• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.6105-6109
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• 2015

Background: Colorectal cancer (CRC) is one of the most common cancers worldwide. This study aimed to investigate the risk factors for colorectal cancer in the Thai population. Materials and Methods: A cohort study was carried out in Khon Kaen, Thailand, including 71 cases of histologically confirmed CRC patients among 19,861 participants, aged 30-69 years, who were recruited for a cohort study during the period 1990-2001. Participants were followed-up until 31 December, 2013. To identify factors associated with the incidence of colorectal cancer, hazard ratios were evaluated using Cox proportional hazard regression. Results: No environmental variables could be shown to be significantly related to the risk of CRC. Although in our sample, CRC was more prevalent among males, ex-smokers, and those who drank alcohol beverages ${\geq}50gram/day$, but we could not demonstrate significantly associations (HRmale= 1.67, 95% CI, 0.80-3.49, HR ex-smokers = 1.34, 95% CI, 0.52-3.46, and HRalc ${\geq}50=1.08$, 95% CI, 0.43-2.71). Individuals within the sample with a family history of cancer, working hour >8 hours per day, and current-smokers appeared to have decrease risk of CRC, but again these relationship could not be shown to be significantly associated (HRfam cancer= 0.96, 95% CI, 0.85-1.09, HRwork>8= 0.84, 95% CI, 0.36-1.93, and HRcurrent-smoker = 0.51, 95% CI, 0.18-1.38). Conclusions: We found no evidence of environmental factors effecting the risk of CRC. There is a need for further research to determine why factors identified risk in other populations appear to not be associated with CRC risk in Thais.

• Asian Pacific Journal of Cancer Prevention
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• 제16권1호
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• pp.139-144
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• 2015

Background: The work force in industries are at risk of developing unduly high rates of health and behaviour related problems including abuse of alcohol, betel nut and cigarette (alcohol, betel nut and cigarette consumption). This study describes the relationships between alcohol, betel nut and cigarette consumption and health promoting behaviour among industrial workers. Materials and Methods: A cross sectional survey was conducted on workers in various industries of Ghaziabad city with concerned authority permission. A sample size of 732 workers was calculated based on pilot study. Through Simple random sampling 732 workers in 20 to 50 years age group with informed consent were interviewed through structured, pretested, validated questionnaire in vernacular language by one calibrated investigator. Data on socio demography, alcohol, betel nut and cigarette consumption pattern and health behaviour were collected. The association between health promoting behaviour and alcohol, betel nut and cigarette consumption was analysed by Logistic regression and Chi-square test through SPSS 16 at p<0.05 and 95%CI as significant. Results: Total prevalence of alcohol, betel nut and cigarette consumption in study population was 88%. The prevalence of individual alcohol, betel nut and cigarette consumption were 82%, 68% and 79% respectively. Combined alcohol, betel nut and cigarette prevalence in study population was 58%. Alcohol and cigarette users were significantly higher (p<0.001) in 30 to 40 years age group with lower level of education having poor attitude towards health promoting behaviour, poor oral hygiene practices and rare indulgence in regular physical exercise. Conclusions: This study stimulate further research on exploring methods to prevent initiation of health risk behaviour and promote healthy behaviour with cessation help for the current alcohol, betel nut and cigarette users.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5503-5506
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• 2013

This cross-sectional analytic study aimed to investigate any relationship between the body mass index (BMI) and an abnormal Pap smear. The subjects were 7,720 women aged 30-69 years who lived in Khon Kaen Province, Thailand, and had been recruited as participants in the Khon Kaen Cohort Study during 1990-2001. All had received Pap smear screening for cervical cancer. The data were analyzed using descriptive and inferential statistics. Multiple logistic regression was used to determine the relationship between body mass index and an abnormal Pap smear. The mean BMI was $24.53kg/m^2$ (SD=3.98), and 2.14% had abnormal Pap smears. Compared with the reference group of women with a BMI ${\leq}22.9kg/m^2$, those with a body mass index of $23.0-24.9kg/m^2$ had a reduced risk of an abnormal smear (ORadj=0.92, 95%CI: 0.57-1.47), but women with a BMI $25.0-29.9kg/m^2$ were found to have an approximately 1.24 times higher risk ($OR_{adj}=1.24$, 95%CI: 0.86-1.80), and those with a BMI ${\geq}30.0kg/m^2$ had an approximately 1.63 times higher risk ($OR_{adj}=1.63$, 95%CI: 0.98-2.69). The results indicated that the risk of Pap smear abnormalities is increased in women who have a higher than normal body mass index, but this finding was not statistically significant. Nevertheless, public health personnel should encourage women to maintain their BMI in the normal range to reduce the possible future risk of cervical cancer.

