• Title/Summary/Keyword: National health programs

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Assessment of the Contribution of Risk Factors that Cause Cardiovascular Disease in Koreans (한국인의 심혈관질환 발생을 유발하는 위험인자들의 기여도 평가)

  • Cho, Sang-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.592-602
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    • 2020
  • This study examined the contribution of the risk factors that cause cardiovascular disease in Koreans. The subjects were 20,012 adults aged 30~74 years who were enrolled from the 2005~2013 Korean National Health and Nutrition Examination Survey, had filled the risk factors data, and had no cardiovascular disease history. Data analysis was conducted using SAS 9.3, and a weighted composite sample design analysis was performed. The contribution was obtained by applying a squared semi-partial correlation. As a result, they were higher in the order of age (63.9%), smoking (17.3%), systolic blood pressure (7.9%), diabetes (6.9%), antihypertensive medication use (3.0%), and BMI (0.9%) in men. In women, the contributions were in the order of age (54.1%), systolic blood pressure (23.5%), diabetes (13.6%), antihypertensive medication use (5.1%), smoking (3.1%), and BMI (0.6%%). According to age bracket analysis, smoking (51.8~33.7%) was the biggest risk factor, followed in order by age (26.6%) in their 30s and systolic blood pressure (17.3~21.0%) in those older than 40 years in men. In women, the systolic blood pressure (56.2~40.5%) was the main contributor to the risk factors, followed by age (24.0%) in their 30s and diabetes (13.6~32.6%) in those older than 40 years. The contribution of the income level was similar. Therefore, to prevent cardiovascular disease, various programs that reflect the contributions of the risk factors should be developed. Moreover, it is recommended to use the results shown in this study as basic data.

The Relationships in Emotional Intelligence, Job Satisfaction, and Quality of Nursing Service in Hospital Nurses (병원 간호사의 감성지능, 직무만족, 간호서비스 질의 관계)

  • Jang, Ra-jin;Kang, Young-Sil;Kim, Yu-mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.326-337
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    • 2016
  • This study was conducted to identify the relationships between emotional intelligence, job satisfaction, and quality of nursing service for hospital nurses, and to serve as a basis for improvement of nursing service and nursing resources management. All data were collected and conducted with the cooperation of the nursing service department in a tertiary general hospital and two general hospitals located in G province. Questionnaires were completed by 195 nurses who consented to participation in the study from 7 to 28 April 2014. Data were analyzed using SPSS 18.0. A highly positive relationship (r=0.624, p<0.001, r=0.612, p<0.001) was observed between emotional intelligence and quality of nursing service in the superior general hospitals and the general hospitals. Based on this study, quality of nursing service could be improved by a positive relationship between emotional intelligence and job satisfaction in the superior general hospitals and general hospitals (r=0.430, p<0.001). Therefore, it is important to provide a good occupational environment and develop educational programs to enhance the emotional intelligence of nurses, and a positive measure focused on less experienced and young nurses to improve emotional intelligence.

A Promoter SNP (rs1800682, -670C/T) of FAS Is Associated with Stroke in a Korean Population

  • Kang, Sung-Wook;Chung, Joo-Ho;Kim, Dong-Hwan;Yun, Dong-Hwan;Yoo, Seung-Don;Kim, Hee-Sang;Seo, Wan;Yoon, Jee-Sang;Baik, Hyung-Hwan
    • Genomics & Informatics
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    • v.8 no.4
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    • pp.206-211
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    • 2010
  • The Fas (TNF receptor superfamily, member 6) (FAS)/FAS ligand (FASLG) interaction plays a central role in the regulation of programmed cell death. FAS and FASLG polymorphisms in promoter regions affect transcriptional activities. To investigate whether FAS and FASLG polymorphisms are associated with the development and clinical phenotypes of stroke, 2 promoter single nucleotide polymorphisms (SNPs) in FAS (rs1800682, -670C/T) and FASLG (rs763110, -844C/T) were selected and genotyped by direct sequencing in 220 stroke patients [107 ischemic stroke (IS), 77 intracerebral hemorrhage (ICH), and 36 subarachnoid hemorrhage (SAH)] and 369 control subjects. For the analysis of clinical symptoms, all stroke patients were divided into 3 clinical phenotypes according to the respective results of the National Institutes of Health Stroke Survey (NIHSS) and the Modified Barthel Index (MBI) and the presence or absence of complex regional pain syndrome (CRPS). The SNPStats, SNPAnalyzer, and Helixtree programs were used to analyze the genetic data. Multiple logistic regression models (codominant, dominant, and recessive) were used to estimate odds ratios (ORs), 95% confidence intervals (CIs), and p-values. The promoter SNP rs1800682 was associated with stroke in the codominant (OR=0.48, 95% CI=0.25-0.94, p=0.04) and dominant models (OR=0.51, 95% CI=0.30-0.87, p=0.011). However, a FASLG SNP (rs763110) was not in Hardy-Weinberg equilibrium (p<0.05). In the analysis of stroke types, rs1800682 was associated with IS in the codominant (OR=0.30, 95% CI=0.12-0.74, p=0.025), dominant (OR=0.44, 95% CI=0.23-0.88, p=0.018), and recessive models (OR=0.45, 95% CI=0.21-0.99, p=0.042). The genotype frequencies of rs1800682 were different between ICH and controls in the dominant model (OR=0.49, 95% CI=0.26-0.94, p=0.031) but not between SAH and controls. In the analysis of clinical symptoms, however, rs1800682 was not related to the 3 clinical phenotypes (NIHSS, MBI, and CRPS). These results suggest that a promoter SNP (rs1800682, -670C/T) in FAS may be associated with the development of stroke in the Korean population.

