• Tuberculosis and Respiratory Diseases
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• 제68권3호
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• pp.125-139
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• 2010

Patients with chronic obstructive pulmonary disease (COPD) frequently complain of dyspnea on exertion and reduced exercise capacity, which has been attributed to an increase in the work of breathing and in impaired of gas exchange. Although COPD primarily affects the pulmonary system, patients with COPD exhibit significant systemic manifestations of disease progression. These manifestations include weight loss, nutritional abnormalities, skeletal muscle dysfunction (SMD), cardiovascular problems, and psychosocial complications. It has been documented that SMD significantly contributes to a reduced exercise capacity in patients with COPD. Ventilatory and limb muscle in these patients show structural and functional alteration, which are influenced by several factors, including physical inactivity, hypoxia, smoking, aging, corticosteroid, malnutrition, systemic inflammation, oxidative stress, apoptosis, and ubiquitin-proteasome pathway activation. This article summarizes briefly the evidence and the clinical consequences of SMD in patients with COPD. In addition, it reviews contributing factors and therapeutic strategies.

• 대한간호학회지
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• 제37권7호
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• pp.1080-1090
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• 2007

Purpose: Although concerns of female sexual dysfunction (FSD) are increasing in Korea, sexual dysfunction related factors are limited in research studies. The aim of this study was to develop an explanatory model that will further explain the continuously increasing female sexual dysfunction cases in Korea. Methods: Survey visits were conducted to four hundred and eighty five women, over 25 years of age and presently residing in either urban or rural areas. All of them were analyzed using a structured questionnaire. A total of 8 instruments were used in this model. The analysis of data was done with both SPSS WIN for descriptive statistics and AMOS 5.0 for covariance structure analysis. Results: As a result, variables that showed notably direct effects on FSD were: sexual concept (sexual attitude), sexual distress, and psychosocial health (depression, crisis, traumatic life events). On the other hand, variables such as age, educational level, economic status, and marital status showed indirect influences on health-promoting behaviors. Conclusion: By comprehensively addressing the factors related to sexual dysfunction, and comparing each influence, this study can contribute to designing an appropriate sexual dysfunction prevention strategy in tune with the particular characteristics and problems of a client.

• 가정과삶의질연구
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• 제32권3호
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• pp.1-15
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• 2014

This study aimed to identify predictors of acculturation types among marriage migrant women at the individual and dominant society levels. To accomplish this goal, we recruited marriage migrant women from China and Vietnam, classified their acculturation types according to their scores on acculturation attitudes, and performed multinomial logistic regression on acculturation types by entering marriage migrant women's individual and dominant society level factors as covariates based on previous research. The results showed that most of the participants were classified under integration(N=376), followed by assimilation(N=66), separation(N=60) and marginalization(N=48). Lower household income, lower sense of mastery, weaker ethnic identity and lower social support predicted assimilation as compared to integration. Less education, higher household income, weaker ethnic identity, lower family satisfaction and lower social support predicted separation as compared to integration. Finally, as compared to integration, marginalization was predicted by lower sense of mastery, lower ethnic identity and lower social support. This study expands the current scholarship on acculturation by examining acculturation as an indicator of the psychosocial adaptation of immigrants and by identifying factors that predict specific acculturation types among marriage migrant women.

• 성인간호학회지
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• 제22권5호
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• pp.537-551
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• 2010

Purpose: This study was designed to identify meaningful themes related to the recognition of lifestyle risk factors and barriers in seeking treatment following an acute event of first-time acute myocardial infarction. Methods: A methodological mixed method of thematic content analysis and a quantitative analysis was used. The sample consisted of 120 male patients < 65 years of age who agreed to be in the study were interviewed using a semistructured during 2008-2009. Data were analyzed according to the procedure of thematic content analysis and the meaningful themes were coded into SPSS data for quantitative analysis. Results: Pre-hospital delay greater than three hours reported by 58.3% (n=70) of the sample and similarly 63.3% had no recognition about their symptoms as cardiac in origin. The mean number of risk factors was $3.9{\pm}1.8$ out of 11 when lifestyle and psychosocial factors were included. From the interview data among the 70 patients delayed greater than three hours, thirty-five themes categorized into 12 main themes influenced the delayed decision which was identified according to personal-cognitive, socio-cultural, and contextual factors. Conclusion: Health care providers should consider these themes in designing individual interventions to make lifestyle changes and to facilitate more prompt decisions to seek care.

