• Title/Summary/Keyword: Cross-Sectional Studies

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The Association Among the Fear of COVID-19, Depression, Risk Perception, Health Belief, and Preventive Health Behaviors Related to COVID-19 Among University Students in Jeonbuk Region (전북지역 대학생의 COVID-19에 대한 두려움, 우울, 위험인식, 건강신념과 예방적 건강행위의 연관성)

  • Kim, Ho-Rim;Kwon, Joo-Han;Park, Jong-Il;Chung, SangKeun
    • Anxiety and mood
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    • v.18 no.2
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    • pp.92-100
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    • 2022
  • Objective : The purpose of this study was to investigate the association among the fear of COVID-19, depression, risk perception, health belief, and preventive health behaviors related to COVID-19 among university students in Jeonbuk region. Methods : A cross-sectional study was conducted using an online questionnaire survey. The questionnaire included The Korean Version of Fear of COVID-19 Scale, the Korean Version of the Patient Health Questionnaire-9, and measurement tools adapted from previous studies for risk perception, health belief, and preventive health behaviors of subjects. We analyzed data using Pearson's correlation analysis, confirmatory factor analysis, and path analysis using SPSS 22 and AMOS 21. Results : The fear of COVID-19 showed significant positive influence on health belief as well as risk perception. Depression had a significant negative impact on preventive health behaviors and risk perception. Health belief showed a significant positive impact on preventive health behavior. Conclusion : Rresults revealed that the higher the level of depression was, the lower risk perception and performance of preventive health behavior were among university students in Jeonbuk region. As the level of the fear of COVID-19 became higher, the level of health belief and risk perception became higher. The higher the level of health belief was, the higher the performance level of preventive health were. Thus, it is prudent to increase the level of health belief, and lower the level of depression, in promoting preventive health behavior.

Impact of COVID-19 Pandemic on Psychological Well-Being of Firefighters

  • Elisabetta Riccardi;Luca Fontana ;Daniela Pacella;Fabio Fusco;Ilaria Marinaro;Giovanna Costanzo;Francesco Vassallo ;Maria Triassi ;Ivo Iavicoli
    • Safety and Health at Work
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    • v.14 no.3
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    • pp.317-324
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    • 2023
  • Background: COVID-19 pandemic represented a unique stressful event that affected the physical health and psychological well-being (PWB) of individuals and communities. Monitoring PWB is essential not only to clarify the burden on mental health effects but also to define targeted psychological-supporting measures. This cross-sectional study evaluated the PWB of Italian firefighters during the pandemic. Methods: Firefighters recruited during the pandemic period filled out a self-administered questionnaire, the Psychological General Well-Being Index, during the health surveillance medical examination. This tool is usually used to assess the global PWB and explores six subdomains: anxiety, depressed mood, positive well-being, self-control, general health, and vitality. The influencing roles of age, gender, working activities, COVID-19, and pandemic restrictive measures were also explored. Results: A total of 742 firefighters completed the survey. The aggregate median PWB global score was in the 'no distress"" range (94.3 ± 10.3), which was higher than that observed in studies conducted using the same tool in the Italian general population during the same pandemic period. Similar findings were observed in the specific subdomains, thus suggesting that the investigated population was in good PWB condition. Interestingly, significantly better outcomes were detected in the younger firefighters. Conclusion: Our data showed a satisfactory PWB situation in firefighters that could be related to different professional factors such as work organization and mental and physical training. In particular, our results would suggest the hypothesis that in firefighters, maintaining a minimum/moderate level of physical activity (consisting of even just going to work) might have a profoundly positive impact on psychological health and well-being.

Periodontal health status, oral microbiome, white-spot lesions and oral health related to quality of life-clear aligners versus fixed appliances: A systematic review, meta-analysis and meta-regression

