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Distress and Associated Factors in Patients with Breast Cancer Surgery : A Cross-Sectional Study (유방암 수술환자의 디스트레스 및 연관인자 : 단면연구)

  • Lee, Sang-Shin;Rim, Hyo-Deog;Woo, Jungmin
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.77-85
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    • 2018
  • Objectives : This study aimed to investigate the level of distress using the distress thermometer (DT) and the factors associated with distress in postoperative breast cancer (BC) patients. Methods : DT and WHOQOL-BREF (World Health Organization Quality of Life Scale Abbreviated Version) along with sociodemographic variables were assessed in patients undergoing surgery for their first treatment of BC within one week postoperatively. The distress group consisted of participants with a DT score ${\geq}4$. The prevalence and associative factors of distress were examined by descriptive, univariable, and logistic regression analysis. Results : Three hundred seven women were recruited, and 264 subjects were finally analyzed. A total of 173 (65.5%) were classified into the distress group. The distress group showed significantly younger age (p=0.045), living without a spouse (p=0.032), and worse quality of life (QOL) as measured by overall QOL (p=0.009), general health (p=0.005), physical health domain (p<0.000), and psychological health domain (p=0.002). The logistic regression analysis showed that patients aged 40-49 years were more likely to experience distress than those aged ${\geq}60years$ (Odds ratios [OR]=2.992, 95% confidence interval [CI] 1.241-7.215). Moreover, the WHOQOL-BREF physical health domain was a predictive factor of distress (OR=0.777, 95% CI 0.692-0.873). Conclusions : A substantial proportion of patients are experiencing significant distress after BC surgery. It would be expected that distress management, especially in the middle-aged patients and in the domain of physical QOL (e.g., pain, insomnia, fatigue), from the early BC treatment stage might reduce chronic distress.

Characters of Fracture-filling Minerals in the KURT and Their Significance (한국원자력 연구원 지하처분연구시설(KURT)의 단열충전광물 특성과 그 의미)

  • Lee, Seung-Yeop;Baik, Min-Hoon
    • Journal of the Mineralogical Society of Korea
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    • v.20 no.3
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    • pp.165-173
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    • 2007
  • The KAERI Underground Research Tunnel (KURT) located in KAERI (Korea Atomic Energy Research Institute) was recently constructed following the site investigation in 2003. Its dimension is 180 m in length, 6 m in width, and 6 m in height, and it has a horseshoe-like cross-sec-lion and is located in the ground to the depth of 90 m. When the tunnel was dug into the ground with 100 m in length, fresh rocks, weathered rocks and fracture-filling materials were taken and examined by mineralogical and chemical analyses. There are phyllosilicate minerals such as illite, smectite and chlorite including calcite, which are filling some faults and cracks of the KURT rock. The illite and smectite usually coexist in the fracture, where their content ratio is different according to which mineral is predominant. There are high concentrations of U and Th in the rocks coated with iron-oxides and filled with secondary materials as compared with those in the fresh rocks. It seems that the radionuclides, which are slowly leached from the parent rocks or exist as a dissolved form in the groundwater and hydrothermal solution, may have been migrated along the fractures and thereafter selectively sorbed and coprecipitated on the iron-oxides and the fracture-filling materials. These results will be very useful far the evaluation of environmental factors affecting the nuclides migration and retardation when long-term safety is considered to the geological disposal of high-level radioactive wastes in the future.

A Comparison of Stainless-Steel File and MFile-System® Ni-Ti Rotary Instrument in Canal Preparation using Dental Computed Tomography (치과용 단층촬영을 이용한 Stainless-Steel File과 MFile-System® 전동식 기구의 근관 성형 능력에 대한 비교 연구)

