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Obesity as associated factors for Insulin, Fasting blood sugar, and Hemoglobin A1c in Korean adults (한국 성인의 비만이 인슐린, 공복혈당 및 당화혈색소에 미치는 영향)

  • Park, Jaewon;Lee, Heashoon
    • Journal of Digital Convergence
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    • v.17 no.10
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    • pp.349-357
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    • 2019
  • The purpose of this study was to investigate the effects of body mass index(BMI) on insulin. fasting blood sugar(FBS), and hemoglobin A1c(HbA1c). This study analyzed the data of 2015, The Sixth KNHANES, and it was included to 4554 subject over 20 years old. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression analysis(SPSS 25.0). The major findings, BMI was positively correlated with insulin(r=0.397, p<0.001), FBS(r=0.241, p<0.001), and HbA1c(r=0.237, p<0.001). Factors affecting insulin are overweight(${\beta}=.130$, t=8.193, p<0.001), obesity(${\beta}=.390$, t=24.390, p<0.001) and age. the explanatory power is 13.1% (F=53.584, p<0.001). Factors affecting FBS were overweight(${\beta}=.072$, t=4.478, p<0.001), obesity(${\beta}=.186$, t= 11.485, p<0.001), age, the explanatory power was 10.6% (F=42.351, p<0.001). Factors affecting HbA1c were overweight(${\beta}=.059$, t=3.712, p<0.001), obesity(${\beta}=.190$, t=11.895, p<0.001) age and sex, the explanatory power is 14.1% (F=58.134, p<0.001). Based on this study result, diabetes mellitus prevention and management programs should include interventions related to obesity.

Convergence relationships between Leisure Satisfaction, Job Stress and Nursing Performance of Nurses (간호사의 여가만족, 직무스트레스 및 간호업무성과 간의 융합관계)

  • Lee, Eun-Joo;Yang, Seung-Kyoung;Lee, Bo-Ram;Youn, Ji-Hyeon;Park, Ye-Young;Song, Se-Rin
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.75-84
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    • 2019
  • This study aimed to identify the factors affecting the nursing performance and the convergence relationships of leisure satisfaction, job stress, and nursing performance among nurses. Participants included 150 nurses working at 2 hospitals in C city from August 3 to September 15, 2018. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA with Scheffe's test, Pearson correlation coefficients, and multiple regression by SPSS 23.0 program. Nursing performance were significantly differences in age (F=4.78, p=.003), marital status (F=2.74, p=.007), length of clinical career (F=3.34, p=.012), and health condition (F=5.23, p=.002). Nursing performance was a positively correlated with leisure satisfaction (r=.32, p<.001) and a negatively correlated with job stress (r=-19, p=.020), and job stress was a negatively correlated with leisure satisfaction (r=-.32, p=.005). The factors affecting the nursing performance of clinical nurses were age (${\beta}=.20$, p=.008) and leisure satisfaction (${\beta}=.28$, p<.001), and these variables explained about 19.6% of the variance in nursing performance. In order to improve nursing performance, it is necessary to provide working environment and institutional support for increasing leisure satisfaction and reducing job stress and age-differentiated approaches.

