Rhee, Jong Joo;Ahn, Jae Sung;Jeon, Sang Ryong;Kim, Jeong Hoon;Ra, Young Shin;Kim, Chang Jin;Lee, Jung Kyo;Kwun, Byung Duk
Journal of Korean Neurosurgical Society
/
v.30
no.sup2
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pp.221-227
/
2001
Objective : The therapeutic impact of tumor resection in glioblastomas is poorly defined and still questionable. Therefore, we conducted the current study to verify the role of tumor resection in the treatment of these highly malignant tumors. Methods : A retrospective study was performed(1990-1999) to compare the treatment results of surgical resection plus radiotherapy(130 patients) with those of stereotactic biopsy plus radiotherapy(19 patients) in glioblastomas. Only adult patients with supratentorial, de novo glioblastoma located in one lobe were included. Survival time/rate was analysed with Kaplan-Meier method, and prognostic variables were obtained from the univariate log-rank test and the multivariate Cox's proportional hazards model. Results : The resection group and the biopsy group did not differ in terms of age, gender, duration of symptoms, presenting symptoms, tumor location, tumor side, tumor size, and the frequency of midline shift. Patients in the biopsy group more often were found to have worse preoperative Karnofsky performance status(KPS)(p=0.001). On univariate analysis, age, KPS, and tumor side were associated with survival(p=0.0053, 0.0001, and 0.0331 respectively). Median survival time and 1-year survival rate were also statistically improved by tumor resection ; resection group - 13 months and 61.2%, and biopsy group - 8 months and 19.7%, respectively(p=0.0001). In patients with midline shift of the tumor, resection was highly effective comparing to biopsy(p=0.0001), but in patients without midline shift, external beam radiation alone was as effective as tumor resection(p=0.0605). Other prognostic variables did not affect survival. On multivariate analysis after variable selection, survival was independently associated with KPS(p=0.001), but not the surgical resection(p=0.2837). Even in biopsy group with midline shift of the tumor, survival rate was not different from that seen after tumor resection(p=0.3505). Conclusions : Radiotherapy alone was as effective as tumor resection plus radiotherapy in patients without midline shift of the tumor. Although there was not statistically significant, tumor resection looked like effective in patients with midline shift. For supratentorial, lobar glioblastoma patients without mass effect of the tumor, biopsy with radiotherapy is one of rational treatment strategies. We consider that tumor resection should be performed in patients with pretreatment midline shift.
The purpose of this study was to assess the effects of the superficial heat therapy on the cutaneous blood flow and the skin temperature at pre-auricular region. Two types of the superficial heat therapy-moist hot pack & infrared lamp- were applied to 20 healthy subjects(male: 10, female: 10). For each subject, the two parameters of cutaneous blood flow and skin temperature were measured before and after heat therapy, using laser doppler flowmetry(LDF). The author analyzed the differences of the effects between the two therapies and also characteristics of responsiveness between the two parameters. The results were as follows : 1. The two parameters were significantly increased after both superficial heat therapies. 2. Skin temperature showed a maximum peak immediately after both superficial heat therapies, but cutaneous blood flow showed a maximum peak 4 minutes after both superficial heat therapies. 3. Increased cutaneous blood flow after application of moist hot pack lasted longer than infrared lamp. 4. Increased skin temperature after both superficial heat therapies lasted for 60 minutes, but increased skin temperature after infrared lamp decreased more rapidly than moist hot pack. 5. Amount of changes in cutaneous blood flow after infrared lamp was larger in female than in male, but no significant gender difference was found since 20 minutes after infrared lamp. Both moist hot pack and infrared lamp showed favorable effectiveness in raising cutaneous blood flow and skin temperature. Moist hot pack was slightly superior in maintaining this effect.
