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Health-related Quality of Life in Elderly Asian American and Non-Hispanic White Cancer Survivors

  • Suzanne Vang
    • Journal of Preventive Medicine and Public Health
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    • 제56권5호
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    • pp.440-448
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    • 2023
  • Objectives: The purpose of this study was to assess predictors of health-related quality of life (HRQoL) in elderly Asian American and non-Hispanic White cancer survivors. Methods: We conducted cross-sectional secondary data analyses using the combined datasets from the Surveillance, Epidemiology, and End Results program and the Medicare Health Outcomes Survey. Results: Elderly Asian American cancer survivors reported a lower mental HRQoL but a comparable physical HRQoL relative to elderly non-Hispanic White cancer survivors. Stress factors, such as comorbidities, difficulties with activities of daily living, and a history of depressive symptoms, along with coping resources like self-rated health and the ability to take the survey in English, were significantly associated with mental and physical HRQoL. Among elderly Asian American cancer survivors, a significantly lower mental HRQoL was observed among those taking the survey in the Chinese language. Conclusions: The findings suggest that race exerts a differential impact on HRQoL. Interventions should be designed to address the distinct cultural, linguistic, and systemic needs of elderly Asian American cancer survivors. Such an approach could assist in reducing cancer-related health disparities.

귀인양식과 귀인편향, 비합리적 도박신념에서의 차이: 도박자와 비도박자의 비교 (Differences in attributional bias and irrational gambling beliefs between gamblers and non-gamblers)

  • 박은아;이종한
    • 한국심리학회지 : 문화 및 사회문제
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    • 제21권2호
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    • pp.177-203
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    • 2015
  • 본 연구는 도박자와 비도박자를 대상으로 비합리적 도박신념과 도박행동의 관련성을 확인하고, 기존 연구들이 직접 다루지 않았던 인지적 오류로서 확률적 사고 오류, 귀인양식 및 귀인편향성이 도박행동에 관련되는지에 대해 알아보았다. 248명의 자료를 수집하여 비(非)도박자, 경(經)도박자, 중(重)도박자로 구분하고, 비합리적 도박신념, 확률추론 오류, 귀인양식 및 귀인편향성을 비교하였다. 비합리적 도박신념은 비도박자<경도박자<중도박자 순으로 높게 나타났는데, 하위요인으로서 자기과신적 추론에서 유의미한 차이를 보였고 기술과대평가적 추론에서는 통계적으로 유의한 차이없이 세 집단이 모두 척도평균(4점) 이상의 높은 신념을 형성하고 있었다. 또한, 비도박자에 비해 경도박자와 중도박자의 확률추론 오류 정도가 높았다. 중도박자들은 비도박자와 경도박자에 비해 일상적 사건에 대해 외부귀인 정도가 높고 내부귀인 정도는 낮으며 실패상황에 대한 내부귀인 편향성이 높은 것으로 드러나, 중도박자 집단과 경도박자, 비도박자 간 구분되는 인지적 오류 특성들이 확인되었다. 도박여부를 예측하는 선행요인들의 상대적 영향력을 검증한 결과 실패에 대한 내부귀인 편향성, 확률추론 오류, 비합리적 도박신념 중 자기과신적 추론, 일상사에 대한 외부귀인 성향 순으로 도박행동 예측력이 높게 나타났다. 본 연구를 통해 도박자와 비도박자의 인지적 오류 및 편향성에 어떤 차이가 있는지 확인함으로써, 도박자 뿐 아니라 도박을 하지 않는 일반인을 대상으로 도박에 관한 지속적인 홍보와 사회교육의 필요성을 제안하였다.

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Demographic and lifestyle factors and selenium levels in men and women in the U.S.