Illness Representations of Cancer among Healthy Residents of Kolkata, India

  • Das, Lala Tanmoy;Wagner, Christina D.;Bigatti, Silvia M.
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.845-852
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    • 2015
  • Cancer illness representations and screening history among residents of Kolkata, India, were investigated along with socio-demographic characteristics in an effort to understand possible motivations for health behavior. A total of 106 participants were recruited from community locations in Kolkata, India and completed surveys including demographics, the illness perception questionnaire-revised (IPQ-R), and previous experience with cancer and screening practices. Participants were 51.5% college educated, 57% female, 51.5% full-time employed with average age of 32.7 years (R: 18-60 years). Descriptive statistics were generated for the subscales of the IPQ-R, cancer-screening practices and cancer experience. Correlation analyses were conducted to investigate associations between cancer representations and socio-demographic variables. Univariate ANOVAs were calculated to determine gender differences in IPQ-R subscales and differences between participants who knew someone diagnosed with cancer versus those who did not. While 76% of participants knew someone with cancer, only 5% of the sample engaged in cancer screening. Participants perceived cancer as a serious illness with negative emotional valence. Younger age (r(100)=-.36, p<0.001) and male gender (F(1, 98)=5.22, p=0.01, ${\eta}_2$=0.05) were associated with better illness coherence. Males also reported greater personal control (F(1, 98)=5.34, p=0.02, ${\eta}_2$=0.05) were associated with better illness coherence. Low screening rates precluded analyses of the relationship between illness representations and cancer screening. Cancer was viewed as a threatening and uncontrollable disease among this sample of educated, middle class Kolkata residents. This view may act as a barrier to seeking cancer screening. Public awareness campaigns aimed at improving understanding of the causes, symptoms and consequences of cancer might reduce misunderstandings and fear, especially among women and older populations, who report less comprehension of cancer.

Prevalence of periodontitis and associated risk factors in Korean adults: Korean National Oral Health Survey 2006

  • Choi, Youn-Hee;Baek, Hye-Jin;Song, Keun-Bae;Han, Ji-Youn;Kwon, Ho-Jang;Lee, Sang-Gyu
    • Journal of Periodontal and Implant Science
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    • v.39 no.sup2
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    • pp.261-268
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    • 2009
  • Purpose: To estimate the prevalence of periodontitis in Korean adults and to examine the associations between periodontitis and known risk factors. Methods: Using Korean National Oral Health Survey 2006 data, a total of 4,263 people who had taken oral examination, interviewed by questionnaire, and aged 18 or older were sampled. The prevalence of periodontitis measured by Community Periodontal Index (CPI) was calculated and the differences in prevalence according to known risk factors (age, sex, monthly income, education, residential area, tooth-brushing frequency, regular dental visit, smoking, and diabetes) were examined with chi-square test. Logistic regression analysis was performed to see the effects of each risk factor on the risk of having periodontitis. All statistical approaches were reflected national sampling design using Survey procedures in SAS 9.1. Results: The overall prevalence of periodontitis in Korean adults was 10.3%. There existed statistically significant differences in crude prevalence for periodontitis according to the all risk factors. In logistic regression, older age groups (O.R.:2.94-3.71), people living in rural area (O.R.:1.87), and current smokers (O.R.:1.77) were significantly prone to have periodontitis. People who earned monthly income of more than 2 million Korean won (O.R.:0.64) and brushed their teeth two or more times per day (O.R.:0.60-0.62) had significantly lower risk of having periodontitis. Conclusions: About 10% of Korean adults had periodontitis in 2006. People who were older, living in rural region, in lower income status, smoking, less tooth brushing were more likely to have periodontitis.

A Comparative Study on Obesity Judgment Criteria in the Frequently used Obesity Indices (주요 비만 판정 지수의 비만 기준 비교)

