• 한국노년학
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• v.31 no.3
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• pp.607-621
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• 2011

Purpose The purpose of this study was to examine the relationship between physical activities, sleep disturbance, and health related quality of life (HRQOL) in patients with chronic obstructive pulmonary disease (COPD). Methods A descriptive survey design used pretest dataset of COPD symptom management intervention study (N=245). Measures included the international physical activity questionnaire, the COPD and asthma sleep impact scale, and the St. George's respiratory questionnaire of HRQOL. The data were analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients, and simultaneous multiple regression by the SPSS WIN 18.0 program. Results The mean scores (SD) of HRQOL and sleep disturbance were 36.04 (19.43) and 14.33 (6.20), respectively. About 32% of participants were physically inactive. The multivariate approach showed the patients who have more sleep disturbance (β=.27), lower levels of FEV1 % predicted (β=-.23), lower physical activities (β=-.19), lower household income (β=-.16), and diagnosed longer than 5 years (β=.14) reported lower HRQOL (R²=.34). Conclusion The findings of this study suggest that improving the quality of sleep and physical activities can be efficient strategies for HRQOL in patients with COPD. Future research in enhancing HRQOL through improving sleep quality and physical activities is needed.

• 한국노년학
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• v.29 no.4
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• pp.1313-1325
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• 2009

Purpose: The purpose of this study was to identify the level of and factors influencing depression in community-dwelling, low-income elderly. Methods: A randomized sample of 306 subjects aged 65 and over was selected from one communities. in Korea. Data were collected through self-reported questionnaire, during the period from January to September, 2007. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficient and multiple regression with SPSS/Win program. Results: The prevalence of depression was 43.8%, the mean score of depression was 6.37. Depression of the elderly significantly correlated with education level, types of the health insurance, economic levels, smoking, hypertension, arthritis, incontinence, life satisfaction, perceived health status and cognitive function. Stepwise multiple regression analysis reveled that a combination of life satisfaction, cognitive function and health insurance accounted for 67.6% of depression in elderly. Conclusion: The findings of this study suggest that the approach to effective depression prevention and management program for community-dwelling elderly should consider life satisfaction, physical and mental health and economic levels.

• The Journal of Korean Society for School & Community Health Education
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• v.7
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• pp.87-99
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• 2006

Objectives: This study is to draw the design of the program which is improve school health promotion participation by applying the Social Ecological Model based on the literature review on the health promotion. Methods: Literature review was carried out based on 5 factors of social ecological model using computer search engines of Google, ProQuest, and Riss4U. Results; Social Ecological Model is consist of individual, interpersonal, institutional/organizational, community, and policy. Individual sphere is drawn from Health Belief Model, interpersonal sphere is Social Support Theory, institutional/ organizational sphere is institutional resources theory, community sphere is community model, and policy sphere is Social Marketing Theory. The literature review show that the important variables affecting health promotion exist in each sphere. Individual sphere has social economic status, age, sex, sensitivity and specificity of illness, self-efficacy. Interpersonal sphere has support and use of family, friend and neighbor. Institutional/Organizational sphere has environment service reliability and utility. Conclusions: Community sphere has distance, neighborhood safety, interrelationship among institutions. Policy sphere has cost, legislation advertisement, lobby and concern and leadership of Institution.

• Korean Parent-Child Health Journal
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• v.17 no.1
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• pp.1-7
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• 2014

Purpose: The research was to identify menstrual regularity & mental health-related factors on unmarried women of childbearing age and provide a raw material in terms of setting up health policy. Methods: The KNHANE V-3 (The Fifth Korea National Health and Nutrition Examination Survey) was used and implemented through spss 18.0. Results: In general characteristics, there wasn't any remarkable difference between 20s and 30s. Looking further Mental health-related factors, stress was higher in 30s (p=.010). In 30s of irregularity mensutration women, it was accounted for 12.5% over than 3months experienced. General characteristics varied by menstrual regularity were age (p=.044), education level (p=.035) and in terms of mental health-related factors, they were stress (p=.044), sleeping time (p=.039). Multiple regression analysis was carried out to identify how influential these factors are on menstrual regularity. As a result, age, education level, sleeping time & stress was the most influence factors. Conclusion: The research had some limitations to specify and approach the feature of target in depth through KNHANE V-3. Thus, if the basic analysis regarding the menstrual problem in relation to local society was conducted on the basis of the result of research, it could help developing the promotion of health program and make the application easier.

• Korea Journal of Hospital Management
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• v.23 no.1
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• pp.16-27
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• 2018

1) Purpose : The purpose of this research is to identify the trend of job stress of hospital nurses based on last 10 years of domestic research and to suggest directions for systematic future research. 2) Methodology : 101 studies between 2006 and 2016 were selected using key words such as registered nurse and job stress from Academic Information Service(Riss4u), the National Assembly Library and Korean studies Information Service System(KISS). 3) Findings : The researches on job stress of hospital nurses were increasing. The result showed that job stress increased for shift nurses. Especially, nurses of small-medium sized hospital showed remarkable effects to organization such as turnover intention. In addition, although the importance of approach to management is emphasized, there is little research on these aspects. 4) Practical Implications : It is necessary to develop systematic research on job stress directly effecting turnover intention of hospital nurses from hospital management aspect. The development of job stress measuring tools reflecting the characteristics of the medical institution, and the human resources management plan to resolve the imbalance in manpower for nurses should be required.