  • Park, Kyong;Rimm, Eric;Siscovick, David;Spiegelman, Donna;Morris, J. Steven;Mozaffarian, Dariush
    • Nutrition Research and Practice
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    • 제5권4호
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    • pp.357-364
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    • 2011
  • Selenium is an antioxidant trace element linked to cardiovascular disease and cancer. Although diet is a major source, relatively little else is known about independent determinants of selenium levels in free-living humans. In this study, we aimed to investigate the independent demographic. lifestyle, and dietary determinants of selenium levels in 1,997 men and 1,905 women in two large prospective U.S. cohorts. Toenail selenium levels were quantified using neutron activation analysis. Diet, geographic residence, demographic, and environmental factors were assessed by validated self-administered questionnaires. Multivariate generalized linear models were conducted to assess the independent relations of these factors with toenail selenium levels, correcting for measurement error in the diet. In multi variable-adjusted analyses, independent predictors of higher selenium were male gender (6.3% higher levels); living in West and Northern-Midwest U.S. regions (8.9% and 7.4% higher than Southern-Midwest regions, respectively); consumption of beef and bread products (between 0.7 - 2.5% higher per daily serving); and selenium supplement use (6.9% higher than non-users); whereas cigarette smoking (5-10% lower than never smokers), older age (0.6% lower per 5 years), and consumption of eggs, white rice, dairy products, coffee, and alcohol (between 0.1 to 2.0% lower per daily serving) were associated with lower selenium. Multiple dietary and non-dietary factors independently predicted selenium levels, suggesting that both consumption and non-dietary processes (e.g.. related to oxidant status) may affect levels. Significant geographic variation in selenium levels exists in the US.

성인 여성 당뇨병 환자의 체지방 분포와 열량 섭취, 혈당 및 운동과의 관계 (Relation of Body Fat Distribution to Calorie Intake, Blood Glucose, and Exercies in Female Diabetics)

  • 최미자
    • Journal of Nutrition and Health
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    • 제26권2호
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    • pp.164-173
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    • 1993
  • This study was aimed to investigate whether abdominal obesity is associated with non-insulin dependednt diabetes. The distribution of body fat patterns was observed in 181 female patients with diabetes, aged 33 to 83 years, living in the Taegu area, Korea. The following anthropometric measuremetns were made on all participants from October 1 to November 25, 1991 : weight, height ; waist and hip circumferences in standing position. The waist hip circumference ratio was used as an index of abdominal obesity. The results were as follows; 1) The mean fasting blood glucose of diabetic subjects was 145$\pm$50.3mg/dl and the mean duration of diabetes was 4.7$\pm$7.5 years. 2) Obese subjects above the ideal body weight body weight of 120% in the investigation are presently 52%, but 63% of subjects were reported to be obese in the past. The mean BMI of the subjects is 24.57$\pm$3.15 and the past mean BMI was 27.13$\pm$3.26. One year after reaching their highest body weight, 47% of the subjects developed diabetes. Two years after reaching their peak body weight, 74% of diabetic subjects developed diabetes. 3) Using the waist-hip circumference ratio, subjects beloing to the upper body obesity(WHR>0.84) were 65.5%. 4) The average daily energy intake did not differ between the obese and non-obese diabetic subjects, whether they were assessed with BMI or with RBW. 5) The average daily energy intake was higher in the upper body obesity subjects than in the lower body obesity subjects. 6) Diabetics withing the regular exercise group had lower fasting blood glucose levels than the non-regular exercise group. Exercise did not effect the RBW, BMI, and WHR. 7) The waist-to-hip circumference ratio correlated significantly in positive with waist-circumference, but did not correlated with hip-circumference. Therefore, WHR may depended on the increased accumulation of abdominal fat in female diabetics. In conclusion, these findings suggest that caloric intake is more associated with abdominal fat accumulation in diabetic women. Blood glucose concentration is independently effected by exercise, and exercise does not affect the WHR. Therefore, control of caloric intake and development of specific exercises to change the WHR seems important for controling diabetes in female subjects.

