Kim, Deog Kyeom;Park, Yong Bum;Oh, Yeon-Mok;Jung, Ki-Suck;Yoo, Ji Hong;Yoo, Kwang-Ha;Kim, Kwan Hyung
Tuberculosis and Respiratory Diseases
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v.79
no.3
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pp.111-120
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2016
Asthma is a prevalent and serious health problem in Korea. Recently, the Korean Asthma Guideline has been updated by The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) in an effort to improve the clinical management of asthma. This guideline focuses on adult patients with asthma and aims to deliver up to date scientific evidence and recommendations to general physicians for the management of asthma. For this purpose, this guideline was updated following systematic review and meta-analysis of recent studies and adapting some points of international guidelines (Global Initiative for Asthma [GINA] report 2014, National Asthma Education and Prevention Program [NAEPP] 2007, British Thoracic Society [BTS/SIGN] asthma guideline 2012, and Canadian asthma guideline 2012). Updated issues include recommendations derived using the population, intervention, comparison, and outcomes (PICO) model, which produced 20 clinical questions on the management of asthma. It also covers a new definition of asthma, the importance of confirming various airflow limitations with spirometry, the epidemiology and the diagnostic flow of asthma in Korea, the importance and evidence for inhaled corticosteroids (ICS) and ICS/formoterol as a single maintenance and acute therapy in the stepwise management of asthma, assessment of severity of asthma and management of exacerbation, and an action plan to cope with exacerbation. This guideline includes clinical assessments, and treatment of asthma-chronic obstructive pulmonary disease overlap syndrome, management of asthma in specific conditions including severe asthma, elderly asthma, cough variant asthma, exercise-induced bronchial contraction, etc. The revised Korean Asthma Guideline is expected to be a useful resource in the management of asthma.
The dynamics of zooplankton community and its relationship with environments were studied at the middle stretch (Waekwan, RK; river kilometer; above 175 km from the estuary dam) of large regulated river, Nakdong River from 1998 to 2002. There were distinct inter-annual variations and seasonal changes in total zooplankton abundance in the study site (ANOVA, p<0.01), displaying similar pattern in three years from 1999 to 2001 except 1998 and 2002. The annual average rotifers abundance during the study period was 43${\pm}76 ind. $L^{-1}$ (mean${\pm}$s.d., n = 118), followed by adult copepodids (1.6${\pm}$4.8 ind. $L^{-1}$), and small cladocerans (0.4${\pm}$1.2 ind. $L^{-1}$). Among the rotifers, Brachionus spp. Polyarthra spp., Colurella spp., Keratella spp.·, and Trichocerca spp. were the most common taxa. These species occupied more than 80% of the total rotifer abundance throughout the study period. Total zooplankton abundance rapidly increased in spring and fall and remained low throughout the winter. During summer, zooplankton dynamics seemed to be largely affected by hydrological parameters. Overall, rather the external factors (hydrological factors of the river) than internal factors (food condition for zooplankton such as phytoplankton biomass) appear to be responsible for changes in zooplankton dynamics in the middle stretch of the river.
The purpose of this survey research was to investigate the relationship between the health promotion and the Oral Health knowledge of 230 adults which lived in Kyunggi-do using SPSSWIN 12.0. The following conclusions were obtained. 1. Objects who take the periodic health examination was 38.2% and the opposite case was 61.8%. And the reseach subjects who take the periodic dental examination was 30.7% and the opposite case was 69.3%. 2. The research subjects who take the Oral Health education was 11.8% and the opposite case was 88.2%. 3. The relationship between the general characteristic and health promotion status of the research subjects taking periodic examination showed statistically significant difference at items of ages, occupation and the reason of training (p < 0.05). 4. In case of the relationship of the Oral Health knowledge according to sex distinction, 68.4% of all research subjects thought that the appropriate toothbrushing time was around 3 minutes, but it did not show significant difference statistically. 5. In case of the Oral Health knowledge according to age, it showed significant difference statistically at item of 'the toothbrushing time is after each meal and before retiring (p = .032)', item of 'if you use the fluorine, you can prevent the dental caries (p = .011)', and item of 'foods causing the dental caries are a chocholate and a biscuit, etc. (p-.044). 6. In case of the Oral Health knowledge according to the occupation, 68.4% of all reasearch subjects thought that the appropriate toothbrushing time was around 3 minutes (p = .043), and it showed significant difference statistically. 7. In case of he relationship between reseach subjects taking the periodic examination and the Oral Health knowledge, it did not show significant difference statistically.
