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Fatal progressive right heart failure in a pancreatic cancer patient

  • Byoun, Jeong Tae;Cho, Jae Young
    • Journal of Yeungnam Medical Science
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    • v.37 no.2
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    • pp.122-127
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    • 2020
  • Pulmonary tumor thrombotic microangiopathy (PTTM) is a rare but fatal complication of cancer and causes pulmonary hypertension and acute/subacute right heart failure. PTTM is most commonly associated with gastric cancer and more rarely associated with pancreatic cancer. We report a case of progressive right heart failure associated with clinically diagnosed pancreatic cancer, suggesting PTTM.

Personal, Family, and School Factors associated with adolescents' attitude toward volunteer activities (청소년의 봉사활동 태도에 영향을 미치는 개인, 가족, 학교 특성)

  • Kim, BoHyun;Kwon, HeeKyung
    • Journal of Korean Home Economics Education Association
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    • v.26 no.2
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    • pp.101-118
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    • 2014
  • The purpose of this study was to examine the factors associated with adolescents' attitude toward volunteer activities. Analyses of data provided by 450 adolescents attending secondary schools in Gyeongnam Province suggested the following results. First, adolescents' attitude toward volunteer activities differed by gender, religion, and academic grades. Adolescents who were girls, who had religions, and whose academic grades were higher showed higher levels of positive attitude toward volunteer activities than their counterparts who were boys, who did not have religion and whose academic standing was lower. Second, adolescents' attitude toward volunteer activities significantly differed by the family factor. To be specific, parental attention, parental support and family's participation in volunteer work made differences to the adolescents' attitude toward volunteer activities. Third, the adolescents took significantly different attitudes toward voluntary activities according to the school factor. Significant differences were found according to attention and support from teachers. The students whose teachers had more interest in voluntary service and whose teachers offered more aid took a more positive attitude to voluntary service. Forth, some of the personal, family, and school factors were associated with adolescents' attitude toward volunteer activities. Among the personal factors, gender, religion, academic standing, and morality were associated with dolescents' attitude toward volunteer activities. Those who were girls, who were religious, whose academic standing was higher, and who were more moral took a more positive attitude toward volunteer activities. Among family and school factors, parental attention/support and attention and support from teachers affected the voluntary service attitude of the adolescents. The students whose parents had more interest and gave more support and whose teachers showed more interest and offered more support took a more positive attitude toward volunteer activities. Therefore parental attention and support were identified as the variable to make the best prediction of the adolescents' positive attitude toward volunteer activities.

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The Path Model based on Senescent Sleep Model for Sleep in Community-dwelling Older Adults (노인수면모델에 근거한 지역사회 노인의 수면에 관한 경로모형)

  • Kim, Ahrin;Kim, Oksoo
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.211-222
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    • 2015
  • Purpose: This study was conducted to test the model for sleep in community-dwelling older adults. The hypothetical model based on a senescent sleep model was constructed using the multiple influencing factors of sleep and associated adverse outcomes of changes in sleep in the older adults. Methods: Data were collected from 203 community-dwelling older adults living in Korea, and analyzed using IBM SPSS 21.0 and AMOS 21.0. Results: Increased age and multiple comorbidities were associated with decreased physical activities. Decreased physical activities were associated with smaller social networks, and smaller social networks were associated with higher level of loneliness. Multiple comorbidities, decreased physical activities, larger social networks, and higher level of loneliness were associated with maladaptive sleep hygiene. Decreased physical activities, higher level loneliness, and shorter actual sleep duration were associated with worse sleep quality. Smaller social networks and shorter actual sleep duration were associated with lower cognitive functions. Smaller social networks, higher loneliness, and worse sleep quality were associated with more severe depressive symptoms. Conclusion: These findings suggest that the sleep improvement interventions not only with physical perspectives but psychosocial ones for older adults may improve depressive symptoms as well as sleep quality.