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종류가 다른 고 섬유질식이가 흰쥐의 납 흡수 및 체내대사에 미치는 영향 (Effect of High Dietary Fiber Diet on Lead Absorption and Metabolic Changes in Growing Rats)

  • 김미경
    • Journal of Nutrition and Health
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    • 제23권7호
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    • pp.492-503
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    • 1990
  • This study was performed to investigate nutritional effect of various dietary fibers on lead absorption, and protein and lipid metabolisms in growing rats. Sixty male rats of Sprague-Dawley strain weighing 140$\pm$1.1g were blocked into 10 groups according to body weight and fed 10 kinds of diet different with fiber sources [non-fiber, cellulose, pectin, guar gum or carboxymethylcellulose(CMC)] and lead levels (0 or 1%) for 4 weeks. Results were summerized as follows : 1) Food intake, weight gain, FER and PER were remarkably decreased in lead(Pb)-added groups. Weight gain, FER and PER in Pb-added pectin group were significantly lower than those in Pb-added non-fiber group. 2) Liver and kidney weights, femur weight and length, hematocrit and hemoglobin content were decreased in Pb-added groups. Especially femur and liver weights in pectin groups were the lowest among groups. 3) Total protein content in serum was significantly decreased in Pb-added groups but was not different with dietary fiber sources. Total lipid content in serum was not different with dietary Pb levels and fiber sources, but cholesterol content in serum of guar gum group was significantly decreased by Pb addition. 4) Nitrogen, lipid and cholesteol contents in liver were significantly decreased in Pb-added groups, and lipid content in liver of pectin and CMC groups was lower than other groups. 5) Daily urinary and fecal excretions of nitrogen, kipid and cholesterol were decreased in Pb-added groups, and fecal nitrogen was significantly increased in Pb-added groups, and fecal nitrogen of cellulose and guar gum groups was significantly higher than other groups. Fecal excretions of lipid and cholesterol were increased by dietary fibers, and especially fecal lipid was remarkably increased in pectin and guar hum group. 6) Pb contents in liver and femur were decreased by dietary fibers. Especially Pb contents in liver, kidney and femur were significantly decreased in guar gum group. 7) Daily urinary and fecal excretions of Pb were significantly increased in cellulose and guar gum groups, and fecla excretion of Pb in guar gum group was twice of non-fiber group. Pb absorption ratio was significantly decreased in guar gum group. In conclusion, dietary fibers have effect on protein and lipid metabolisms, and decreased intestinal absorption of Pb by increasing fecal excretion. But the degree of effect was different with dietary fiber sources.

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간병요양중인 산재환자의 일상생활수행능력 및 간병인에 대한 만족도 (Survey of ADL of Industrial Accident Disabled and the Caregiver Satisfaction Degree)

  • 최정명;오진주;김춘미;이현주
    • 한국직업건강간호학회지
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    • 제17권1호
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    • pp.5-13
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    • 2008
  • Purpose: The purpose of this study is to identify Activities of Daily Living(ADL) of industrial accident disabled with a caregiver and to evaluate the degree of satisfaction with services according to kinds of caregiver, professional or non-professional. Method: Data was collected from 178 patients in three workers' accident medical corporations of H, A and D cities from July to August, 2006. Five inspectors interviewed with the disabled by visiting the hospital. Collected data was analyzed for the frequency, percentages, t-test, etc. Results: The average score of ADL which ranged from 1 to 7 was 3.6. The 51.5 percent of caregivers for industrial accident disabled were non-professional and the 48.5 percent of caregivers were professional. 50.9 percent of the reason for the family caregivers was because of economical one. The caregiver satisfaction degree was 3.7 out of 4. The satisfaction degree with the professional caregivers was significantly higher than that with non-professional family caregivers for their excellent knowledge and techniques. Conclusion: A nursing expenses for the industrial accident disabled was intended to provide appropriate nursing services for the patient and so, it should not be a kind of income. So, the system for caring services should be investigated and the qualification of caregivers should be classified according to the health condition of the patient or ADL.