  • Ana Sandra Llera-Romero;Milagros Adobes-Martin;Jose Enrique Iranzo-Cortes;Jose Maria Montiel-Company;Daniele Garcovich
    • The korean journal of orthodontics
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    • v.53 no.6
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    • pp.374-392
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    • 2023
  • Objective: Assess and evaluate the different indicators of oral health-related quality of life (OHRQoL) among patients treated with clear aligners (CAs) versus those treated with conventional fixed orthodontics (FAs). Methods: An electronic search was performed on the database is Web of Science, Scopus, and Embase databases. Randomized and non-randomized control trials, cross-sectional, prospective cohort and retrospective trials were included. Quality was assessed with risk of bias tool and risk of bias in non-randomised studies. Meta-analyses were performed with random effects models, estimating the standardized and non-standardized mean differences, odds ratio and risk ratio as the measure of effect. The effect on time was determined using a meta-regression model. Results: Thirty one articles were included in the qualitative synthesis and 17 in the meta-analysis. CAs had a significantly lower negative impact on QoL, with an "important" effect size, while the influence of time was not significant. Periodontal indicators plaque index (PI), gingival index (GI), probing depth (PD), and bleeding on probing show significantly better values in patients treated with CAs, with moderate to large effect sizes. PI and GI have a significant tendency to improve over time. In microbiological indicators, CAs present a lower biofilm mass without differences in the percentage of patients with high counts of Streptococcus mutans and Lactobacilli bacteria. The risk of white spot lesion onset is ten times lower in carriers of CAs. Conclusions: Patients wearing CAs show better periodontal indicators, less risk of white spot development, less biofilm mass and a better QoL than patients with FAs.

The formation and change of adolescents' delinquent behavior (청소년 일탈행동의 형성과 변화에 대한 고찰)

  • Young-Shin Park;Uichol Kim
    • Korean Journal of Culture and Social Issue
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    • v.9 no.1
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    • pp.81-114
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    • 2003
  • This study examines the basis and change of delinquent behavior among Korean adolescents. Theoretical framework was developed and qualitative analysis of delinquency behavior was examined. In order to understand the basis and change of juvenile delinquency, the influence of family environment, school environment and individual factors were investigated through cross-sectional and longitudinal studies. The results of the findings can be summarized into the following six main points: 1) two subcultures of adolescent functioning could be ascertained, 2) the decrease in social support and increase in moral disengagement were directly related to a rise in juvenile delinquency, 3) family disintegration contributed to juvenile delinquency, 4) peer influence help to raise juvenile delinquency, 5) schools were unable to give hope to those students who were not doing well in school and were ineffective in dealing with juvenile delinquents, and 6) the phenomenon of juvenile delinquency points to the importance of opening up the closed school system and closed society, allowing individual diversity and skills to be recognized.

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Associations of dietary vitamin A and C intake with asthma, allergic rhinitis, and allergic respiratory diseases

  • Carolina Garcia-Garcia;Minju Kim;Inkyung Baik
    • Nutrition Research and Practice
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    • v.17 no.5
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    • pp.997-1006
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    • 2023
  • BACKGROUND/OBJECTIVES: Asthma and allergic rhinitis (AR) are closely related and considered as allergic respiratory diseases (ARD), and their prevalence has recently increased. Data on the association of dietary antioxidant vitamin intake with asthma and AR in adults are limited. The present study aimed to investigate the associations of vitamin A and C intake with asthma, AR, and all cases of both diseases in young adults who participated in a cross-sectional national survey, with the use of high-sensitivity C-reactive protein (hs-CRP) level as an effect modifier. SUBJECTS/METHODS: This study included 6,293 male and female adults aged 20-49 years from the Korea National Health and Nutrition Examination Survey (KNHANES) conducted between 2016 and 2018. The questionnaire-based reports on asthma and AR diagnosis were used to determine outcome variables. Further, 24-h recall data on dietary vitamin A and C, carotene, and retinol intake were acquired. Logistic regression analysis was performed to calculate odds ratios (ORs) and 95% confidence interval (CI). RESULTS: Dietary vitamin C intake was inversely associated with asthma prevalence among participants with hs-CRP levels (≥ 1 mg/L); the OR of asthma prevalence was 0.27 (95% CI, 0.08-0.84) for participants with vitamin C consumption ≥ 75 mg/day compared with those consuming < 20 mg/day. Similar association analyses limiting to non-users of dietary supplements were performed to rule out the potential effects of supplement intake on the outcomes; results showed a stronger association. However, the association between vitamin C and asthma was not significant in participants with hs-CRP levels < 1 mg/L; the OR of asthma was 1.44 (95% CI, 0.66-3.16) for participants with vitamin C consumption ≥ 75 mg/day compared with those consuming < 20 mg/day. Vitamin C intake was not associated with AR. Moreover, there was no association between vitamin A intake and neither asthma nor AR. CONCLUSIONS: These findings suggest that higher vitamin C intake may play a potential role in reducing asthma prevalence. Nevertheless, further studies should be conducted to evaluate whether this association is causal.