Kang, Kyung-Ah;Kim, Hyun Sook;Kwon, So-Hi;Nam, Mi Jung;Bang, Kyung-Sook;Yu, Su Jeong;Jung, Yun;Choi, Sung Eun;Chung, Bok-Yae
Journal of Hospice and Palliative Care
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v.17
no.4
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pp.289-300
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2014
Purpose: The aim of this research was to explore nurses' knowledge of and attitudes toward pediatric palliative care (PPC) in Korea. Methods: A descriptive cross-sectional design was used. A total of 196 participants were recruited from the ELNEC-PPC course held in Seoul, Korea. All participants completed a 20-item survey questionnaire which assessed knowledge of and attitudes toward PPC using a 7-point Likert scale. Results: Nurses' knowledge of PPC correlated with their educational level and work experience in the pediatric unit and hospice care unit. The work experience in the pediatric unit, career length in PPC and completion of palliative education course made differences in the attitudes toward PPC. Married nurses scored significantly higher on the parental rights in determining palliative care service for their child, and nurses with master's degree or higher showed a higher level of understanding of and attitudes toward the differences between PPC and adult palliative care. Conclusion: The factors influencing nurses' knowledge of and attitudes toward PPC need be considered to develop a pediatric palliative training program.
Purpose: The aim of the present exploratory study was to evaluate extraction socket healing at sites with a history of periodontal and endodontic pathology. Methods: The mandibular 4th premolar teeth in 5 adult beagle dogs served as experimental units. Periodontal and endodontic lesions were induced in 1 premolar site in each animal using wire ligatures and pulpal exposure over 3 months (diseased sites). The contralateral premolar sites served as healthy controls. The mandibular 4th premolar teeth were then extracted with minimal trauma, followed by careful wound debridement. The animals were sacrificed at days 1, 7, 30, 60, and 90 post-extraction for analysis, and the healing patterns at the healthy and diseased extraction sites were compared using radiography, scanning electron microscopy, histology, and histometry. Results: During the first 7 days of healing, a significant presence of inflammatory granulation tissue was noted at the diseased sites (day 1), along with a slightly accelerated rate of fibrin clot resolution on day 7. On day 30, the diseased extraction sites showed a greater percentage of persistent fibrous connective tissue, and an absence of bone marrow formation. In contrast, healthy sites showed initial signs of bone marrow formation on day 30, and subsequently a significantly greater proportion of mature bone marrow formation on both days 60 and 90. Radiographs exhibited sclerotic changes adjoining apical endodontic lesions, with scanning electron microscopy showing collapsed Volkmann canals protruding from these regions in the diseased sites. Furthermore, periodontal ligament fibers exhibited a parallel orientation to the alveolar walls of the diseased sites, in contrast to a perpendicular arrangement in the healthy sites. Conclusions: Within the limitations of this study, it appears that a history of periodontal and endodontic pathology may critically affect bone formation and maturation, leading to delayed and compromised extraction socket healing.
The purposes of this descriptive study were to identify the prevalence rate of urinary incontinence(UI) and the differences in frequency of incontinent and normal women by general characteristics, obstetrical history, and the conditional events for urinary incontinence of the elderly women in a community. By the results of this study, it is intended to provide nursing practice guidelines for incontinent women. The research design of this study was a preliminary descriptive study. The 173 subjects were 55 years old and over, and resided in a small city area. Data were collected from June 20 to July 20, 2001, by an interview or a self-report with questionaire. The questionaire was composed of items of general characteristics, obstetrical characteristics, and conditions of UI by the modified Henderickon's Stress Incontinence Scale(1981). The results were summariezed as follows: 1. The UI prevalence rate of the sample was 64.2%. Of the incontinent women, 31.5% had experienced UI for a period of three to five years, and 84.7% had never treated or managed their UI. Frequency of UI was once or twice times per month(46.8%). 2. The total mean of UI on the scale in the incontinent women was 25.50 of 85, ranging from 18 to 41. 3. The most frequent condition of UI was coughing, followed by laughing, sneezing, heavy exercise, and preparation of urination in descending order. 4. There were significant differences in age, education, social activity, and urinary difficulty between the incontinent women and the normal women. 5. There were significant differences in frequency of spontaneous abortion, age of menopause between the incontinent women and the normal women. 6. There were no significant differences in number of delivery, frequency of artificial abortion, age of the last delivery, and postal health management between the incontinent women and the normal women. In conclusion, the incidence of UI in this study was high, but there were no effective treatments or management. It is suggested to provide the adult women with knowledge about UI, and to educate preventive behavior and control skill of urinary incontinence. Also episodes of urinary incontinence were high in the situation of sudden increase of abdominal pressure. This data can be used for the prevention strategy of urinary incontinence, In future research it is recommended to identify comprehensive factors related to urinary incontinence including psychosocial factors, and effective strategies of urinary incontinence.