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어린이와 청소년의 비알콜성음료 섭취에 따른 다량무기질 섭취량 평가: 제 4기 국민건강영양조사 자료를 활용하여 (Macromineral intake in non-alcoholic beverages for children and adolescents: Using the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV, 2007-2009))

  • 김성단;문현경;박주성;이용철;신기영;조한빈;김복순;김정헌;채영주
    • Journal of Nutrition and Health
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    • 제46권1호
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    • pp.50-60
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    • 2013
  • 본 연구는 단위 체중 당 비알콜성음료 섭취량이 가장 높았던 1~19세의 어린이 및 청소년을 대상으로 비알콜성음료를 통한 다량무기질의 추정식이섭취량을 산출하여 평가하고자, 음료, 액상커피 및 액상차의 다량무기질의 실측치와 제4기 국민건강영양조사 중 영양조사 (조사 1일 전 식품섭취내용, 24시간 회상법)의 섭취량을 이용하였다. 이를 위하여 어린이 및 청소년 6,082명 전체의 비알콜성음료의 평균소비자와 극단소비자의 비알콜성음료 섭취량을 파악하기위하여 평균, 95percentile 및 분포를 적용한 경우 (scenario I)와 비알콜성음료를 섭취한 어린이와 청소년 1,074명의 섭취량 평균, 95percentile 및 분포를 적용한 경우 (scenario II)로 나누어 살펴보았다. 다량무기질인 나트륨, 칼슘, 인의 위해성평가는 추정식이섭취량과 한국인 영양섭취기준의 목표섭취량 (2.0 g/day) 및 상한섭취량 (칼슘: 2,500 mg/day, 인: 3,000~3,500 mg/day)을 비교하여 %Goal, %UL값으로 위해성 평가를 하였다. 이 때 위해도 평가방법은 평균과 95th percentile을 이용하는 단일값평가와 point value를 사용하는 경우에 발생할 수 있는 불확실성을 최소화하기 위하여 각 변수의 확률밀도함수(Probabilistic Density Functions, PDFs)를 이용한 Monte Carlo simulation을 실시하여 확률평가를 하였다. 연구결과를 요약하면 다음과 같다. 1) Scenario I의 비알콜성 음료의 평균 및 95th percentile 섭취량은 $74.4{\pm}2.2$, 404.7 g/day로 극단섭취자는 평균섭취자에 비해 5.4배 더 많은 양을 섭취하였다. Scenario II의 평균 및 95th percentile 섭취량은 $265.4{\pm}5.8$, 662.0 g/day로, 극단섭취자는 평균섭취자에 비해 2.5배 더 많은 양을 섭취하였다. 또한 Scenario II의 평균섭취자는 scenario I의 평균섭취자에 비해 3.6배 더 많은 양을 섭취하였으며, scenario II의 극단섭취자는 scenario I의 극단섭취자에 비해 1.6배 더 많은 양을 섭취하였다. 2) 비알콜성음료에 존재하는 다량무기질의 분포는 마그네슘을 제외하고 대부분 왼쪽으로 기울어진 분포를 나타내었다. 비알콜성음료 섭취량 분포는 scenario I에서는 대부분 Logistic 분포를 나타내었으나, scenario II 경우에는 왼쪽으로 기울어진 Max Extreme분포가 되었다. 3) Scenario I에서 확률평가한 다량무기질의 평균 EDI는 나트륨 7.93, 칼슘 10.92, 인 6.73, 칼륨 23.41, 마그네슘 1.11 mg/day였으며, 95th percentile EDI는 나트륨 28.02, 칼슘 44.86, 인 27.43, 칼륨 98.14, 마그네슘 3.87 mg/day이였다. 다량무기질은 목표섭취량이 설정되어있는 나트륨과 상한섭취량이 설정되어있는 칼슘 및 인에 대해서만 위해성 평가를 하였으며 그 결과를 살펴보면, 확률평가한 나트륨의 평균 % Goal은 0.39, 칼슘 및 인의 평균 %UL은 각각 0.43, 0.19이며, 나트륨의 95th percentile %Goal은 2.56, 칼슘 및 인의 95th percentile %UL은 각각 3.71, 1.60이였다. Scenario II에서 확률평가한 다량 무기질의 평균 EDI는 나트륨 19.10, 칼슘 25.77, 인 15.83, 칼륨 56.56, 마그네슘 2.68 mg/day이였으며, 95th percentile EDI는 나트륨 62.67, 칼슘 101.95, 인 62.09, 칼륨 227.92, 마그네슘 8.67 mg/day였다. 확률평가한 나트륨의 평균 %Goal은 0.95, 칼슘 및 인의 평균 %UL은 각각 1.03, 0.45이였으며, 나트륨의 95th percentile %Goal은 3.12, 칼슘 및 인의 평균 %UL은 각각 4.08, 1.75였다. 4) 비알콜성음료 섭취를 통한 다량무기질 중 나트륨, 칼슘, 인의 노출수준은 목표섭취량과 상한섭취량을 초과하는 인구집단은 없는 것으로 나타났으며, Scenario I II에서 나트륨, 칼슘, 인의 평균 및 95th percentile %Goal 및 %UL은 모두 5 이내로 낮은 수준이였다.

