• Journal of Digital Convergence
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• v.19 no.10
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• pp.491-500
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• 2021

The status of breast cancer screening of women at a breast clinic in a small city in Korea-Using medical records Purpose: This study was conducted to investigate breast cancer incidence by age, including those under 40, and to emphasize the importance of early breast cancer screening for young breast cancer patients. Method: The study was designed as a retrospective survey method. We investigated the medical charts of 483 patients diagnosed with breast cancer among 23,200 visitors to local breast clinic from May 1, 2010 to April 30, 2020. Results: The average age of 483 patients was 47.9, with 36% in their 40s and 28.6% under 40. Among the patients, 5.4% had a family history of breast cancer, and 70.8% were pre-menopausal. The most common reason for visiting the clinic was the mass(54.2%). The size of tumors was less than 2cm (56%), followed by 2-5cm (43.4%) and more than 5cm (5.6%). The size of tumors was smaller in the asymptomatic case than in the symptomatic case. In the pathologic results, invasive ductal cancer was the most common at 80.3%. Conclusions: Breast cancer screening program should be activated even for young women under the age of 40. We suggest educating the importance of breast cancer screening, and lowering the age of national breast cancer screening program.

• Journal of the Korean Applied Science and Technology
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• v.38 no.4
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• pp.1029-1044
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• 2021

This research was conducted to investigate the prevalence of depression and convergent factors related to depression in male and female wage workers. Using data from the 2014 and 2016 Korea National Health and Nutrition Examination Survey, 3,763 adults (1,888 males, 1,875 females) between the ages of 19 and under 65 were analyzed. Depression was measured by the Patient Health Questionnaire-9 (PHQ-9), and the depression (PHQ-9≥10) of all workers was 4.1% (3.2% for men, 5.0% for women). Multiple logistic regression analysis was performed to evaluate the depressive factors of male and female wage workers. In male workers, work-related characteristics such as employment type and working hours per week were found to be significantly related to depression even after adjusting for socio-demographic characteristics, health-related characteristics, and life style characteristics. However, in female workers, work-related characteristics did not expose a significant relationship, showing a difference from male workers. Therefore it is necessary to develop and implement workplace counselling or mental health promotion programs that take into account the gender characteristics of depression risk factors. Also, as health-related characteristics (diagnosis of depression, suicide plan, perceived stress level, unmet medical services, self-rated health status) were found to be related to depression for both male and female workers, continuous management of these factors is required.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.407-416
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• 2019

This study is about a Customized Nursery School where working women can support work - life balance and a reduction in retirement or turnover. The research method is to identify the current status of Customized Nursery services and to recognize the recognition and need of the operation of Customized Nursery School. The importance of securing skilled nurses and preventing them from changing their jobs for the health and safety of people cannot be emphasized enough. A Customized Nursery School must be opened to reduce the retirement or change of jobs of working women nurses and to provide care for continuous work in three shifts from 365days to support the balance between the working mother and family. It is considered that nurses will put their children in relief when using retired nurses who have the ability to work 24hour rotation in a Customized Nursery School and when a Customized Nursery School be ran suited for the condition and demand of working women nurses, it is expected to reduce retirement and the change of jobs, also to give positive effect on marrige and family planning which would make improvement in low birthrate. To activate the Customized Nursery School, Creating a secure learning environment and qualification of educators great effort should be put. A program curriculum based on 'basic life and habits' should be the center of education. Continuous management and effort will need to be placed in continuous development of educators.

• Journal of Digital Convergence
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• v.16 no.12
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• pp.427-440
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• 2018

This study was a descriptive correlation investigation that assessed the caring burden of caregivers who care for dementia and examined the effects of the burden on the somatic symptoms and health perception. The subjects were 174 caregivers and data collection was conducted from April 1 to 30, 2018. The data were analyzed t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis. A Scheffe test was used for post-analysis. The caring burden and somatic symptoms were found to be mid-high and moderate, respectively. The health was perceived to be not good, and the subjective awareness of well-being appeared to be low. The caring burden showed a positive correlation with the somatic symptoms(r=.157, p<.05), and the somatic symptoms showed a positive correlation with the perceived health(r=.220, p<.01). As a result of the study, caregiving burden of caregivers showed the factors influencing their physical and mental health status, it is suggested to carry out research to find out whether there is a difference in burden of care according to the working place of caregiver. In addition, it is necessary to develop a tool to measure the burden of caregivers and to carry out repeated research.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.275-285
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• 2019

The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.