Comparison of word association between adults and children (대학생과 초등학생의 단어 연상 비교)

  • Park, Mi-Cha
    • Korean Journal of Cognitive Science
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    • v.19 no.1
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    • pp.17-39
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    • 2008
  • The present study was conducted to provide Korean word association lists for adults and children which are needed in research area of false memory. Associated words, asso[iation strength, and the proportion of cue set size to the total number of associated words produced through the discrete association technique were compared between the two groups. The data showed that associated words with high strength wert same or similar but associated words with lower strength were various in the two groups. The result that adults produced larger proportion of cue set size than children suggests that adults have more typical and more convergent semantic network than children. The present data will be served as a database useful for the studies to investigate cognitive functions in memory and other related area.

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A Comparative Understanding of Health Concepts

  • Lee, Mi-Kyung;Duncan Boldy;Kim, Kong-Hyun-Kim
    • Korean Journal of Health Education and Promotion
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    • v.1 no.1
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    • pp.75-94
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    • 1999
  • This study explored the understanding of health of people from Korea. Data were collected from a total of eighteen focus groups: Koreans (living in Korea), Korean-Australians, Korean-Americans and Australians. The data were analysed using QSR NUD*IST. The meaning of health varied among people and it was related to differences in age, culture, gender, marital status and perceived health status of individuals. However, there were several themes common to everybody. All groups included aspects of physical, mental, emotional (and spiritual), environmental and social dimensions in their definitions of health. All young single groups placed more emphasis on physical and lifestyle factors whereas mental and emotional aspects and social responsibility were more associated with health among older married groups. Young women in all cultures felt social pressure to 'look good' and the media was perceived as responsible. Men in general associated health with societal roles and social competition. Health was strongly associated with the economy and economic stability for all Korean groups reflecting the recent adverse economic situation in Korea. This information will be of value to health professionals to provide more effective health services and health promotion programs for clients of Korean ethnicity living in multicultural societies like Australia and America.

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Psychosocial Factors Associated with Problematic Drinking among Middle- and Older-Aged Korean Men (중년 및 노년 남성의 문제음주 관련 요인)

  • Jeon, Gyeong-Suk;Cho, Sun-Hee;Park, So-Youn;Park, So-Young
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.187-199
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    • 2015
  • Objectives : This study was conducted to examine social factors associated with problematic drinking among middle- and older-aged men in South Korea. Methods : The data were collected from the baseline survey of the Korean Longitudinal Study of Aging, and the sample consisted of 3,631 men between 45 and 64 years of age and 1,173 men aged 65 or older. This study employed variables identifying various socioeconomic features, social ties, and health-related factors. Logistic regressions were used for the data analysis. Results : Middle-aged men having frequent social relationship with close persons were significantly more likely to be problematic drinkers than those having less frequent social relationships with close persons. Lower education, unemployment, smoking, and depression were associated with problematic drinking only among middle-aged men. Conclusions : We suggest that health professionals develop specific intervention strategies that could lead to more moderate alcohol habits and better health in middle aged Korean men who are actively engaged in social networks. In addition, health professionals need to focus more on the unemployed, lower educated, depressed, and smoking groups for early detection of problematic drinking among middle-aged Korean men.

The Association Between Expectations Regarding Aging and Health-Promoting Behaviors Among Korean Older Adults (노화에 대한 기대수준이 노인의 건강증진행위에 미치는 영향)

  • Kim, Su-Hyun
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.932-940
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    • 2007
  • Purpose: This study was performed to measure expectations regarding aging among community-residing older adults, identify sociodemographic characteristics associated with the level of expectations regarding aging, and examine whether expectations regarding aging were associated with health-promoting behaviors. Methods: Data was collected by using questionnaires of a short version of the Expectations Regarding Aging Survey (ERA-18) and Health Promoting Lifestyle Profile II (HPLP II) from 99 older adults who resided in the community of Kyunggi, Daegu, and Kyungpook province. Results: More than 75% of the participants reported that it was an expected part of aging to have more aches and pains, to become depressed, and to become more forgetful. The mean score of expectations regarding aging was $23.15{\pm}17.80$ (possible range 0-100). The old-old, women, those with less education, less monthly allowance and poor health status had lower expectations regarding aging than other elderly. After controlling for sociodemographic characteristics and perceived health, expectations regarding aging were independently associated with health-promoting behaviors in older adults. Conclusion: The findings demonstrate that older Korean adults have low expectations regarding aging, and expectations regarding aging influence health-promoting behaviors.