Development of Real-time and Simultaneous Quantification of Volatile Organic Compounds in Ambient with SIFT-MS (Selected Ion Flow Tube-Mass Spectrometry) (선택적다중이온질량분석기를 이용한 대기 중 휘발성유기화합물 실시간 동시분석법 개발 및 적용)

  • Son, Hyun Dong;An, Joon Geon;Ha, Sung Yong;Kim, Gi Beum;Yim, Un Hyuk
    • Journal of Korean Society for Atmospheric Environment
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    • v.34 no.3
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    • pp.393-405
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    • 2018
  • Volatile organic compounds (VOCs) are representative air pollutants due to their detrimental effects on human health and their role in formation of secondary organic aerosols. Assessments and monitoring programs of VOCs using periodic grab sampling like Tedlar bags, canisters, and sorbent traps provide limited information, often with delay times of days or weeks. Selected ion flow tube mass spectrometry (SIFT-MS) is an emerging analytical technique for the real-time quantification of VOCs in air. It relies on chemical ionization of the VOCs molecules in air introduced into helium carrier gas using $H_3O^+$, $NO^+$, and $O_2{^+}$ precursor ions. Real-time monitoring method of 60 VOCs in the ambient air was developed using TO-15 standard gas mixture. Calibration curves, method detection limit, and quantitation reproducibility of the target compounds were tested. Dynamic dilution system was used to dilute standard gas from 0.174 ppbv to 100 ppbv, where calibration curves showed good linearity with $r^2$> 0.95 in all target analytes. Limit of detection (LOD) all compounds were sub ppbv, and some halogenated compounds showed pptv levels. Seven consecutive analyses of target compounds showed good repeatability with relative standard deviation of less than 10%. One day monitoring of VOCs in ambient air was conducted in Geoje. Average concentration of target VOCs in Geoje were relatively lower than other regions, among which formaldehyde showed the highest concentration ($15.4{\pm}5.78ppbv$). SIFT-MS provided good temporal resolution data (1 data per 3.2 minute), which can be used for identifying ephemeral short-term event. It is expected that SIFT-MS will be a versatile monitoring platform for VOCs in ambient air.

Effects of Old Age Preparation of Baby Boomers Give Dependents Awareness of Parent (베이비부머의 노후준비가 부모부양 의식에 미치는 영향)

  • Park, Keun-Soo;Kim, Tae-Il
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.467-479
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    • 2016
  • The purpose of this study is to check effects on the awareness of parents supporting in their self retirement preparation of the baby boomer generations who have faced relatively bad situation in this era considering the reality of great changes brought in the parents supporting spirit which was regarded as family and individual responsibility due to the rapid industrialization and urbanization. In the result of this study, some points such as religious, living status and monthly average earning show meaningful result and also all of the colligation in the retirement preparation standard concerning economic living life, health life, leisure time, family life, dwelling life and leisure life shows most significance probability of .001(*p<0.05) and retirement preparation standard relative to economic life indicates significance probability of .005(*p<0.05). Eventually this result shows that the higher people have retirement standard, the higher parents supporting sprit they have. So I would like to suggest some policy advices on the basis of this study. First stable supporting policy on their dwelling life should be assisted by differential methods, secondly social programs aid for leisure life through social activities like volunteer work are required, further more national based policy supports for youngsters are considered in order to reduce economic daily life on their economic activities.

