• Journal of Periodontal and Implant Science
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• 제46권3호
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• pp.197-206
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• 2016

Purpose: The aim of this study was to evaluate alterations of papilla dimensions after orthodontic closure of the diastema between maxillary central incisors. Methods: Sixty patients who had a visible diastema between maxillary central incisors that had been closed by orthodontic approximation were selected for this study. Various papilla dimensions were assessed on clinical photographs and study models before the orthodontic treatment and at the follow-up examination after closure of the diastema. Influences of the variables assessed before orthodontic treatment on the alterations of papilla height (PH) and papilla base thickness (PBT) were evaluated by univariate regression analysis. To analyze potential influences of the 3-dimensional papilla dimensions before orthodontic treatment on the alterations of PH and PBT, a multiple regression model was formulated including the 3-dimensional papilla dimensions as predictor variables. Results: On average, PH decreased by 0.80 mm and PBT increased after orthodontic closure of the diastema (P<0.01). Univariate regression analysis revealed that the PH (P=0.002) and PBT (P=0.047) before orthodontic treatment influenced the alteration of PH. With respect to the alteration of PBT, the diastema width (P=0.045) and PBT (P=0.000) were found to be influential factors. PBT before the orthodontic treatment significantly influenced the alteration of PBT in the multiple regression model. Conclusions: PH decreased but PBT increased after orthodontic closure of the diastema. The papilla dimensions before orthodontic treatment influenced the alterations of PH and PBT after closure of the diastema. The PBT increased more when the diastema width before the orthodontic treatment was larger.

• Journal of Preventive Medicine and Public Health
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• 제49권6호
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• pp.367-375
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• 2016

Objectives: The established theory that breast density is an independent predictor of breast cancer risk is based on studies targeting white women in the West. More Asian women than Western women have dense breasts, but the incidence of breast cancer is lower among Asian women. This meta-analysis investigated the association between breast density in mammography and breast cancer risk in Asian women. Methods: PubMed and Scopus were searched, and the final date of publication was set as December 31, 2015. The effect size in each article was calculated using the interval-collapse method. Summary effect sizes (sESs) and 95% confidence intervals (CIs) were calculated by conducting a meta-analysis applying a random effect model. To investigate the dose-response relationship, random effect dose-response meta-regression (RE-DRMR) was conducted. Results: Six analytical epidemiology studies in total were selected, including one cohort study and five case-control studies. A total of 17 datasets were constructed by type of breast density index and menopausal status. In analyzing the subgroups of premenopausal vs. postmenopausal women, the percent density (PD) index was confirmed to be associated with a significantly elevated risk for breast cancer (sES, 2.21; 95% CI, 1.52 to 3.21; $I^2=50.0%$). The RE-DRMR results showed that the risk of breast cancer increased 1.73 times for each 25% increase in PD in postmenopausal women (95% CI, 1.20 to 2.47). Conclusions: In Asian women, breast cancer risk increased with breast density measured using the PD index, regardless of menopausal status. We propose the further development of a breast cancer risk prediction model based on the application of PD in Asian women.

• Asian Pacific Journal of Cancer Prevention
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• 제16권9호
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• pp.3735-3740
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• 2015

Context: Insulin-like growth factor peptides play important roles in regulating cell growth, cell differentiation, and apoptosis, and have been demonstrated to promote the development of colorectal cancer (CRC). Objective: To examine the association of insulin-related biomarkers including insulin-like growth factor-1 (IGF-1), insulin-like growth factor binding protein-3 (IGFBP-3) and C-peptide with CRC risk and assess their relevance in predictive models. Materials and Methods: The odds ratios of colorectal cancer for serum levels of IGF-1, IGFBP-3 and C-peptide were estimated using unconditional logistic regression models in 100 colorectal cancer cases and 100 control subjects. Areas under the receiving curve (AUC) and integrated discrimination improvement (IDI) statistics were used to assess the discriminatory potential of the models. Results: Serum levels of IGF-1 and IGFBP-3 were negatively associated with colorectal cancer risk (OR=0.07, 95%CI: 0.03-0.16, P for trend <.01, OR=0.06, 95%CI: 0.03-0.15, P for trend <.01 respectively) and serum C-peptide was positively associated with risk of colorectal cancer (OR=4.38, 95%CI: 2.13-9.06, P for trend <.01). Compared to the risk model, prediction for the risk of colorectal cancer had substantially improved when all selected biomarkers IGF-1, IGFBP-3 and inverse value of C-peptide were simultaneously included inthe reference model [P for AUC improvement was 0.02 and the combined IDI reached 0.166% (95 % CI; 0.114-0.219)]. Conclusions: The results provide evidence for an association of insulin-related biomarkers with colorectal cancer risk and point to consideration as candidate predictor markers.