• Journal of the Korean Home Economics Association
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• v.44 no.4 s.218
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• pp.123-131
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• 2006

The goal of this research was to investigate the actual wearing conditions of dementia inpatients in order to improve their clothes. The development of comfortable, functional and well-designed clothing for dementia inpatients can improve their clinical care environment and also provide dementia inpatients and their caregivers with a promoted quality of life. The data were collected through field research and interview survey on the inpatient's clothing being used at 10 dementia hospitals and 11 dementia nursing care facilities. The results were as follows, First, the uniforms of light dementia inpatients were the pajamas styles those of the general inpatient's uniforms. The uniforms of severe dementia inpatients were jump suits or pajamas styles. Second, the top styles of pajamas were shirts of front opening style with buttons, round neckline, full length sleeves and over armholes. Their bottoms were the pants of no opening style with elastic band and full length. The design of the jump suits had back and under opening styles with zippers. Third, dementia inpatient clothes have to be improved in the areas of sizing systems, structure for putting on and taking off, fasteners and open styles and clothing material, as well as the aesthetic approach.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.8
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• pp.3601-3606
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• 2014

Single nucleotide polymorphisms located at microRNA (miRNA)-binding sites are likely to affect the expression of miRNA targets and may contribute to the susceptibility of humans to common diseases. Here 335 candidate lung cancer-related inflammatory genes were selected according to the existing literature and database. We identified putative miRNA-binding sites of 149 genes by specialised algorithms and screened SNPs in the 3'UTRs of these genes. By calculating binding free energy, we sorted 269 SNPs on the basis of the possibility of prediction. The proposed approach could help to easy the identification of functionally relevant SNPs and minimize the workflow and the costs.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.8
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• pp.3247-3251
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• 2015

Background: The attendance rates for cancer screening are low in Japan. Little is actually known about how the Japanese perceive cancer. Since beliefs about illness affect individuals' health care practice, the aim of this study was to explore beliefs about cancer and factors associated with those beliefs, focusing on representative cancer sites. Materials and Methods: Japanese adults (${\geq}20$ years old) who had not been diagnosed with any cancers and were not health care professionals were recruited, using a convenience sampling approach. A total of 91 participants completed questionnaires including open-ended questions. Thematic analysis was used to analyze the responses. Results: Five themes were suggested: (i) a threatening illness that might greatly change one's future life; (ii) basic cancer knowledge; (iii) a curable illness with early detection and adequate treatment; (iv) causes of cancer; and (v) anyone can develop cancer. Families or friends' negative consequences of cancer were associated with negative beliefs about the disease. Gestational cancer was the most representative site of most themes. Conclusions: A threatening illness (e.g., death or incurable illness) was the most common belief among the Japanese laypeople. Importance of early detection and treatments should be more emphasized, and future screening programs should include strategies modifying negative cancer beliefs among Japanese laypeople.

• The Korean Journal of Pain
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• v.23 no.4
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• pp.266-269
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• 2010

Spinal cord stimulation (SCS) is used to manage chronic pain syndromes and it is accepted a cost-effective therapy. Child-bearing women who had SCS become or choose to become pregnant despite these policies pregnancy is a relative contraindication. A 32-year-old woman had SCS as a treatment for the CRPS I of the left lower extremity, During various check up tests, we happen to find out that her serum beta-hCG was positive and confirmed pregnancy. SCS is not recommended in pregnancy because the effects of SCS on pregnancy and nursing mothers had not been confirmed. However, many female patients suffering from chronic pain may expect future pregnancy and we think that they must be informed about the possibility of pregnancy and the effects of SCS device implantation in the course of pregnancy. First of all, a good outcome requires a multidisciplinary team approach, including obstetrics, neonatology, pain medicine and anesthesia, as was used from an early pregnancy. Unfortunately, she had a misabortrion after 6 weeks.

• Health Policy and Management
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• v.15 no.3
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• pp.94-113
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• 2005

The purpose of this study was to determine the level of appropriateness in hospital stays and factors influencing inappropriate hospital stays. The study was conducted at fifteen general care units in a tertiary university hospital. Appropriateness of hospital stay was assessed using Appropriateness Evaluation Protocol by trained head nurses. The total of 447 patient records were reviewed. Among them, 352 patient data were included in the final data set. A unit of observation was patient day. A rate of appropriate hospital stay was calculated per patient as a unit of analysis. Multiple regression analysis was performed to determine the factors affecting inappropriate hospital stay. The eighty-three percent (2030/2651) of hospital stays were evaluated as appropriate. There were significant differences in appropriateness of hospital stay according to patient's age, type of health insurance, medical specialty, and length of stay(p<0.05). In the multiple regression analysis, medical speciality was the most significant factor to predict the inappropriate hospital stay. The study showed a substantial proportion of hospital stay was found to inappropriate. Level of appropriateness was significantly different from medical specialty. Interdepartmental approach should be required to coordinate and improve appropriate resource utilization.