SNS Addiction Tendency and Its Related Factors among University Students (대학생의 SNS 중독경향성 관련 영향요인)

  • Lee, Young-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.561-568
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    • 2016
  • The purpose of this study was to investigate the influence of SNS addiction tendency, pathological narcissism, social support, and stress among university students. Data were collected via questionnaires from 385 students and were analyzed by descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients, and Stepwise multiple regression analysis using SPSS/WIN 19.0 program. The levels of SNS addiction tendency depended on gender, SNS usage time, SNS over-usage, health problem, and household economic status. SNS addiction tendency was significantly correlated with pathological narcissism, social support, and stress. Influential factors that affect SNS addiction tendency were pathological narcissism, SNS usage time, SNS over-usage, gender, social support, and academic performance, which explained about 39.4% of the variance. The results of this study indicate that nursing interventions are necessary to improve SNS addiction tendency, and also suggesting that such variables should be carefully considered in intervention programs for university students.

Symptom Experiences, Sleep Quality and Quality of Life for Patients with Asthma (천식환자의 증상경험, 수면의 질 및 삶의 질에 관한 연구)

  • Chung, Mi-Ha;Park, Hyojung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.616-628
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    • 2016
  • The purpose of this study was to examine symptom experiences, sleep quality, and quality of life in asthma patients and investigate any correlation among these factors. The study was conducted on 146 asthma patients that visited the Internal Medicine Department of Allergies at a hospital in Korea from March to June, 2015. Tools that were originally developed by Oh (1999) were used to measure the symptom experience of asthma patients. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) while quality of life was measured by the Short Form 36-Items Heath Survey (SF-36). The dates were analyzed by t-test, ANOVA, Scheffe test, and Pearson's correlation coefficient using the SPSS 20.0 program. Symptom experiences of asthma patients showed a positive relation with sleep quality (r=.468, p<.001) and negative relationship with quality of life; PCS (r=-495, p<.001) and MCS (r=-.411, p<.001). The symptom experiences of an asthma patient along with sleep quality and quality of life turned out to be correlated. Therefore, this study is expected to be utilized as a basis for the development of assessment tools and arbitration programs to elucidate symptom experiences of asthma patients from various aspects and enhance their sleep quality and quality of life.

The phenomenological study of self-management intervention among breast cancer survivors: Non-pharmacological approaches (유방암 생존자들의 자가관리에 대한 현상학적 연구: 비약물적 접근방법을 중심으로)

  • Heo, Seok-Mo;Heo, Narae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.270-284
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    • 2016
  • The purpose of this study was to understand the essential structure and meaning of self-management intervention for breast cancer survivors by using non-pharmacological approaches. The study participants were 10 breast cancer survivors who were completing cancer treatment that involved surgery, chemotherapy, and radiation therapy. Data collected between August 2014 and February 2015 at E Hospital in S city were analyzed by using Colaizzi's phenomenological method. Outcomes were classified into seven essential themes: 1) application of comfort measures to alleviate ongoing symptoms, 2) movement to change physical conditions, 3) special herbal intake to prevent recurrence, 4) a specially designed diet plan for health self-management, 5) constant awareness of complementary and alternative medicine, 6) unmet needs treated by one's own doctor's prescription, and 7) future life toward a nature-friendly environment. The study results contribute to a deeper understanding of self-management interventions in the daily lives of Korean breast cancer survivors. In addition, results provide an essential resource, based on actual self-management styles, that will help survivors to obtain guidance and participate in appropriate programs.

Potential Ability of Traditional Korean Medical Tourism and Economic Valuation of Sasang Constitutional Typology Diagnosis from Foreigner's Perspective (외국인이 인식하는 한의학 의료관광의 가능성 및 사상체질진단 경제적 가치평가)