  • Yi, Kyong-Hwa
    • The Research Journal of the Costume Culture
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    • v.18 no.1
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    • pp.93-108
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    • 2010
  • R$\ddot{o}$hrer index, Vervaeck index and Body Mass Index(BMI) are frequently used in order to judge obese subjects in clothing & textiles field. However, there are no certain criteria of judging the degree of obesity. Each researcher utilized these obesity indices according to their own criteria so far. Therefore, the purpose of the study is to suggest a reliable obesity index and new criteria for judging the degree of obesity. The results are as follows; Utilizing frequency analysis, main percentiles, minimums, maximums and ranges were presented by 5 age groups from twenties to sixties. Obesity rates dramatically increased, the subject got older. Especially, obesity rate of the subjects in their fifties and sixties were much higher than other age groups. 1.6 & higher can be used in the R$\ddot{o}$hrer index, 98 & higher can be used in the Vervaeck index, and 25 & higher can be used in the BMI as the Optimal criteria of the obesity. Total of 24 body measurements and 3 obesity indices were used for analyzing the correlation analysis. All heights measurements showed negative correlation with the 3 obesity indices. It is determined heights measurements have high correlation with R$\ddot{o}$hrer index compare to other indices. Crotch height, interscye back, neck shoulder point to breast point, bust circumference, waist circumference, upper arm circumference and armscye circumference have high positive correlation with all obesity indices. According to the ANOVAs by each percentile group of the R$\ddot{o}$hrer and Vervaeck indices, there are big significances in all measurements and obesity indices except arm length. In general, heights decreased significantly by getting bigger, while circumferences and lengths, widths and indices increased rapidly by getting bigger. The results of the analysis by each percentile group in the BMI, it showed the significant differences in the all measurements except cervical height and arm length. There were similar tendency of differences according to the degree of the obesity in BMI percentile groups. It was confirmed that the BMI is the most reliable index for judging the obesity owing to the high correlations and significant differences with other measurements.

A retrospective epidemiological investigation of periodontitis risk and current smoking status based on the number of cigarettes per day and the Fagerström Test for Nicotine Dependence: a preliminary pilot study

  • Ji-Hoo Han;Seong-Nyum Jeong;Jae-Hong Lee
    • Journal of Periodontal and Implant Science
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    • v.53 no.2
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    • pp.135-144
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    • 2023
  • Purpose: The aim of this study was to investigate the risk of periodontitis according to current smoking status based on the number of cigarettes smoked per day (CPD) and the Fagerström Test for Nicotine Dependence (FTND). Methods: All enrolled patients were diagnosed and classified according to the new periodontal classification scheme, and current smoking status was investigated via a self-reported questionnaire. The correlation between smoking status (CPD and FTND) and periodontitis risk (severity of periodontitis and tooth loss due to periodontal reasons) was statistically assessed using Spearman correlation coefficients. Moreover, partial correlation analyses between smoking and periodontal status were performed after adjusting for age, sex, and diabetes mellitus. Results: Overall, data from 74 men and 16 women (mean age: 48.1±10.8 years) were evaluated. The mean number of missing teeth, CPD, and FTND score were 3.5±5.2, 24.6±15.5, and 3.5±2, respectively. CPD and the FTND were significantly positively correlated with each other (r=0.741, P<0.001). CPD and the FTND were also significantly correlated with the severity of periodontitis (CPD: r=0.457, P<0.05 and FTND: r=0.326, P<0.05) and the number of missing teeth due to periodontal reasons (CPD: r=0.525, P<0.05 and FTND: r=0.480, P<0.05), respectively. Conclusions: Within the limitations of this study, both CPD and the FTND were significantly correlated with the severity of periodontitis and the number of periodontally compromised extracted teeth.

Impact of dental hygienists' positive psychological capital, growth mindset, and self-leadership on retention intention (치과위생사의 긍정심리자본과 성장마인드셋, 셀프리더십이 재직의도에 미치는 영향)

  • Hye-Eun Cho;Ji-Yeon Lee
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.6
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    • pp.441-449
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    • 2023
  • Objectives: This study was conducted to analyze the factors influencing the positive psychological capital, growth mindset, and self-leadership of dental hygienists in the Seoul and Gyeonggi regions with regard to their retention intention. The findings would serve as basic data for improving the retention intention. Methods: The methods espoused for analysis comprised independent sample t-test and ANOVA for group comparisons, Pearson's correlation analysis for examining the correlation between variables, and multiple regression analysis for identifying factors affecting retention intention. Results: Positive psychological capital was higher among those under the age of 27 and employed in dental clinics. Growth mindset was higher among those with less than three years of work experience and those working in clinics. Self-leadership was higher among those aged 28-31, and retention intention was higher among those under the age of 27 and with less than three years of work experience (p<0.05). A correlation was observed between positive psychological capital and self-leadership (r=0.760), self-leadership and retention intention (r=0.514), positive psychological capital and retention intention (r=0.505), positive psychological capital and growth mindset (r=0.337), and growth mindset and self-leadership (r=0.245) (p<0.001). Factors influencing the intention to stay at work were self-leadership (β=0.309) and positive psychological capital (β=0.242) (p<0.05). Conclusions: In order to improve dental hygienists' retention intention, it is necessary to devise strategies for improving positive psychological capital and self-leadership.

