus 0.150), therefore NEI is a more accurate predictor of growth and G:F than MEI.Pigs fed HE diets had 3.4% greater ADG:Mcal MEI and 0.11% greater ADG:NEI above maintenance than pigs fed LE diets, again demonstrating that NEI is a better predictor of pig performance than MEI. Pigs fed LE diets had similar daily NEI and MEI but grew slower and less efficiently on both ME and NE basis than pigs fed HE diets. The data suggest that the midds NE value (2.132 Mcal/kg) was too high for this source or that maintenance was increased for pigs fed LE diets.

• Asian-Australasian Journal of Animal Sciences
• /
• v.26 no.12
• /
• pp.1732-1741
• /
• 2013

Two experiments were conducted to determine physical and chemical properties of vermicelli waste (VW) and effect of VW inclusion levels on growth performance of broilers. In experiment 1, VW samples were randomly collected from vermicelli industry in Thailand to analyze nutritional composition. Vermicelli waste contained 9.96% moisture, 12.06% CP, 32.30% crude fiber (CF), and 0.57% ether extract (EE), as DM basis. The ratio of insoluble:soluble non-starch polysaccharide (NSP) was 43.4:8.9. A total of 120 chicks (6 pens per treatment and 10 chicks per pen) were fed a corn-soybean meal-based diet or 20% VW substituted diet to determine the apparent metabolizable energy corrected for nitrogen retention ($AME_n$) of VW. The $AME_n$ of VW was $1,844.7{\pm}130.71$ kcal/kg. In experiment 2, a total of 1,200 chicks were randomly allotted to 1 of 4 dietary treatments for 42-d growth assay. There were 300 chicks with 6 pens per treatment and 50 chicks per pen. The dietary treatments contained 0%, 5%, 10%, or 15% VW, respectively. All diets were formulated to be isocaloric and isonitrogenous. From 0 to 18 d of age chicks fed VW diets had higher (p<0.001) feed conversion ratio (FCR) compared with those fed the control diet. No difference was observed during grower and finisher phase (19 to 42 d). Chicks fed VW diets had lower relative weight of abdominal fat (p<0.001) but higher relative weight of gizzard (p<0.05) than those of chicks fed the control diet. Increasing VW inclusion levels increased ileal digesta viscosity (p<0.05) and intestinal villus height of chicks (p<0.001). For apparent total tract digestibility assay, there were 4 metabolic cages of 6 chicks that were fed experimental treatment diets (the same as in the growth assay) in a 10-d total excreta collection. Increasing VW inclusion levels linearly decreased (p<0.05) apparent total tract digestibility of DM and CF.

• Korean Journal of Adult Nursing
• /
• v.12 no.2
• /
• pp.245-255
• /
• 2000

The purpose of this study is to compare the physical health, anxiety and depression of the Dan-Jeon Breathing trained group with those of a non-trained group and to analyze the relationship between the training period of Dan-Jeon Breathing method and physical health, anxiety, and depression. The number of people in the Dan-Jeon Breathing trained group over 3 months was 149 and in the non-trained group 142. Data were collected from August to October 1999. As tools, 35 physical symptom questions were chosen from The Cornell Medical Index modified by Nam(1965) and from the Symptom Checklist-90-Revision(SCL-90-R) by Kim(1984); 10 questions on anxiety and 13 questions on depression were used in the study. The statistics of the study were gathered by using SPSS Window; the analysis was made by applying $X^2$-test, t-test, Pearson correlation, ANOVA and Scheffe tests. The results were as follows. 1. The Dan-Jeon Breathing trained group had lower physical symptom score and showed less anxiety and depression than the non-trained group, which supported the 1st, 2nd, 3rd hypotheses. 2. The longer the training period of Dan-Jeon Breathing, the lower the physical symptom score, which supports the 4th hypothesis, but the 5th and, 6th hypotheses were not supported because anxiety and depression did not get lower as the training period of Dan-Jeon Breathing got longer. 3. The physical symptom score, anxiety and depression that were made by the general characteristics of Dan-Jeon Breathing trained group were analyzed. As a result, the physical symptom score of women was greater than that of men. Physical symptoms score and the rate of anxiety and depression were different by education levels. The degree of anxiety was different by age. Those who have a religion have a higher physical symtoms score than people who have no religion. There was no difference in physical health score, anxiety and depression according to marital status, economic status and occupations. The results suggest that the physical and mental health status of Dan-Jeon Breathing trained group is better than that of the non-trained group. Physical symptoms scores gets lower as the training period of Dan-Jeon Breathing gets longer which results in the improvement of physical health status.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.1
• /
• pp.261-266
• /
• 2016

Background: Breast cancer is the leading cause of cancer death among women and the second in humans worldwide. Many published studies have suggested an association between MDR1 polymorphisms and breast cancer risk. Our aim was to study the association between genetic polymorphism of MDR1 at three sites (C3435T, G2677A/T, and C1236T) and their haplotype and the risk of breast cancer in Jordanian females. Materials and Methods: A case-control study involving 150 breast cancer cases and 150 controls was conducted. Controls were age-matched to cases. The polymerase chain reaction/restriction fragment length polymorphism (PCR-RFLP) technique and sequencing were performed to analyse genotypes. Results: The distribution of MDR1 C3435T genotypes differed between cases and controls [cases, CC 45.3%, CT 41.3%, and TT 13.3%; controls, CC 13.4%, CT 43.3%, and TT 30.2%, p < 0.001]. Similarly, the distribution of G2677A/T significantly differed [cases, GG 43.1 %, GT+GA 50.9% and AA+TT 6%; controls, GG 29.6 %, GT+GA 50.9%, and AA+TT 19.4%, p = 0.004]. On the other hand, genotype and allelotype distribution of C1236T was not statistically different between cases and controls (p=0.56 and 0.26, respectively). The CGC haplotype increased the risk to breast cancer by 2.5-fold compared to others, while TGC and TTC haplotypes carried 2.5- and 5-fold lower risk of breast cancer, respectively. Conclusions: Genetic polymorphisms of MDR1 C3435T and G2677A/T, but not C1236T, are associated with increased risk of breast cancer. In addition, CGC, TGC and TTC haplotypes have different impacts on the risk of breast cancer. Future, larger studies are needed to validate these findings.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.sup3
• /
• pp.167-174
• /
• 2016

One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.