  • Seo, Dong-Jin;Yoon, Mi-Ran;Lee, Rin;Yu, Mi-Kyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.2
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    • pp.173-180
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    • 2006
  • Objectives The aim of this study is to compare the quality of root canal preparation completed using MFile-$System^{(R)}$ instrument ( Komet, Gebr.Brsaseler, Germany) and conventional stainless steel file in the canals of Maxillary molar teeth that had a canal curvature between $25^{\circ}$ or more Materials & Methods Buccal canals of 24 first and second maxillary molar teeth, extracted for periodontal and prosthetic reasons were used. Tissue fragments and calcified debris were removed from teeth by scaling and the teeth were stored in 10% formalin solution for 24 hour. Then, teeth were stored in saline until used. To be included the roots had to have completed formed apices and angle of curvature ranging between $25^{\circ}$ or more according to the criteria described by Schneider(1971). Palatal and Second mesiobuccal canals were not included. Teeth were embedded into transparent acrylic. The teeth were randomly divided into two experimental groups. All teeth were scanned by Dental CT (PSR9000N, Asahi, Japan) to determine the root canal shape before instrumentation. Image slices were prepared from the apical end point to the pulp chamber. The first two sections were 2 mm from the apical end of root and 2 mm below the orifice. Further section was recorded, dividing the distance between the sections of apical and coronal levels into two equal lengths. 12 teeth were instrumented using stainless steel fileand another 12 teeth were instrumented using MFile-$System^{(R)}$. Following the completion of the instrumentation, the teeth were again scanned and compared with the cross sectional images taken prior to canal preparation. Amount of transportation and centering ability was assessed. Student's t-test was used for statistical analysis. Result Less transportation occurred with MFile-$System^{(R)}$ rotary instrumentation than stainless steel instrument. MFile-$System^{(R)}$ had better centering ability than stainless steel instrument. Conclusion MFile-$System^{(R)}$ rotary instrumentation transported canals less and had good centering ability.

Impact of Emissions from Major Point Sources in Chungcheongnam-do on Surface Fine Particulate Matter Concentration in the Surrounding Area (충남지역 대형 점오염원이 주변지역 초미세먼지 농도에 미치는 영향)

  • Kim, Soontae;Kim, Okgil;Kim, Byeong-Uk;Kim, Hyun Cheol
    • Journal of Korean Society for Atmospheric Environment
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    • v.33 no.2
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    • pp.159-173
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    • 2017
  • The Weather Research and Forecast (WRF) - Community Multiscale Air Quality (CMAQ) system was applied to investigate the influence of major point sources located in Chungcheongnam-do (CN) on surface $PM_{2.5}$ (Particulate Matter of which diameter is $2.5{\mu}m$ or less) concentrations in its surrounding areas. Uncertainties associated with contribution estimations were examined through cross-comparison of modeling results using various combinations of model inputs and setups; two meteorological datasets developed with WRF for 2010 and 2014, and two domestic emission inventories for 2010 and 2013 were used to estimate contributions of major point sources in CN. The results show that contributions of major point sources in CN to annual $PM_{2.5}$ concentrations over Seoul, Incheon, Gyeonggi, and CN ranged $0.51{\sim}1.63{\mu}g/m^3$, $0.71{\sim}1.62{\mu}g/m^3$, $0.63{\sim}1.66{\mu}g/m^3$, and $1.04{\sim}1.86{\mu}g/m^3$, respectively, depending on meteorology and emission inventory choice. It indicates that the contributions over the surrounding areas can be affected by model inputs significantly. Nitrate was the most dominant $PM_{2.5}$ component that was increased by major point sources in CN followed by sulfate, ammonium, and others. Based on the model simulations, it was estimated that primary $PM_{2.5}$ $(PPM)-to-PM_{2.5}$ conversion rates were 41.3~50.7 ($10^{-6}{\mu}g/m^3/TPY$) for CN, and 12.4~18.3 ($10^{-6}{\mu}g/m^3/TPY$) for Seoul, Incheon, and Gyeonggi, respectively. In addition, spatial gradients of PPM contributions show very steep trends. $NO_X$-to-nitrate conversion rates were 7.61~12.3 ($10^{-6}{\mu}g/m^3/TPY$) for CN, and 3.94~11.3 ($10^{-6}{\mu}g/m^3/TPY$) for the sub-regions in the SMA. $SO_2$-to-sulfate conversion rates were 4.04~5.28 ($10^{-6}{\mu}g/m^3/TPY$) for CN, and 3.73~4.43 ($10^{-6}{\mu}g/m^3/TPY$) for the SMA, respectively.