Investigation of the association between sleep problems and food allergies in preschool children with/without siblings: a cross-sectional study in Chongqing, China

  • Tingting Wu ;Mi Jeong Kim
    • Journal of Nutrition and Health
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    • v.56 no.5
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    • pp.523-536
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    • 2023
  • Purpose: This study investigated the association between sleep problems and food allergies (FAs) in Chinese preschoolers and assessed whether there is a difference in this association among children with/without siblings. Methods: A cluster-stratified sampling approach was employed to select four districts in Chongqing based on demographic considerations. A total of 16 kindergartens (n = 966 parents) participated in this study. Parents completed the Children's Sleep Habits Questionnaire (CSHQ) and a standard FAs questionnaire. Analysis of covariance and multiple logistic regression were used to assess the associations between sleep problems and FAs after adjusting for relevant confounders. Results: The study found that 16.3% of children had FAs, with eggs, shellfish, and fruit being the most common allergenic foods. The prevalence of FAs was significantly higher in single children (20.63%) than in children with siblings (13.36%). A total of 70.39% of children had CSHQ scores above the clinical cut-off for sleep disorder. Factor analysis revealed five underlying dimensions from the CSHQ. Factor scores, except for the 'difficulty morning waking' factor, were not significantly different between the two groups. Remarkably, the factor scores of 'parasomnias' and 'sleep anxiety' were significantly higher when children had both siblings and FAs. For all subjects, the odds ratios (ORs) of FAs significantly increased with the presence of sleep disorder (OR, 2.35; 95% confidence interval [CI],1.50-3.68) and 'difficulty falling asleep' (OR, 1.34; 95% CI, 1.22-1.48). The subgroup analysis showed that the probability of FAs significantly increased with the 'difficulty falling asleep' (OR, 1.32 vs. 1.38) and sleep disorder (OR, 2.48 vs. 2.14) in children with and without siblings, respectively. The 'parasomnias' was positively associated only with children with siblings. Conclusion: This study suggests that children with siblings might be more susceptible to FAs when accompanied by certain sleep problems. Further studies are warranted to address the underlying dimensions and possible mediation effects of having siblings with sleep problems.

Assessment of infection control in oral radiology during the COVID-19 outbreak: An international collaborative study

  • Rafaela C Santos;Larissa S Araujo;Rafael B Junqueira;Eliana D Costa;Fernanda M Pigatti;Kivanc Kamburoglu;Pedro HB Carvalho;Manuela LB Oliveira;Sibele N Aquino;Francielle S Verner
    • Imaging Science in Dentistry
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    • v.53 no.4
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    • pp.365-373
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    • 2023
  • Purpose: In the context of COVID-19, studies evaluating the adherence of dentists and dental students to infection control are relevant due to their high occupational exposure and risk, as well as their responsibility for disseminating information and good practices. This study evaluated the adherence of dentists and dental students to infection control in the oral radiology field in the setting of the COVID-19 pandemic on different continents. Materials and Methods: This cross-sectional observational study involved individuals who performed intraoral radiographic examinations during the COVID-19 pandemic. The Questionnaire on Infection Control in Oral Radiology was administered virtually using a Google Form. Participants from different continents(the Americas, Africa, Europe, Asia, and Oceania) were recruited. Data were subjected to descriptive analysis and simple and multiple binary regression (5%). Results: There were 582 valid answers, and 68.73% of the participants were from the Americas, 18.90% from Europe, and 12.37% from Asia. The median score for infection control protocols was 94 points for dental students and 104 points for dentists, and participants below the median were considered to have low adherence to infection control in oral radiology. Low access to infection control was found for 53.0% of dentists in the Americas, 34.0% from Europe, and 26.9% from Asia. Conclusion: The adherence to infection control protocols in oral radiology was low even in the face of the COVID-19 pandemic. The results may help improve the awareness of students and professionals, since oral radiology routines have the potential for transmitting COVID-19.