Clinically Available Software for Automatic Brain Volumetry: Comparisons of Volume Measurements and Validation of Intermethod Reliability

  • Ji Young Lee;Se Won Oh;Mi Sun Chung;Ji Eun Park;Yeonsil Moon;Hong Jun Jeon;Won-Jin Moon
    • Korean Journal of Radiology
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    • v.22 no.3
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    • pp.405-414
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    • 2021
  • Objective: To compare two clinically available MR volumetry software, NeuroQuant® (NQ) and Inbrain® (IB), and examine the inter-method reliabilities and differences between them. Materials and Methods: This study included 172 subjects (age range, 55-88 years; mean age, 71.2 years), comprising 45 normal healthy subjects, 85 patients with mild cognitive impairment, and 42 patients with Alzheimer's disease. Magnetic resonance imaging scans were analyzed with IB and NQ. Mean differences were compared with the paired t test. Inter-method reliability was evaluated with Pearson's correlation coefficients and intraclass correlation coefficients (ICCs). Effect sizes were also obtained to document the standardized mean differences. Results: The paired t test showed significant volume differences in most regions except for the amygdala between the two methods. Nevertheless, inter-method measurements between IB and NQ showed good to excellent reliability (0.72 < r < 0.96, 0.83 < ICC < 0.98) except for the pallidum, which showed poor reliability (left: r = 0.03, ICC = 0.06; right: r = -0.05, ICC = -0.09). For the measurements of effect size, volume differences were large in most regions (0.05 < r < 6.15). The effect size was the largest in the pallidum and smallest in the cerebellum. Conclusion: Comparisons between IB and NQ showed significantly different volume measurements with large effect sizes. However, they showed good to excellent inter-method reliability in volumetric measurements for all brain regions, with the exception of the pallidum. Clinicians using these commercial software should take into consideration that different volume measurements could be obtained depending on the software used.

IMPLEMENTATION OF TRL TOOLS TO KOREAN NATIONAL CONSTRUCTION AND TRANSPORTATION R&D PROJECTS FOR IMPROVING PRACTICAL USE

  • Namgyun Kim;Byungho An;Jaehong Choi;Hyunseok Lee;Sanghyuk Park;Yeasang Kim
    • International conference on construction engineering and project management
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    • 2013.01a
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    • pp.608-615
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    • 2013
  • The major countries including Korea extend the national investment on R&D and implement the business performance diffusion policy as the knowledge based competition age arrives recently. The necessity for risk management and systematic management system for R&D achievement have been appeared to prevent the failure as the R&D scale becomes larger as it was said. For this matter, the organization such as NASA and DoD in USA defines the Technology Readiness Level (TRL) as a quantitative accomplishment management index and utilize the Technology Readiness Assessment (TRA) system as a criterion. Such tool is evaluated as very effective in the R&D project purposed the practicalization. It is expected that the disadvantage of evaluation system which is oriented to the academic accomplishment in its contents of current research and to contribute greatly to the practicalization of outcomes when such technology readiness level concept is applied to Korean national construction and transportation R&D project. Accordingly, this study analyzed the concept of TRL·TRA, the characteristics and current evaluation management system of Korean national construction and transportation R&D project and suggested the construction and transportation R&D project TRL·TRA performance model to accomplish the practicalization purpose.