Notes on Powdery mildew of Ailanthus altissima caused by Phyllactinia corylea (Pers.) Karst (Phyllactinia corylea (Pers.) Karst에 의(依)한 가중나무 흰가루병(病))

  • Kim, Ki Chung
    • Journal of Korean Society of Forest Science
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    • v.4 no.1
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    • pp.9-13
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    • 1965
  • Powdery mildew of Ailanthus altissima Sw. was first reported by J.S. Park in Korea, 1961. According to his report, this disease was found on the leaves of this tree species collected in Jeongup, 1957, and in Taejon, 1958. He described morphological characters of this pathogen and described also that the causal fungus may be closely related with Phyllactinia corylea. This disease which appears dusty grayish yellow molds under surface of leaves was collected again by the author in Kwangju, 1962. The present works were undertaken to make clear the species of causal fungus by means of the morphology and pathogenecity. According to the following results, the pathogen was identified as Phyllactinia corylea (Pers.) Karst. Morphological characters of the fungus Mycelia persistent or more or less evanescent; matured conidia solitary, aseptate, short-clavate to clavate to clavate, hyaline or yellowish, granulate, $44.6-89.2{\times}9.3-24.2{\mu}$, average $64.8-17.8{\mu}$ in size; conidiophores elongate clavate or columnar, hyaline, 2-3 septate, $122.8-346.0{\times}3.7-7.4{\mu}$, average $208.8{\times}6.3{\mu}$; per-thecia usually scattered, rarely gregarious, dark brown to black, depressed globose to globose, $223.2-297.6{\mu}$, average $267.8{\mu}$ in diameter; appendages 12-19, usually 15 in number, hyaline, straight, needle-shaped, sharply pointed at the apex and bulbous at the base, aseptate, $93.0-310.0{\times}5.0-8.0{\mu}$, average $173.3{\times}6.4{\mu}$ in size; asci elongate ellipsoidal to broadly clavate, hyaline, more or less stalked, 8-13 in number, $68.5-76.6{\times}26.1-34.2{\mu}$, average $71.4{\times}29.0{\mu}$ in size; ascospores 2-4, usually 2 in number, hyaline or yellowish, aseptate, ellipsoidal or ovate, $27.7-34.2{\times}14.7-17.9{\mu}$, average $25.5{\times}13.9{\mu}$ in size. Pathogenicity of the fungi In order to make clear the species of the fungus and the pathogenic differences of Phyllactinia fungi which are collected around the contaminated area and seemed to be related to Ailanthus powdery mildew, some inoculation experiments were performed. 1. Cross inoculation to several tree species with their pathogen: Tested materials; Phyllactinia in question on Ailanthus altissima Sw. Ph. fraxini (DC.) Homma. On Alnus firma S. et Z. Ph. moricola (P. Henn.) Homma on morus alba L. According to the results of the experiments, the reactions were all negative with the exception of the original hosts of tested fungi. 2. Inoculation to Picrasma ailanthoides Planch. : The appearance of symptom on the leaves of P. ailanthoides is not distinct, but more or less mycelial growth. Therefore, under the optimal condition in glass chamber, it may be possible to success artificially.

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Clinical Results of Different Myocardial Protection Techniques in Aortic Stenosis