• 대한가정학회지
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• 제42권12호
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• pp.161-174
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• 2004

The primary objective of this study was to employ Darden's store patronage model in order to investigate the role that shopping orientation and store attributes play in store patronage. The study sample consisted of 340 female university students residing in Seoul. The data was analyzed by using path analysis and factor analysis. The recreational shopping orientation played a greater role in influencing the importance of store attributes than did the convenience shopping orientation. Recreational shoppers want a variety of brands and convenience shoppers can be attracted by a convenient location and availability of parking. Six important store attributes(variety of products and price level, proximity, variety of trendy brands, store decor, sales promotion, sales personnel) have a differential influence on store patronage. Shopping orientation was a direct predictor of patronage behavior and mediated the relationship between shopping orientation and store attribute importance. The finding indicated that both the recreational shopping orientation and convenience shopping orientation can be used effectively to position store patronage in such a way as to provide a strong means for shoppers to satisfy their needs. The findings of this study demonstrated that South Korean female shoppers with different shopping orientation have different store attribute preference and store patronage. The results provide a basis for building a successful strategy to attract shoppers and generate sales. The study focused on a specific product category, i.e., women's apparel. To meet the needs of female apparel shoppers, further research is needed to learn more about the distinctive characteristics of Korean consumers that could be applied to a variety of jobs, ages and living areas.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.2105-2110
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• 2016

Purpose: A multicenter, observational, cross-sectional study was conducted to assess factors delaying presentation of breast cancer cases. Materials and Methods: Data were collected from a pair of highly specialized referral centers, both located in the center of the Sudanese capital, Khartoum. For a total of 153 eligible respondents, durations of delay, clinicodemographic factors and reasons of referral were collected from our respondents through self-administered questionnaires. Logistic regression analysis and ANOVA were used to test the relation between periods of delay and different factors. Odd ratios (OR's) and their correspondent Confidence intervals (95% CI's). Delay periods were studied with Andersen's model. Results: The average duration of delay in our study was 11.9 (${\pm}11.2$) months. Only a quarter of our patients presented early within the first 3 months after onset of their symptoms. About 47.7% arrived later during the course of the first year, while it took beyond that for the last 27% to come. A prior diagnosis of BC was the only predictor of early presentation (for 3-12 months OR=9.6 (p<0.00), 95% CI 9.55-9.75; for >12 months OR=9.3 (p<0.00), 95% CI 9.33-9.33). Out of the 12 different reasons for delay given by our respondents, none showed a significant difference between patients presenting early or late. Financial incapacity (17.5%), ignorance about BC (14.3), and misinterpreting symptoms (12.7%) were the top three whys of delay. Conclusions: Our findings support existence of a non-uniform pattern of delay among Sudanese BC patients. Changing currently adopted awareness elevating strategies into much more inclusive approaches is strongly recommended.

• 한국콘텐츠학회논문지
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• 제16권4호
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• pp.250-261
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• 2016

본 연구는 청소년의 게임중독과 공격성의 관계에서 사적 자의식의 매개모형을 검증하여 게임중독 청소년을 위한 개입방안 마련에 도움을 주기 위해 수행되었다. 남자 청소년 439명을 대상으로 설문조사를 실시하고 구조모형을 분석한 결과는 다음과 같다. 첫째, 게임중독은 공격성 및 사적 자의식과 정적 상관을 나타냈고, 사적 자의식은 공격성과 정적 상관을 나타냈다. 게임중독은 사적 자의식의 두 하위 요인 중 자신에 대한 숙고 요인과 정적 상관을 나타낸 반면, 내적 상태에 대한 인식 요인과는 유의미한 상관을 나타내지 않았다. 또한 사적 자의식의 두 하위요인은 공격성과 정적 상관을 나타냈으나 내적 상태에 대한 인식 요인은 상대적으로 상관이 낮았고, 공격성에 대한 회귀분석에서는 자신에 대한 숙고 요인만이 유의미한 예측변인으로 포함되었다. 둘째, 구조방정식 모형 검증 결과, 사적 자의식, 특히 자신에 대한 숙고는 게임중독과 공격성 간의 관계에서 부분매개 역할을 하는 것으로 확인되었다. 마지막으로 본 연구의 제한점과 후속연구를 위한 보완점이 논의되었다.