This study examined the musculoskeletal symptom experience rate of some dental clinic workers and the factors influencing musculoskeletal symptoms according to their working environment and health habit. To that end, between March 9 and March 28, 2009, 200 workers at dental clinics in Chungcheong-do were surveyed using the self-administered questionnaire method. The data were analyzed using the SPSS WIN 12.0 program. The following conclusion was reached. 1. One-year musculoskeletal symptom experience rates of the subjects were categorized according to pans of the body: shoulders - 60.5%, lower limbs (legs, knees, and feet) - 57.0%, the lumbar region (back and waist) - 56.0%, the neck - 51.0% and the upper limbs (arms, wrists, and fingers) - 32.0%. 2. In general characteristics, a statistically significant difference was found according to gender, age, education, position, and oral health state. In working environments, a statistically significant difference was found according to work experience, the average daily number of patients handled, the average daily working hours, the posture for diagnosis, and satisfaction over work. In health habit, a statistically significant difference was found according to regular exercise, regular examination, and regular eating habit. 3. Factors influencing musculoskeletal symptoms were examined. As a result, influencing the musculoskeletal symptom experience were satisfaction over work among working environment characteristics, and regular exercise among health habit characteristics.
The purpose of this study was to investigate the relationship of time pressure, discretionary time, and subjective well-being(SWB) of university students. In order to achieve it, 493 university students(220 male, 232 female) completed a set of questionnaires about time pressure, discretionary time, subjective well-being. The t-test, multiple regression analysis were performed to analyze the data. The results are as follows. First, There were significant differences among the positive emotion, the negative emotion and time pressure. However, there was no statistically significant difference between the satisfaction of life and discretionary time according to gender. Second, time pressure was negatively correlated with the satisfaction of life of university students but positively correlated with the negative emotion. The discretionary time was positively correlated with the satisfaction of life of university students but negatively correlated with the negative emotion. Time pressure and discretionary time were not correlated with the positive emotion. Finally time pressure significantly correlated with the satisfaction of life, the negative emotion. And It seems that time pressure had an especially strong effect on the negative emotion. Such results imply that time pressure is important for reducing university students's the negative emotion, a subfactor of subjective wellbeing.
An, Eunmi;Kang, HyunAh;Nho, Choong Rai;Woo, Seokjin;Chun, Jongserl;Chung, Ick Joong
Journal of the Korean Society of Child Welfare
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no.54
/
pp.145-172
/
2016
The purpose of this study was to examine whether parenting attitudes would have an effect on the developmental trajectories of school adjustment for adolescents in out-of-home care. Additionally, we hypothesized that this model would be different between boys and girls. In this study, we analyzed three waves of data collected from 341 adolescents living in residential facilities, group homes or foster homes by using cluster sampling methods. Growth-curve longitudinal analysis was conducted, and the results indicated that levels of school adjustment had increased from the 1st through the 3rd grade of middle school. Positive parenting attitudes had a positive impact on initial school adjustment and rate of change, whereas negative parenting attitudes had a negative impact only on the initial school adjustment. Second, multi-group analysis revealed that there were group differences between boys and girls in their initial school adjustment by positive parenting attitudes. Based on these results, this study discussed further suggestions to increase school adjustments for adolescents in out-of-home care.
The aim of this study is to identify the relationship between obesity and dieting to dental care in a convergent manner. This is a secondary analysis study using data from National Health and Nutrition Survey(2008 & 2018), and the subjects of the study are those with permanent treatment experience. The data in this study were t-test, ANOVA and regression analysis using SPSS /WIN 24.0. As a result of the study, The experience of permanent tooth caries according to gender was high in woman(M=.76, W=.83), and the experience of permanent tooth caries according to the educational level showed that the caries experience of high-educated level(College or higher=.92). In the difference according to the subjective body type recognition, it was confirmed that obesity was associated with the experience of permanent tooth caries. Among the weight control methods, fasting was the most influential on the permanent tooth caries experience. The experience of permanent tooth caries according to the weight change was found to have an effect on both weight loss and increase, In future studies, not only studies of sugar intake related to obesity, but also proper oral health education study that informs about the risk of dental caries in the diet that is progressing in line with the current trend should be continued.