  • Lee, Jung Hee;Jeong, Dong Seop;Sung, Kiick;Kim, Wook Sung;Lee, Young Tak;Park, Pyo Won
    • Journal of Chest Surgery
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    • v.48 no.3
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    • pp.164-173
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    • 2015
  • Background: Hypertrophied myocardium is especially vulnerable to ischemic injury. This study aimed to compare the early and late clinical outcomes of three different methods of myocardial protection in patients with aortic stenosis. Methods: This retrospective study included 225 consecutive patients (mean age, 65{\pm}10 years; 123 males) with severe aortic stenosis who underwent aortic valve replacement. Patients were excluded if they had coronary artery disease, an ejection fraction <50%, more than mild aortic regurgitation, or endocarditis. The patients were divided into three groups: group A, which was treated with antegrade and retrograde cold blood cardioplegia; group B, which was treated with antegrade crystalloid cardioplegia using histidine-tryptophan-ketoglutarate (HTK) solution; and group C, treated with retrograde cold blood cardioplegia. Results: Group A contained 70 patients (31.1%), group B contained 74 patients (32.9%), and group C contained 81 patients (36%). The three groups showed significant differences with regard to the proportion of patients with a New York Heart Association functional classification ${\geq}III$ (p=0.035), N-terminal pro-brain natriuretic peptide levels (p=0.042), ejection fraction (p=0.035), left ventricular dimensions (p<0.001), left ventricular mass index (p<0.001), and right ventricular systolic pressure (p <0.001). Differences in cardiopulmonary bypass time (p=0.532) and aortic cross-clamp time (p=0.48) among the three groups were not statistically significant. During postoperative recovery, no significant differences were found regarding the use of inotropes (p=0.328), mechanical support (n=0), arrhythmias (atrial fibrillation, p=0.347; non-sustained ventricular tachycardia, p=0.1), and ventilator support time (p=0.162). No operative mortality occurred. Similarly, no significant differences were found in long-term outcomes. Conclusion: Although the three groups showed some significant differences with regard to patient characteristics, both antegrade crystalloid cardioplegia with HTK solution and retrograde cold blood cardioplegia led to early and late clinical results similar to those achieved with combined antegrade and retrograde cold blood cardioplegia.

An Analysis of Proportional Reasoning of Elementary School Students - Focused on Sixth Graders - (초등학생들의 비례 추론 전략 분석 -6학년을 중심으로-)

  • Jung, Yoo Kyung;Chong, Yeong Ok
    • Journal of Elementary Mathematics Education in Korea
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    • v.19 no.4
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    • pp.457-484
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    • 2015
  • This study aims to investigate an approach to teach proportional reasoning in elementary mathematics class by analyzing the proportional strategies the students use to solve the proportional reasoning tasks and their percentages of correct answers. For this research 174 sixth graders are examined. The instrument test consists of various questions types in reference to the previous study; the proportional reasoning tasks are divided into algebraic-geometric, quantitative-qualitative and missing value-comparisons tasks. Comparing the percentages of correct answers according to the task types, the algebraic tasks are higher than the geometric tasks, quantitative tasks are higher than the qualitative tasks, and missing value tasks are higher than the comparisons tasks. As to the strategies that students employed, the percentage of using the informal strategy such as factor strategy and unit rate strategy is relatively higher than that of using the formal strategy, even after learning the cross product strategy. As an insightful approach for teaching proportional reasoning, based on the study results, it is suggested to teach the informal strategy explicitly instead of the informal strategy, reinforce the qualitative reasoning while combining the qualitative with the quantitative reasoning, and balance the various task types in the mathematics classroom.

Analysis of Assessment Types, Scoring Methods and Reliability of Science Performance Assessment in Middle and High School (중등학교 과학 수행평가의 평가 유형과 채점 방식 및 신뢰도 분석)

  • Lee, Ki-Young;An, Hui-Soo
    • Journal of The Korean Association For Science Education
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    • v.25 no.2
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    • pp.173-183
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    • 2005
  • In this study, we questioned what assessment types and scoring methods of science performance assessment(SPA) were being used in middle and high school, and how much these SPA scores were reliable(generalizable). To answer these questions, SPA data obtained from the seven schools were classified according to assessment type and scoring method. Based upon this classification, we analyzed the reliability by applying generalizability theory. The result, from the classification of assessment type and scoring method, showed that SPA types of the seven schools were divided into two types: paper-pencil type and task type. Paper-pencil type included answer(content)-restricted essay-type test solely. Task type has two parts: process and outcome assessment. As the results of analyzing scoring methods of the seven schools, there were two cases in the way of scoring methods: one case is scoring all essay-type items and performance tasks by one teacher, the other is scoring assigned performance tasks by two teachers. But the case of scoring assigned essay-type items or the case of cross scoring by two or more teachers were not found. The findings of the reliability analysis are as follows: (1) Effect of essay-type item to SPA score was larger than that of performance task. (2) There was remarkable difference among the seven schools' interaction effect of person and rater in scoring performance tasks. (3) Most of generalizability(reliability) coefficients of SPA for the seven schools were smaller than the acceptable generalizability coefficient(0.80). Therefore, the population of statistical parameters such as number of item, task and rater, should be increased for approaching the acceptable generalizability level.