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Weight Control and Cardiovascular Risk in Middle-Aged Women (중년여성의 체중관리 실태와 성인병 위험도)

  • Kim, Jeong-Ah;Chaung, Seung-Kyo
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.1
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    • pp.33-47
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    • 2004
  • The purpose of this study was to investigate weight control practices and cardiovascular risk in middle-aged women. 304 middle-aged women were selected as subjects from thirties to fifthies living at J city in Chung-Buk Do. Data were collected using a questionnaire, anthropometric measurements, BP & total cholesterol level in serum from April 1, to June 30, 2003. The results of this study were as follows: The middle-aged woman's age is average $43.95{\pm}7.09yr$ and mean BMI(body mass index) was $23.54{\pm}3.09\;kg/m^2$. Underweight, normal weight, overweight, obese women were 3.0%, 39.5%, 27.9% and 29.6%respectively. Subjects perceived own as 'Slim' 5.9%, 'ordinary' 45.7%, 'Fat' 48.4%. Their weight perception coincide their own actual body weight but as many as 41.8% of overweight and 9.0% of obese perceived themselves as being 'ordinary'. Middle age women with past weight control experience were 55.6%, and only 35.5% was doing weight control at present. Of these subjects, 71.4% reported wanting to lose weight and the primary reason of weight control was to improve their appearance(39.53%). The most frequently reported weight control behavior was 'exercise' followed 'dieting', but 39.6% reported using 'diet food', 12.4% 'behavior modification', 12.4% 'fasting', and 'diet-drug'(3.6%) or 'smoking'(3.6%). Effective weight control methods were thought regular exercise(97.1%) & dieting (79.3%). And behavior modification(71.4%) or diet camp(60%) were effective, too. An average waist circumference was $79.80{\pm}9.47cm$, waist/hip ratio was $86.63{\pm}6.78$, waist/height ratio was $50.43{\pm}6.10$. In the index of abdominal obesity, 79.7 % of middle-aged women was waist/height ratio over 0.46, 65.3% was waist/hip ratio over 0.85, 28.4% was waist circumference over 85cm. There were significant differences in the degree of abdominal obesity according to age and BMI. In the index of cardiovascualr risk, 10.9% of middle aged women was systolic hypertension over 140mmHg, 18.7% was diastolic hypertension over 90mmHg and 10.6% was hypercholesterolemia over 200mg/dl. There was significant difference in systolic hypertension ratio according to age. There was significant difference in diastolic hypertension ratio according to age and obesity. There were significant differences in hypercholesterolemia accorting to obesity. The abdominal obesity indices and the levels of T-cholesterol in the serum, systolic and diastolic BP increased significantly according to age. T-cholesterol in serum was predicted 2.6% by waist/height ratio. And systolic BP was predicted 15.2% by waist/height, add BMI to 16.8%. Subject's diastolic BP was predicted 12.1% by BMI. Therefore waist/height ratio and BMI were significant factors for the predictors of cardiovascular risk. There was significant correlation between index of obesity and cardiovascular risk. T-cholesterol in serum had correlation with waist/eight ratio(r=0.174) and waist circumference(r=0.48). Systolic BP had correlation with waist/height ratio(r=0.387), and BMI(=0.371). diastolic BP correlation had correlation with BMI(r=0.343) and waist/height ratio(r=0.327). In conclusion, The prevalence of obesity was 29.6% in 304 cases, and increased as age after menopause increased. Middle-aged women's weight perception and actual BMI coincide but some of them did not. Trial to reduce weight was attempted. But most of them did not actually. Undesirable weight control method such as using drugs, fasting, smoking was used by some women. It is important to educate about health weight control methods and raise their awareness of exact body figures. High frequency of abdominal obesity in middle-aged women had correlation with hypertension and hypercholesterolemia. Abdominal index such as waist/height ratio, waist circumference, waist/hip ratio was used. Women's hypertension, hypercholesterolemia significantly related to body mass index and abdominal obesity.

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