Given the rapid development of information and communication technology (ICT) and the deepening of the information gap phenomenon in the context of the COVID-19 pandemic, researchers and practitioners need to understand the changing perceptions of new phenomena such as COVID-19 information gap on the existing information-vulnerable population. In this study, an empirical analysis was performed with the digital information gap survey data in 2020 to understand the potential impact of COVID-19 on the information gap according to the information-vulnerable class. This study is to verify the effect of information gap, marginalized groups, gender, and major factors of information services (contents, social relations, life services, information production, networking, social participation, non-face-to-face services) on the change in perception of digital information technology after Corona. Hierarchical regression analysis was performed. As a result of the analysis, it was found that the higher the content, social relationship, life service, networking, and digital non-face-to-face service, the higher the change in perception of digital information technology after Corona. Therefore, in light of the evolving phenomenon of COVID-19, it is considered that the government needs to provide education and training to strengthen the capabilities of the information-vulnerable class in order to resolve the digital information gap.
Journal of Family Resource Management and Policy Review
/
v.25
no.3
/
pp.17-30
/
2021
The purpose of this study was to examine the effectiveness of family-friendly management in 501 family-friendly certified firms and to analyze organizational and social outcomes outlined by the firms. In addition, this study aimed to discover ways to promote family-friendly management by investigating the effects of ongoing support to certified firms, including family-friendly consulting and workplace training. The results showed that certified firms administer family-friendly workplace policies at a satisfactory level, while their management of policy indices and outcomes were not effective. The finding suggests that family-friendly management indices need to be aligned with firms' substantial outcomes. An improved organizational image and trust were major organizational outcomes of family-friendly management, and an enhanced CEO perception and a culture centered on gender-equality were significant social outcomes. These outcomes need to be promoted to attract organizations to engage in family-friendly management. The finding further implies the important roles of organizations in cultivating family-friendly environments in society. Finally, the certified firms with ongoing consulting and training support exhibited higher levels of family-friendly management and organizational and social outcomes. This study sheds light on the importance of long-term, systematic efforts by organizations in fostering family-friendly management and achieving organizational and social outcomes.
The purpose of this paper is to investigate the impact on self-reliance and satisfaction of participants participating in the self-sufficiency business program of the Ulsan Metropolitan Regional Self-Sufficiency Center. A self-filled questionnaire was surveyed on self-sufficiency participants in five Borough and Country in Ulsan for 4 weeks from September 1 to 30, 2020, and final 233 copies were used in the actual analysis. As a result of the study, first, the percentage of positive responses of the participants was found to be good at 71.7%, for questions on the degree of support to the government, local governments, and administrative welfare centers. Second, in response to a system or service that would like to be supported or needed in the future, support for living expenses and support for health and medical expenses appeared and as a result of gender difference analysis, it was confirmed that there was a significant difference between support for children's education expenses and support for housing funds. Among the factors of the participant's psychological self-reliance(self-control, confidence, and willingness to work), the factor of self-control was the most significant factor, followed by confidence and willingness to work. Overall satisfaction with work was the highest among 9 satisfaction items such as salary and working hours.
The purpose of this study is to learn about the decision factors affecting utilization of elderly welfare center of the elderly living in Gimpo city. The reason of the study is that the elderly welfare center as a provider of general welfare services could not only thinking about the state policy but also need to consider about the inherent role and function of the elderly. Especially for these elders living in rural areas, although the number of elderly welfare centers of the whole country has greatly increased in last 10 years, the effect and function of the facility are almost the same and they are still lack of leisure activities. This issue become a serious problem nowadays. For the above reasons, this article conducts a social survey of 360 elderly people over the age of 65 who lives in the Gimpo city which is a rural-urban type city. The research method is to examine the relationship between the predisposing factors, enabling factors and need factors of Andersen's behavior model with binary logistic regression analysis and the decision tree analysis. The result of binary logistic regression shows the most of factors of Andersen's model is significant. The factors of age, gender, education level in predisposing factors; monthly income in enabling factors and the reserve for old life, the preparation of economic activity for old life in need factors are significant. Then the result of decision tree analysis shows the interaction between factors; when the education level in predisposing factors is higher, the possibility of using of elderly welfare center becomes bigger. Also as the level of healthy promoting preparation in the need factors gets lower, the possibility of using of elderly welfare center still becomes bigger. Although differences were found in the interpretation of the results of regression analysis and decision tree analysis, the results of this study can still provide support for the necessity of elderly welfare centers providing integrated welfare services.
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