• Journal of Preventive Medicine and Public Health
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• 제50권1호
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• pp.18-28
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• 2017

Objectives: Low birth weight (LBW) is a major public health concern, especially in developing countries, and is frequently related to child morbidity and mortality. This study aimed to identify key determinants that influence the prevalence of LBW in selected developing countries. Methods: Secondary data analysis was conducted using 10 recent Demography and Health Surveys from developing countries based on the availability of the required information for the years 2010 to 2013. Associations of demographic, socioeconomic, community-based, and individual factors of the mother with LBW in infants were evaluated using multivariate logistic regression analysis. Results: The overall prevalence of LBW in the study countries was 15.9% (range, 9.0 to 35.1%). The following factors were shown to have a significant association with the risk of having an LBW infant in developing countries: maternal age of 35 to 49 years (adjusted odds ratio [aOR], 1.7; 95% confidence interval [CI], 1.2 to 3.1; p<0.01), inadequate antenatal care (ANC) (aOR, 1.7; 95% CI, 1.1 to 2.8; p<0.01), illiteracy (aOR, 1.5; 95% CI, 1.1 to 2.7; p<0.001), delayed conception (aOR, 1.8; 95% CI, 1.4 to 2.5; p<0.001), low body mass index (aOR, 1.6; 95% CI, 1.2 to 2.1; p<0.001) and being in the poorest socioeconomic stratum (aOR, 1.4; 95% CI, 1.1 to 1.8; p<0.001). Conclusions: This study demonstrated that delayed conception, advanced maternal age, and inadequate ANC visits had independent effects on the prevalence of LBW. Strategies should be implemented based on these findings with the goal of developing policy options for improving the overall maternal health status in developing countries.

• 한국병원경영학회지
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• 제20권3호
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• pp.13-23
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• 2015

This research is intended to inquire any discrepancy depending on the variables such as types, geography and size of hospitals of Korea in order to develop differentiated marketing strategy and to investigate how the aforementioned variables affect the management performance such as the increase in the number of foreign patients, their willingness to re-visit, the increase in profit and etc. The survey for this research was conducted for five weeks from July 10th 2014 to August 30th 2014 with 251 participants in charge of foreign patient attraction for 161 domestic hospitals. As the method of the research, a hypothesis was first established based on previous studies, followed by the incorporation of self-administered questionnaire to confirm the formulated hypothesis. Frequency analysis and ANOVA analysis were used to analyze the result of the survey. The outcome of the research and the implications are as follows. First, according to the demography of the persons-in-charge of foreign patient attraction, the proportion of female was superbly high by 76.5%. As for the age, those in their 30s were highest in proportion. Finally, for the education level, college graduates took up the largest portion by 46.5%. Second, in respect to the hypothesis assuming the difference in performance depending on the types of hospitals, national university-affiliated hospitals showed the highest level of the increase in foreign patients by the average of 3.25. Third, in respect to the hypothesis assuming the difference in performance based on geographical position, it was confirmed that hospitals in Ulsan City experienced the largest growth in the number in foreign patients. Fourth, in respect to the sizes of hospitals, those with 201 to 300 sickbeds showed the highest increase by the average of 3.45. The implication of the above research outcome indicates that while the number of foreign patients visiting Korea for medical purposes is on the rise, the number of professionals in place with necessary knowledge and capacity is insufficient and requires improvement.