The purpose of this study was to examine the awareness and knowledge of school organizational members about peridontal diseases, their belief in the diseases, attitude and periodontal health in an effort to provide some information on how to ensure successful oral health education and incremental dental care. The subjects in this study were the selected patients who visited school dental clinics. Their ideas of periodontal diseases and periodontal health were analyzed to determine the influential factors. They got a mean of 2.77 in awareness of the epidemiologic characteristics of periodontal diseases, 2.97 in knowledge on the initial symptoms of gingivitis, 2.90 in awareness of the causes of periodontal diseases, 2.95 in awareness of the prevention and treatment of peridontal diseases, and 3.04 in belief in periodontal diseases and attitude. Thus, they had a good understanding and knowledge of periodontal diseases, and they had the right belief and the right attitude as well. They scored relatively lower in several items of periodontal diseases: awareness of tooth loss caused by aging, awareness of the relationship of food to the prevention and occurrence of periodontal diseases, the relationship between toothbrushing time and gingival health, the right toothbrushing method and the right way of dental care.
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.12
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pp.173-181
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2017
This study was conducted to investigate the effects of sociocultural attitude toward appearance, social pressure, and stress on university students' body figure discrepancy. A total of 363 students were recruited from a university in C and A city. Data were collected by self-reported questionnaires from Oct 27 to Dec 9, 2016. Statistical analyses of the collected data were conducted using SPSS 20.0 and consisted of descriptive statistics, Pearson's correlation, and multiple regression. A positive relationship was observed between body figure discrepancy and female's sociocultural attitude toward appearance (r=.406, p=.006), peer pressure (r=.197, p<.001), parental pressure (r=.176, p=.002), and stress (r=.218, p<.001). Body figure discrepancies increased with peer pressure (${\beta}=.159$, p=.007), stress (${\beta}=.186$, p=.002), and BMI (${\beta}=.186$, p=.002), and these factors accounted for 10.9% of the body figure discrepancy. To reduce body figure discrepancy, it is necessary to develop health education and promotion programs that enable university students to manage weight and stress for health maintenance and to have positive self-assessment without being hurt by other people's view or evaluation.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.3
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pp.529-536
/
2020
This study aims to provide the basic data for coffee intake and health promotion by examining the conditions in which Korean adults consume the most coffee. The study used raw data from the second year of the 7th National Health and Nutrition Examination Survey (2017), and 3,325 subjects who were 19 years of age or older and who were not missing the required values. This number used as the average amount of coffee drank per day in the past year is at least one cup. In order to identify factors that affect coffee intake, the model included general characteristics such as gender, age, household income, education level, occupation, health behaviors such as smoking, drinking, high intensity and moderate intensity exercises, walking, physical activity during work and leisure, sleep time, stress and depression. The results showed that coffee intake was lower among women than men, coffee intake was higher for people 40-64 years than people 20-39 years old, physical occupations rather than non-physical occupations, smokers rather than non-smokers, and for high stress rather than low stress in life. Subjects with these factors are considered to be at risk of excessive caffeine intake from coffee. The risk group of this study should be studied for the effect of excessive consumption of coffee on personal health.
Music has a vital meaning in peoples' lives, mostly as a communication medium for thoughts and feelings. Because music is nonthreatening and nonjudgmental, its viability works for everyone. The purpose of this research is firstly to compare the effectiveness of existing social rehabilitation program and music integrated social rehabilitation program for people with mental retardation. Secondly, the study purported to find out if the music integrated social rehabilitation program was effective, then how various musical activities can assist communication and expression, and further assist social interactions among the people with mental retardation. The data were collected using Emotions Assessment Tool, Social Skills Assessment, and Skills development in Music were used. Also, verbal contents, voices, gestures, nonverbal expressions were observed and analyzed. As the result, it is shown that the music integrated social rehabilitation program has enhanced communicative and expressive skills of adults with mental retardation, and further improved social interactive skills. This implies that music had positive effects to the mental patients on their social relationship activities, than the program without music integration. The results support previous findings that music can be an effective communicative and expression tool.
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