  • Kim, Hyoung-Soon;Lee, Hee-Seung;Cha, Byung-Hun;Joo, Jong-Cheon
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.1
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    • pp.115-124
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    • 2011
  • 1. Objectives : This study aimed to provide practical insights on the development of traditional Korean medical tourism and maximize the satisfaction of foreign patients. The main objectives of this study were also to evaluate Sasang Constitutional Medicine(S.C.M.) diagnosis cost from foreigners' perspectives. 2. Methods : For this study, the data were collected from tourists to Korea between January 3, 2010 to February 20, 2010. The sample used in this study was mainly composed of Japanese, Chines and US/Canada, because they are the major national visitor origin group to Korea. The primary data were collected by questionnaire survey using a standardized instrument with a convenience sampling procedure, and efforts of the interviews involved an on-site, self-administrated questionnaire to those sitting or visiting tourist attractions. The total size of the sample was 276 of which 275 showed no missing value against the factors needed for final analysis and were for analysis as an effective sample. SPSS 13.0 for window was used to analyze the collected data on which descriptive statistics and the Limited Dependent(LIMDEP) 8.0 program was used in estimating the willingness-to-pay(WTP) for traditional Korean medical tourism through the Contingent Valuation Method(CVM). A dichotomous choice question form of a CVM was applied to estimating the value. 3. Results and Conclusion: 1. There was significant statistical relationship between attributes when considering medical tourism destination and socio-demographic profiles such as age group, nationality, educational level and occupation. 2. In the level of recognition on Korean medicine, north Americans showed low level of recognition compared to other nationalities. In addition, in terms of age group, 20's and 30's showed low level of recognition on Korean medicine, 3. In relation to the level of interest on Korean medicine, Japanese respondents had higher interesting level on Korean medicine. Also singles had higher level of interest. 4. Regarding preferred Korean medical treatment program, there found significant statistical relationship between Korean medical treatment program and socio-demographic characteristics. 5. The estimating result of the logit model showed that the variables affecting the WTP for Sasang Constitutional medicine diagnosis were offered price and potential ability of medical tourism destination. 6. In relation to WTP for Sasang Constitutional medicine diagnosis, Japanese respondents showed a WTP of USD 62.69 and Chinese respondents showed USD 57.09. On the other hands, respondents from north America and other countries showed a WTP of USD 65.50. In conclusion, from this study, the results found that the opportunities in tradition Korean medical tourism are immense and the possible rewards are numerous. It is time to continue to promote 'Sasang Constitutional medicine' and make the Korean medical tourism programs considering on nationalities, age group, gender and WTP.

A Subjectivity Study on the Meaning of Aging for Elders (노인의 의미에 대한 주관성 연구)

  • Lee Keum-Jae;Park In-Sook;Kim Boon-Han
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.271-286
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    • 2000
  • This study is designed to investigate what elders think about the meaning of aging. We have used Q-methods to identify meaning of aging from elders, and developed self-referenced surveys to analyze characteristics In this study, we used a non-structured method to select Q sampling. From 183 Q populations, we selected 36 Q sampling. A total of 32 persons sixty-years or older were randomly selected for P samples, When the Q-sorting was complete, we interviewed the participants at both end of the extremes(agree or disagree), and documented their responses. We used PC QUANL to process the data and used principal component analysis for Q factor analysis. There were five subjective types for the meaning of aging by elders. Of the 32 P-samples of elders, 11 were identified as Type 1, 7 as Type 2, 2 as Type 3, 8 as Type 4, and 4 as Type 5. Type 1 : 'Matured elders' Elders wished the well being of their children, thought older persons should maintain good health, worried about becoming senile, and dependent God believing in life after death. Type 2 : 'Assertive-Rights' Elders categorized as Assertive-Rights insisted on their rights to life as a person. Type 2 elders characterized themselves as people who should keep themselves healthy, become weak and lack sexual desires, act selfish like a child, need to be protected, and be financially independent. Type 3 : 'Passive-Dependents' Elders characterize themselves as those who pray for their children's well being, worry about the children even after their death. and becoming senile. Type 4 : 'Hopeless' The 'Hopeless' type of elders characterized aging as a time to pray for their children, insignificant beings, thoughts were selfish and child-like, poor, worried about going senile, regret their life overall, and preferred to die than to live as an old person. Type 5 : 'Attached-Present' The 'Attached-Present' type of elders thought elderly characterized themselves as acting selfish and child-like, wiser, anxious, regret their life, stand aloof of greed and worldly things, being a model for the society, and deserving to be treated with filial respect. Thus far, Korean elders seemed to have a positive and negative meaning of aging due to the current changes in the society, value system, and family structures. The above five subjective meanings of aging confirm that we need to approach and nurse the elderly differently. Years of aging are a part of and a natural process of life with various physical, psychological, and sociological changes. Nurses need to assist elderly to find the positive meaning of their life by providing appropriate physical, psychological, and social support at an earlier stage in nursing. Based on this study, we could derive the following two implication from the perspectives of science of nursing to care for elders. 1) Based on the studies investigating the type of meaning of aging, we could develop tools to assist in nursing intervention programs for elderly. 2) Based on research on the meaning of aging for different developmental stages of life, we could develop a model for roles for different family members in nursing and caring for the elders.

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