• 대한임상검사과학회지
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• 제48권3호
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• pp.196-201
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• 2016

효과적인 비만의 중재는 대상 인구에서 가장 관련성이 있는 인구통계학적 건강 관련 및 직무 관련 요인을 고려해야 한다. 가장 강력한 비만 관련 요인은 직업군 또는 연령 범주에서 다룰 수 있다. 이 연구의 목적은 심리적인 직무 스트레스와 면역관련 인자의 혈액분석의 상관성에 대한 최신지견을 제공하는 것이다. 우리는 여성 근로자의 비만 관련 매개 변수 뿐만 아니라 자연살해세포활성(NKCA)을 평가하였다. 비만과 관련된 혈당(p<0.05)은 연령에서 유의한 차이를 보였다. 또한, 비만군과 non-비만군에서는 NK 세포의 활성에 큰 차이를 보였다(p<0.05). 단계적 다중 회귀 분석에서 NKCA는 비만 관련 요인과 밀접한 상관성을 보였다. 향후에는 면역인자들의 활성도가 증가하는 생물학적 변화를 연구해야 할 것이다.

• Safety and Health at Work
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• 제1권2호
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• pp.149-157
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• 2010

Objectives: To quantify disability level in salespeople with concurrent low back pain (LBP) and to determine the relative associations between demographic, occupational, psychosocial and clinical factors and back disability. LBP is the most common cause of work-related disability in people under 45 years of age and the most expensive cause of work-related disability, in terms of workers' compensation and medical expenses. Evidence suggests high prevalence of LBP in salespeople. Methods: A cross-sectional survey was conducted in which 184 saleswomen with a current episode of self-reported LBP working in a large up-scale department store filled out a battery of 6 self-administered questionnaires and received a standardised physical examination. Results: Saleswomen with concurrent LBP had low disability levels. Factors significantly associated with disability were pain intensity, measured by a visual analogue scale, in the past week (p < 0.001), physical and mental health status (p < 0.001, p = 0.003, respectively), fear avoidance scores for both work and physical activities (p = 0.031, p = 0.014, respectively), past history of LBP (p = 0.019), and self-reported frequency of pushing or pulling objects placed in high positions during work (p = 0.047). A significant level (45%) of the variance in disability status was explained by these variables. Conclusion: In clinical management of LBP workers who required prolonged standing, such as salespeople, clinicians should look for modifiable risk factors associated with disability. Specific measures need to be taken to prevent disability due to LBP among salespeople.

• Journal of Oral Medicine and Pain
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• 제43권4호
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• pp.125-130
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• 2018

Purpose: The etiology of temporomandibular disorders (TMDs) is complex and multifactorial including trauma, anatomical, pathophysiological, social and psychological factors. Psychological factors can induce or sustain TMDs in various ways. And psychological problems, such as anxiety and depression can be occurred due to TMDs. Therefore, evaluation of psychological factors in patients with TMDs is important. Although disc displacement (DD) is crucial in clinical situation, most of studies have focused on the relationship of psychosocial factors and myofascial pain. And also, Subtypes of DD can cause different degrees of discomfort, it is necessary to evaluate the psychological states of the patients according to the subtype. The Hospital Anxiety Depression Scale (HADS) is one of the self-report questionnaire to evaluate the psychological factors. HADS-Anxiety (HADS-A) and HADS-Depression (HADS-D) are assessed through 14 questions. The purpose of this study was to evaluate anxiety and depression assessed by HADS in patients diagnosed with subtypes of DD according to diagnostic criteria for TMDs. Methods: Four hundred thirty nine patients were diagnosed as one of the subtypes of DD. One hundred fourty nine subjects with no symptoms were set as control groups. All of them answered the HADS for Koreans. The cut-off score for anxiety and depression was set a score of 8. The chi-square test was performed to evaluate association between DD and anxiety/depression. Results: There was a significant difference in HADS-D between five groups (p<0.01). However, there was no significant difference in HADS-A. All the DD groups showed a significant difference in HADS-D compared with the control group except the DD without reduction without limited opening group. The DD without reduction with limited opening group showed the highest rates in HADS-D (40.4%). Conclusions: Based on the above results, it is necessary to consider the depression in treatment of the patients with DDs.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8483-8488
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• 2014