Posterior Lung Herniation in Pulmonary Agenesis and Aplasia: Chest Radiograph and Cross-Sectional Imaging Correlation

  • Ji Young Kim;Woo Sun Kim;Kyung Soo Lee;Bo-Kyung Je;Ji Eun Park;Young Jin Ryu;Young Hun Choi;Jung-Eun Cheon
    • Korean Journal of Radiology
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    • v.22 no.10
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    • pp.1690-1696
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    • 2021
  • Objective: To describe the anatomic locations and imaging features of posterior lung herniation in unilateral pulmonary agenesis and aplasia, focusing on radiograph-CT/MRI correlation. Materials and Methods: A total of 10 patients (seven with pulmonary agenesis and three with pulmonary aplasia, male: female = 1:9, mean age 7.3 years, age range from 1 month to 20 years) were included. Chest radiographs (n = 9), CT (n = 9), and MRI (n = 1) were reviewed to assess the type of lung underdevelopment, presence of anterior and posterior lung herniation, bronchus origin, supplying artery, and draining vein of the herniated lung. Results: Pulmonary agenesis/aplasia more commonly affected the left lung (n = 7) than the right lung (n = 3). Anterior lung herniation was observed in nine of the 10 patients. Posterior lung herniation was observed in seven patients with left pulmonary agenesis/aplasia. Two patients showed posterior lung herniation crossing the midline but not beyond the aorta, and five patients showed the posteriorly herniated right lower lobe crossing the midline to extend into the left hemithorax farther beyond the descending thoracic aorta through the space between the esophagus and the aorta. This anatomical configuration resulted in a characteristic radiographic finding of a radiolucent area with a convex lateral border and a vertical medial border in the left lower lung zone, revealing a tongue-like projection on CT and MRI. Conclusion: Posterior lung herniation occurs in unilateral left lung agenesis/aplasia. Approximately 70% of the cases of posterior lung herniation reveal a unique radiolucent tongue-like projection in the left lower lung zone on imaging studies, which is caused by the extension of the posteriorly herniated right lung farther beyond the descending aorta.

Experimental Study on the Development of a Seismic Reinforcement Method for Reinforced Concrete Columns using High-tensile Alloy Materials (고인장 합금재를 활용한 철근콘크리트 기둥의 내진보강공법 개발에 관한 실험적 연구)

  • Do-Yeon Kim;Il-Young Jang
    • Journal of the Society of Disaster Information
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    • v.20 no.2
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    • pp.411-418
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    • 2024
  • Purpose: This study aims to develop brand new bolt fastening type of seismic retrofit using high tensile alloy materials for existing reinforced concrete columns. Method: A T-type cross-sectional seismic retrofit made of SUS304 and SS275, and the high-tensile bolt of SCM435 was analyzed for the effect of material properties on seismic performance through bending test. Result: The experiment using SUS304 shows a 7% higher maximum strength and 22% higher yield strength and shows a higher compressive stress of 360MPa. In addition, the change in the neutral axis is also smaller. Conclusion: Seismic retrofit using SUS304 is considered to be better in terms of yield strength, tensile strength, neutral axis change, and ductility, and it is considered necessary to experiment with RC column real experiments in future studies.

Predictor factors of 1-rooted mandibular second molars on complicated root and canal anatomies of other mandibular teeth

  • Hakan Aydin;Hatice Harorli
    • Restorative Dentistry and Endodontics
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    • v.49 no.1
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    • pp.2.1-2.12
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    • 2024
  • Objectives: This study aimed to determine the effects of 1-rooted mandibular second molar (MnSM) teeth on root canal anatomy complexities of the mandibular central incisor (MnCI), mandibular lateral incisor (MnLI), mandibular canine (MnCn), mandibular first premolar (MnFP), mandibular second premolar (MnSP), and mandibular first molar (MnFM) teeth. Materials and Methods: Cone-beam computed tomography images of 600 patients with full lower dentition were examined. Individuals with 1-rooted MnSMs were determined, and the complexity of root canal anatomy of other teeth was compared with individuals without 1-rooted MnSMs (Group-1; subjects with at least one 1-rooted MnSM, Group-2; subjects with more than a single root in both MnSMs). A second canal in MnCIs, MnLIs, MnCns, MnFPs, and MnSPs indicated a complicated root canal. The presence of a third root in MnFMs was recorded as complicated. Results: The prevalence of 1-rooted MnSMs was 12.2%, with the C-shaped root type being the most prevalent (9%). There were fewer complicated root canals in MnCIs (p = 0.02), MnLIs (p < 0.001), and MnFPs (p < 0.001) in Group 1. The other teeth showed no difference between the groups (p > 0.05). According to logistic regression analysis, 1-rooted right MnSMs had a negative effect on having complex canal systems of MnLIs and MnFPs. Left MnSMs were explanatory variables on left MnLIs and both MnFPs. Conclusions: In individuals with single-rooted MnSMs, a less complicated root canal system was observed in all teeth except the MnFMs.