• 한국환경복원기술학회지
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• 제18권3호
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• pp.65-77
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• 2015

The urban park has important functions as a habitat for wildlife as well as open space of rest and community for people. This study was carried out to find what factors of structure and vegetation of urban parks could affect forest bird species diversity in Cheonan city. The study surveyed bird and vegetation species in 26 urban parks, Cheonan city. A correlation analysis and multiple linear regressions were performed to test whether habitat structure and vegetation were the major correlate with species diversity. The results showed the Dujeong park was the most high bird species diversity (H' = 2.13), and the Dujeong-8 park (H' = 2.02) and the Cheongsa park (H' = 1.73) were considerably higher than the other urban parks. The variables that were strongly correlated with bird species diversity were park area, number of subtree species, canopy of shrub, number of shrub species, shape index, canopy of subtree, canopy of tree, and impervious surface ratio. The regression of bird species diversity against the environmental variables showed that 3 variables of park area, canopy of subtree, and canopy of tree were included in the best model. Model variable selection was broadly similar for the 5 optimal models. It means park area and multi-layer vegetation were the most consistent and significant predictor of bird species diversity, because urban parks were isolated by built-up areas. Especially the subtree coverage that provides shelter and food for forest birds was an important variable. Therefore, to make parks circular-shaped and abundant multi-layer vegetation, which could be a buffer to external disturbances and improve the quality of habitats, may be used to enhance species diversity in creation and management of urban parks.

• 한국산업정보학회논문지
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• 제16권4호
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• pp.139-149
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• 2011

스마트폰은 PDA와 같은 고급기능을 제공하는 휴대전화로서 대표적인 컨버전스 기기이다. 본 논문에서는 기술수용모형을 기반으로 스마트폰 사용 의도에 영향을 주는 요인들을 분석하는 것이다. 선행 연구를 통해 사용 의도의 독립 변수로 주관적 규범, 혁신성, 인지된 사용용이성, 인지된 유용성, 인지된 유희성과 비용의 적정성을 설정하여 연구 모형을 구성하였다. 스마트폰을 사용하고 있는 289명의 대학생들을 중심으로 설문 분석한 결과는 다음파 같다. 첫째, 주관적 규범, 혁신성, 인지된 유용성, 인지된 유희성, 비용 적합성은 스마트폰 사용 의도에 정(+)의 영향을 주는 것으로 나타났지만, 인지된 사용용이성은 유의적인 영향을 주지 못하는 것으로 나타났다. 둘째, 사용 의도에 가장 큰 영향을 미치는 것은 인지된 유희성으로 나타났다.

• 생물정신의학
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• 제21권4호
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• pp.141-150
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• 2014

Objectives The purpose of this study is to evaluate the effects of attachment security, social support and health-related burden in the prediction of psychological distress and the mediation effects of social support and health-related burden in relationship between attachment security and psychological distress. Methods Finally, 161 patients were included for the analysis. Chi-square test and independent samples t-test were used for comparing differences between depressive/anxious group and non-depressive/non-anxious group. For evaluating the relationship among attachment security, social support, psychological distress and health-related burden, structural equation modeling analysis were performed. Results 40.7% and 32.0% of the patients have significant depressive symptoms and anxiety symptoms, respectively. In the analysis for testing the differences between groups who have psychological distress and who have not, there were no significant differences of sociodemographic factors and medical characteristics between groups, except for association between depressive symptoms and type of surgery (p = 0.01). Contrary to sociodemographic and medical characteristics, there were significant differences of health-related burden and two coping resources (attachment security and social support) between groups (all p < 0.01), except for the support from medical team in between anxious group and non-anxious group (p = 0.20). In the structural equation model analysis (Model fit : chi-square/df ratio = 0.8, root mean square error of approximation = 0.000, comparative fit index = 1.000, non-normed fit index =0.991), attachment security and social support emerged as an important predictor of psychopathology. Conclusions Attachment security and social support are important factors affecting the psychological distress. We suggest that individual attachment style and the social support state must be considered to approach the newly diagnosed breast cancer patients with psychological distress.

• 중환자간호학회지
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• 제11권3호
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• pp.45-57
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• 2018

Purpose : This study was performed to identify the influencing factors of unplanned intensive care unit (ICU) readmission. Methods : The study adopted a Rretrospective case control cohort design. Data were collected from the electronic medical records of 844 patients who had been discharged from the ICUs of a university hospital in Incheon from June 2014 to December 2014. Results : The study found the unplanned ICU readmission rate was to be 6.4%(n=54). From the univariate analysis revealed that, major symptoms at $1^{st}$ ICU admission, severity at $1^{st}$ ICU admission (CPSCS and APACHE II), duration of applying ventilator application during $1^{st}$ ICU admission, severity at $1^{st}$ discharge from ICU (CPSCS, APACHE II, and GCS), and application of $FiO_2$ with oxygen therapy, implementation of sputum expectoration methods, and length of stay of ICU at $1^{st}$ ICU discharge were appeared to be significant; further, decision tree model analysis revealed that while only 4 variables (sputum expectoration methods, length of stay of ICU, $FiO_2$ with oxygen therapy at $1^{st}$ ICU discharge, and major symptoms at $1^{st}$ ICU admission) were shown to be significant. Conclusions : Since sputum expectoration method was the most important factor to predictor of unplanned ICU readmission, a assessment tool for the patients' capability of sputum expectoration needs to should be developed and implemented, and standardized ICU discharge criteria, including the factors identified from the by empirical evidences, might should be developed to decrease the unplanned ICU readmission rate.