자돈(仔豚)에 잠고술(潛睾術)을 시술하였을 때 고환(睾丸)의 조직학적변화(組織學的變化) 및 증체율(增體率)과 육질(肉質)에 미치는 영향 (Studies on Histological Changes of Swine Testis and on Effect upon Daily Gain and Meat Quality when Cryptorchidism Were Induced)

  • 오수각;한홍율;이창우
    • 대한수의학회지
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    • 제15권1호
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    • pp.115-118
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    • 1975
  • 1. The daily gain of the artificially induced cryptorchid pigs increased when compared with that of the castrated pigs, but less than that of the non-treated normal pigs. 2. The meat quality was only partially improved as the sex odor was not completely eliminated by inducing cryptorchidism. 3. Exogenous gonadotropins could not induce the normal spermatogenesis in the cryptorchid swine.

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아동의 행복 상황 및 판단에 대한 조사 연구 : 문화적 특수성 접근 (A Study on the Situations of Happiness and Self-Judgment of Happiness Level among Children : A Culture-Specific Approach)

  • 정계숙;최은아;강인설
    • 아동학회지
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    • 제29권6호
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    • pp.207-223
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    • 2008
  • This study examined children's happy situations and their self-judgment of happiness level. Subjects were 831 children (7-13 years of age). Research findings were that : (1) There were three categories of happy situations : rewards, daily routine activities, non-daily activities/incidents. These categories were subcategorized into personal and relational experiences. Personal experiences gave them greater happiness than relational experiences. (2) The younger children felt happier through relational experiences than older children. (3) Sixty-two percent of the children reported they were happy most of the time. (4) Preschool children answered "I'm happy" more than older children. Sixth grade children answered "I'm happy" least among the entire sample. (5) Academics correlated positively with children's judgment of happiness level; free time correlated negatively with happiness.

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A study for finding human non-habitual behavior in daily life

  • Shimada, Yasuyuki;Matsumoto, Tsutomu;Kawaji, Shigeyasu
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.491-496
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    • 2003
  • This paper proposes modeling of human behavior and a method of finding irregular human behavior. At first, human behavior model is proposed by paying attention to habitual human behavior at home. Generally, it is difficult to obtain the information of individual life pattern because of high cost for setting sensors such as cameras to observe human action. Therefore we capture turning on/off consumer electronic equipments as actual human behavior action, where some or many consumer electric equipments were used such as television, room light, video and so on in our daily life. Noting that are some relations between turning on/off those consumer electric equipments and our action, we proposes how to construct a human behavior knowledge by analyzing human behavior based on observation of human habitual life. Also an algorithm to identify on find irregular behavior different from habitual life behavior are described. Finally, the significance of the proposed method is shown by some experimental results.

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