Trends in Research Papers Published in the Journal of Korean Public Health Nursing from 2001 to 2010 (한국보건간호학회지 게재 논문분석 - 2001년부터 2010년도까지 -)

  • Yang, Sook-Ja;Ham, Ok-Kyung;Han, Suk-Jung;Lee, Young-Sook;Han, Young-Ran;Baek, Hee-Chong;Shim, Moon-Sook;Kwon, Myung-Soon;Kim, Gwang-Suk;Suk, Min-Hyun;Im, Mi-Lim
    • Journal of Korean Public Health Nursing
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    • v.25 no.2
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    • pp.153-173
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    • 2011
  • Purpose: This study was conducted to analyze trends in research papers published in the Journal of Korean Public Health Nursing, and to compare and contrast similarities and differences of papers before and after listing in the Korea Citation Index (KCI) in 2007. Methods: A descriptive study was conducted with 266 published studies during the 10-year period. The criteria for analysis included types of research, characteristics of researchers and participants, designs, data collection methods and study instruments, ethical considerations, data analysis, and keywords. Results: Studies conducted with grants constituted 23.7%, and students (32.3%) and general populations (25.2%) comprised the largest proportion of the study participants. The majority of the papers were quantitative research (93.2%), and self-reported methods (63.1%) were most frequently utilized. Seventy percent of the studies obtained verbal consent from the participants. Among the study instruments, psychosocial indicators (41.1%) were most frequently employed. The trends indicated that grant studies, students and general populations as study participants, and experimental studies increased, and use of written consent increased after KCI registration. Conclusions: The results could be used to understand the context of scientific research and to improve the quality of the research papers published in the Journal of Korean Public Health Nursing.

The Factors Related to the Non-Practice of Cancer Screening in Cancer Survivors: Based on the 2007-2012 Korean National Health and Nutrition Examination Survey (암생존자의 암검진 미수검 관련 요인분석: 국민건강영양조사(2007-2012년) 자료 이용)

  • Yang, Song-Ei;Han, Nam-Kyung;Lee, Sun-Mi;Kim, Tae-Hyun;Chung, Woojin
    • Health Policy and Management
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    • v.25 no.3
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    • pp.162-173
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    • 2015
  • Background: The aim of the current study was to investigate the factors related to the non-practice of cancer screening in cancer survivors, who are at high risk of developing second cancers. Methods: This study is a cross-sectional analysis of 1,125 cancer survivors ${\geq}19$ years old who participated in the Korean National Health and Nutrition Examination Surveys IV and V (2007-2012). A Rao-scott chi-square test and a survey logistic regression analysis were employed respectively to analyze the difference of cancer survivors in cancer screening by each characteristic and the factors related to the non-practice of cancer screening in cancer survivors. Results: Among total subjects, 33.5% did not participate in cancer screening in the last two years. Results from a fully adjusted logistic model showed that the non-practice of cancer screening in cancer survivors was significantly associated with variables such as sex, age, marital status, education level, monthly income, and drinking a alcoholic beverage Specifically, the odds ratio of non-practice of cancer screening was higher in males than in females, in the younger group than in older group, in the group with no spouse than in the group with a spouse; in a group with a low level of education than in a group with a high level of education; in a group with the lowest income level than in a group with the other levels of income; or in non-drinkers than in drinkers. Conclusion: Health policies to reduce the non-practice rate of cancer screening in cancer survivors should be designed and implemented with close attention to cancer survivors' socio-economic characteristics such as sex, age, marital status, education, and income, along with a health behavioral characteristic as drinking.