• 대한가정학회지
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• 제33권2호
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• pp.57-71
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• 1995

가족형태가 부의 자녀양육시간과 결정요인에 미치는 영향 기혼여성의 취업증가로 인해 아버지의 적극적인 자녀양육 참여가 요구되어 왔다. 또한 이 같은 요구는 부의 참여가 기혼여성, 자녀의 성장발달등 가정천체에 미치는 영향이 중요하다는 인식과 함께, 부의 자녀양육시간 연구는 중요한 사회적 관심사로 동시에 연구대상으로 대두되었다. 이같은 변화속에서, 실제 가정생활에서 부의 자녀양육시간은 개개인에 따라 큰 차이를 나타냄에 따라, 어떤 개인적, 가정적, 또는 사회인구적 요인들이 양육시간량을 결정하는가를 연구하는 것은 그 의미가 있다. 현대가정의 또 하나의 커다란 변화는 미혼부 증가, 이혼증가로 인한 편부의 증가, 재혼 증가로 인한 계부의 증가 등 가족형태의 다양화에 있다. 본 연구에서는 이 같은 변화를 반영하여, 각기 다른 가정형태에서의 부의 자녀양육 참여시간을 비료 분석하였다, 또한 부의 자녀양육 시간량 관련요인을 조사하기 위하여 노동시장의 근로시간, 개별적 인적 자원, 역할관념, 가정환경등의 효과를 검증하였다. 본 연구에서 사용된 자료는 미국 위스콘신대학내 (University of Wisconsin-Madison), 인구 및 생태센터 (Center for Demography and Ecology)에서 1988년에 실시한 설문조사 및 면접조사로써, "전국 가족 및 공도거주체 조사" (National Survey of Family and Households)에서 추출했다. 연구결과에 따르면, 가족형태가 부의 자녀양육시간에 미치는 효과는 큰 것으로 검증 되었다. 각 그룹간 비교에서 편부가정의 부는 여타의 가정내의 부보다 많은 시간을 자녀와 놀아주고, 야외활동 및 과제물 도와주기 등에 할애한 것으로 나타났다. 반면 계부는 여타의 가정내의 부보다 더욱 적은 시간을 자녀와 함께 하였다. 부의 자녀양육시간 결정요인 분석 결과에 따르면, 직장에서의 노동 시간, 교육수준, 자녀 연령이 큰 효과를 나타내는 것으로 밝혀졌다,, 부의 직장 근로시간이 적을수록 교육수준이 높을수록 자녀양육 참여시간은 높은 것으로 나타났다. 또한 어린자녀를 가진 아버지일수록 자녀와 함께하는 시간이 긴 것으로 나타났다. 것으로 나타났다.

• 한국우주과학회:학술대회논문집(한국우주과학회보)
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• 한국우주과학회 2009년도 한국우주과학회보 제18권2호
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• pp.34.4-35
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• 2009

We have studied the radial g-r color gradients of early-type galaxies in the Sloan Digital Sky Survey (SDSS) DR6 in the redshift range 0.00 < z < 0.06. The color profiles of ~30 per cent of the galaxies in this sample show positive color gradients (centers being bluer). These positive gradient galaxies often show strong $H\beta$ absorption line strengths or emission line ratios that are consistent with star-forming populations. Combining the optical data with Galaxy Evolution Explorer (GALEX) UV photometry, we find that all positive gradient galaxies show blue UV-optical colors. They also exhibit a tendency of having a lower stellar velocity dispersion. Positive gradient galaxies tend to live in lower density regions than negative gradient galaxies and are likely to have a late-type companion galaxy. On the other hand, massive early-type galaxies show negative color gradients. A simplistic population analysis shows that these positive color gradients are visible only for half a billion years after a star burst. Although the effective radius decreases and mean surface brightness increases due to this centrally concentrated star formation, the positions of the positive gradient galaxies on the fundamental plane cannot be reproduced by any amount of recent star formation. Instead it required a lower velocity dispersion.