A Study for Strategic Congruence Effects of Information System Technology Structure (정보시스템기술 구조의 전략 적합성 효과에 관한 연구)

  • Chung, Lak-Chae
    • The Journal of the Korea Contents Association
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    • v.4 no.1
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    • pp.40-48
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    • 2004
  • In a study involving 52 large organizations in the savings institutions industry, the relationship between information systems technology(IT) structure and competitive strategy was investigated based on structural contingency theory. Two dimensions of IT structure and two types of competitive strategy were employed to test a contingency mood. It was found that enhanced congruence between IT structure and competitive strategy was associated with higher competitive advantage. The structural dimension significantly associated with the "defender" strategic stance was more centralized and more integrated application of IT, while the structural dimension significantly associated with "prospector〃 positioning was more decentralized and less integrated application of IT.lication of IT.

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Fall Risk related Factors in Postmenopausal Women (폐경여성의 낙상 위험과 관련요인)

  • Lee, Jung-Han;Kim, Hee Seung
    • Korean Journal of Adult Nursing
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    • v.26 no.5
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    • pp.533-542
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    • 2014
  • Purpose: The purpose of this study was to understand the risk of falling associated with postmenopausal women and to identify the relationships between this risk and factors such as lifestyle, metabolic syndrome, and bone mineral density. Methods: The sample was 128 postmenopausal women between 50 and 65 from one menopausal clinic in an urban city. The Risk Assessment for Falls Scale II, developed by Glydenvand and Reinboth (1982) and adapted by Park Young-Hye (2003), was modified and used for this study. Results: The average fall-risk score in postmenopausal women was 7.2 out of 33, the fall-risk score associated with lifestyle was higher in women exposed to stress frequently or who favored spicy or salty foods. The fall-risk score associated with metabolic syndrome was higher in groups with HBP or with a waist circumference of 80cm or greater. The fall-risk score in groups with three or more factors of metabolic syndrome was the highest. Conclusion: The risk of fall in post-menopausal women was higher in groups with only elementary education, unemployed, reported two or more chronic diseases or reported frequent exposure to stress and for women who preferred spicy or salty foods or exhibited three or more factors of metabolic syndrome.

The Effects of Kinesio Taping and Neuromuscular Rehabilitation Exercise for Patients with Acute Whiplash-Associated Disorder (급성 편타성-관련손상 환자에게 키네지오 테이핑과 신경근 재활 운동이 미치는 영향)

  • Lee, Yun-sang;Ahn, Seung-won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.2
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    • pp.41-49
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    • 2016
  • Background: The purpose of this study was to investigate the effects of kinesio taping and neuromuscular rehabilitation exercise for patients with acute whiplash-associated disorders. Methods: Twenty acute whiplash-associated disorders patients were recruited for the study. Subjects were randomly allocated into two groups. Neuromuscular rehabilitation group (NRG) received neuromuscular rehabilitation exercise, kinesio taping group (KTG) received kinesio taping. All subject was evaluated before and after intervention by their range of motion (ROM), neck disability index (NDI), numeric pain rating scale (NPRS) and fatigability. Results: First, the ROM was significantly increased in all group (p<.05). The NDI, NPRS and fatigability were significantly decreased in all group (p<.05). Secondly, NRG had significantly more increased ROM (flexion, both rotation) than KTG (p<.05). NRG had significantly more decreased NDI, NPRS and fatigability than KTG (p<.05). Conclusion: According to the results above, increased in range of motion in the neck, decreased in NDI, NPRS, fatigability were more effective in the NRG that received neuromuscular rehabilitation exercise than the KTG that received kinesio taping.

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