• Journal of Digital Convergence
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• v.16 no.11
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• pp.411-418
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• 2018

The purpose of this study was to estimate the current status and trends of healthcare utilization among people with ASD. Using National Health Insurance open database, from 2010 to 2017. We analyzed the treatment prevalence for people with ASD, the pattern of healthcare utilization, the difference in medical care utilization according to age, and the type and location of main medical institutions. The main results of the study are as follows: First, the medical utilization has been continuously increasing from 2010 to 2017. The total amount of medical utilization is increased by 50% in 2017 compared to 2010, and the treatment prevalence was estimated to be 79.1% in 2017 and medical uses for the next three years is also increasing. Second, the pattern of medical care utilization varied widely according to age, especially after 20 years of age. Third, the types of medical institutions that were mainly used were 45.6% in the medical clinic and 35.9% in Seoul. The results of this study can be used as a minimum reference point of evaluating the effectiveness of government policy on future autistic disorders. However, further studies are required to increase the prevalence of treatment for autistic patients and to find out the difference in medical use according to age.

• Journal of Digital Convergence
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• v.17 no.8
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• pp.453-463
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• 2019

The purpose of this study was to investigate one-person household its health-related quality of life(HRQOL) using data from the seventh Korea national health and nutrition examination survey(KNHANES Ⅶ-2) 2017. The subjects were 301. The data were analyzed by frequency, descriptive analysis and linear regression analysis using SPSS complex samples Win 25 program. The HRQOL score was 0.92, and 2.5% of the subjects in the pain and discomfort area had severe problems. HRQOL related to the subject was 0.034, 0.039, and 0.031, respectively, when the household income level was lower, the education level was lower than elementary school graduates, and if they did not drink at present. HRQOL was 0.072, 0.065, 0.103, and 0.040 in perceived health status good or moderate, the absence of activity limitation and arthritis, was explained 43.1%. There is a need to develop interdisciplinary approaches with great interest in improving the one-person households HRQOL.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.5
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• pp.137-144
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• 2019

The purpose of this study is to investigate the relationship between the perception of dying with dignity and the quality of life based on the opinions of the Korean populations. The participants were selected using a stratified proportional allocation method and 1,000 adults aged between 19 and 74 years from 17 municipalities and provinces in Korea. The questionnaire consisted of 2 demographic items; 26 items on the quality of life scale; and 57 items on the perception of dying with dignity. The statistical methods used included frequency analyses, independent sample t-tests, and correlation analyses. The results showed that the quality of life was highest for the social life quality item, and that the participants who had experienced a death in the family were more likely to have statistically lower quality of life in physical, psychological, environmental, and social areas. In terms of the participants' perception on dying with dignity, the score for death preparation was the highest; specifically, the score for psychological/economic burden reduction was the highest. The quality of life of the participants showed a positive correlation in all aspects of the perception of dying with dignity: physical symptoms and control, death preparation, death environment, family and social relations, hospital treatment, psychological dignity, and spirituality. Other studies conducted with middle-aged populations showed that their quality of life was higher when they perceived the acceptance of death is important and were willing to participate in death preparation education. Therefore, in order to improve the quality of life and have a positive influence on the participants, educational programs on death preparation and dying with dignity considering all the areas of the perception of dying with dignity should be provided.

• Journal of Convergence for Information Technology
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• v.9 no.5
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• pp.65-76
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• 2019

The purpose of this study was to investigate breast cancer its menopause in South Korean adult women using data from the seventh Korea national health and nutrition examination survey(KNHANES VII-2) 2017. The subjects were 3,414 people in total. The Data were analyzed by frequency, ${\chi}^2$ test and multiple logistic regression analysis using SPSS complex samples Win 25 program. According to the age of the subjects, breast cancer was 1.7% higher in women aged 50~59 years than aged 40~49 years, and 1.7% was significantly more frequent in women who had no drinking frequency than in almost everyday. Menopausal age was significantly higher in women under 44 years of age with breast cancer than in those over 50 years of age. According to menopause, postmenopausal breast cancer was 1.7% more than before menopause. When adjusted for age and alcohol drinking frequency, premenopausal adult women in Korea had significantly lower breast cancer frequency by 0.03 compared with postmenopausal women. Based on these results, it is important to pay attention to the management of breast cancer in young women aged 44 years or younger and multidisciplinary efforts are needed to reduce the ever-increasing prevalence of breast cancer.

• Journal of Digital Convergence
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• v.19 no.4
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• pp.467-475
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• 2021

Purpose: When a patient with acute deterioration occurs in a ward, the decision to transfer to intensive care unit (ICU) is critical to improve the patient's outcomes. However, when available ICU resources limited, it is difficult to determine which of the deteriorating ward patients to transfer to the ICU. Therefore the purpose of this study was to identify risk factors in predicting deteriorating ward patients transferred to intensive care unit (ICU). Methods: We reviewed retrospectively clinical data of 2,945 deteriorating ward patients who referred medical emergency team. Data were analyzed with multivariate logistic regression. Results: The solid cancer that diagnosed at hospitalization (odds ratio[OR] 0.39; 95% confidence interval [CI] 0.32-0.47), when the cause of deterioration was respiratory problem (1.51; 95% CI 1.17-1.95), high MEWS (1.22; 1.17-1.28) and SpO2/FiO2 score (2.41; 2.23-2.60) were predictive of ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.