• 한국항만경제학회지
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• 제28권3호
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• pp.215-234
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• 2012

항만은 바다와 육지의 관문으로서 기능하여 왔다. 따라서 그 기능을 검토할 때, 타 항만과 해운네트워크 그리고 배후지와 내륙네트워크에 대한 검토가 필요하다. 1998년부터 운영을 시작한 광양항-컨테이너부두-은 비교적 짧은 운영기간에도 불구하고 거점항만으로 발돋움하고 있다. 이 연구는 우선 우리나라 항만의 선박운항 스케줄과 해운네트워크의 중심성지수를 이용하여, 광양항의 글로벌 해운네트워크 구축과정과 네트워크 확장 특징을 도출하였다. 광양항의 내륙네트워크는 트럭운송, 철도운송, 연안운송을 중심으로 배후권과 연결망을 확장하여 왔으나, 연안운송 중단(2004), 연안운송 재개(2009)와 재중단(2012년)의 사례에서처럼 다양성에서 취약성을 나타내고 있다. 2000년대 들어 평택항, 울산항 그리고 군산항에서 해운과 내륙 네트워크 확장은 지역물량을 둘러싼 항만 간 경쟁을 가열시켰다. 한편 광양항의 운영은 삼성전자 등 제조업의 이전에 간접적으로 영향을 주었던 것으로 사료되지만, 컨테이너항만 운영에 따른 제조업의 지역적 분포 변화는 차후 심도 있는 연구를 필요로 하는 주제이다.

• 대한가정학회지
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• 제45권1호
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• pp.9-21
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• 2007

This research investigated the retired elderly who had moved to rural areas. The propose of the study was to examine the point at which there must be a difference in the patterns of a return to farming and determine the actual condition of their preparations for migration. This study had surveyed 408 seniors who wereare over 50 years old and had moved to rural areas after their retirement and analyzed the data by the SPSS PC 11.0 program. The results were as follows. First, the relevancy of U-turn, J-turn, and I-turn types that were affected by social demography was found to be dependent on their education levels and family patterns. Second, the actual conditions of the process of preparation by the types of a return to the farming were different according to the motivation and preparation fund. Nevertheless, the most important factor was the influence of their spouses. Third, the actual conditions of the process of adaptation by the patterns of a return to the farming showed no difference between the degree of efforts of the social supportand elevation of the friendship among the neighbors. The recognition of rural life problems were more acquainted towards the area of farming life. Among the 6 problem areas, leisure, health care, and economic problems were highly considered.

• The Korean Journal of Pain
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• 제18권1호
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• pp.29-33
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• 2005

Background: Chronic headache (CH) constitutes a significant public health problem, impacting on both the individual sufferer and society. Patients with CH, unresponsive to drug therapy or nerve block, suffer considerable disability due to the frequency and severity of attacks; therefore, they should be considered for novel therapy. Botulinum toxin type A (BoNT-A) has shown significant promise in the management of CH. In this paper, we review recent evidence on the efficacy of BoNT-A, and also report our experience with this treatment in CH patients. Methods: BoNT-A was used to treat 69 CH patients, including 47 in a chronic migraine group and 22 in a non-migraine CH group, who showed therapy-resistance to palliative drug or nerve block. We investigated the demography, dosage and site of BoNT-A injection, and used a visual analogue scale (VAS) for pain and the degree of satisfaction. The data were analyzed using t-tests and a Friedman repeated measures analysis of variance on ranks. Results: Significant decreases in the VAS for pain were found in both the chronic migraine and non-migraine CH groups, from 2, 4 and 12 weeks and from 4 and 12 weeks, respectively, after BoNT-A administration (P < 0.05). The chronic migraine group showed significantly lower VAS scores for pain than the non-migraine CH group from 2, 4 and 12 weeks after the BoNT-A administration (P < 0.05). Twenty eight patients (59.2%) in the chronic migraine group and eight (36.4%) in the non-migraine CH were satisfied with the BoNT-A treatment. Conclusions: This clinical study revealed that the use of BoNT-A demonstrated efficacy for CH patients resistant to drug therapy or nerve block. Moreover, BoNT-A proved itself more effective in the chronic migraine than non-migraine CH group.