Background: Breast cancer is the most common cancer and the second most common cause of cancer-induced mortalities in Iranian women, following gastric carcinoma. The survival of these patients depends on several factors, which are very important to identify in order to understand the natural history of the disease. Materials and Methods: In this retrospective study, 313 consecutive women with pathologically-proven diagnosis of breast cancer who had been treated during a seven-year period (January 2006 until March 2014) at Towhid hospital, Sanandaj city, Kurdistan province of Iran, were recruited. The Kaplan-Meier method was used for data analysis, and finally those factors that showed significant association on univariate analysis were entered in a Cox regression model. Results: the mean age of patients was $46.10{\pm}10.81$ years. Based on Kaplan-Meier method median of survival time was 81 months and 5 year survival rate was $75%{\pm}0.43$. Tumor metastasis (HR=9.06, p=0.0001), relapse (HR=3.20, p=0.001), clinical stage of cancer (HR=2.30, p=0.03) and place of metastasis (p=0.0001) had significant associations with the survival rate variation. Patients with tumor metastasis had the lowest five-year survival rate (37%)and among them patients who had brain metastasis were in the worst condition (5 year survival rate= $11%{\pm}0.10$). Conclusions: Our findings support the observation that those women with higher stages of breast malignancies (especially with metastatic cancer) have less chance of surviving the disease. Furthermore, screening programs and early detection of breast cancer may help to increase the survival of those women who are at risk of breast cancer.

• 디지털융복합연구
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• 제13권12호
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• pp.1-12
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• 2015

본 연구는 마이크로크레딧 이용자의 창업요인과 자기효능감이 사업체의 경제적 성과에 영향을 미치는지를 살펴보는데 있다. 기존의 연구가 창업요인에 중점을 두었던 것에 반해, 본 연구는 이용자의 사회심리적 요인인 자기 효능감을 포함시키고, 사업체의 경제적 성과를 수익과 고용인원으로 나누어 세밀히 파악하는데 그 의의가 있다. 본 연구를 위해 2곳의 마이크로크레딧 기관의 이용자를 대상으로 설문조사를 실시하여 회수된 322부를 분석 자료로 삼았다. 분석 결과, 사업체 수익에는 창업업종, 창업경험, 운영기간, 창업자금, 자기효능감이, 사업체 고용인원에는 창업 업종, 창업자금, 자기효능감, 교육이 유의미한 영향을 미친 것으로 확인되었다. 이러한 결과를 통해 소득증대와 고용 창출을 위해 마이크로크레딧은 무엇을 중요하게 고려해야 하는 지를 파악하였으며, 특히 자기효능감의 중요성을 인식할 수 있었다. 끝으로 이러한 연구 결과에 기초하여 마이크로크레딧 성과를 제고하기 위한 정책적, 실천적 제안에 대해 논의하였다.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.503-515
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• 2020

본 연구는 보건교사의 양가적 성차별주의와 동성애에 대한 태도에 영향을 미치는 심리사회-인구학적 요인을 규명하기 위해 수행되었다. S시의 보건교사 138명을 대상으로 구조화된 온라인 설문지를 이용하여 2019년 12월 1일부터 12월 31일까지 자료를 수집하였다. 자료 분석은 SPSS/WIN (25.0) 프로그램을 이용하여 기술통계, 크루스칼-왈리스 검정, 만-위트니 U 검정, 스피어만의 순위상관, 단계적 다중회귀를 시행하였다. 적대적 성차별주의의 영향요인은 권위주의 성향, 연령, 외재적 종교 성향과 학력이었다. 온정적 성차별주의의 영향요인은 권위주의 성향, 연령과 학력이었다. 동성애에 대한 태도의 영향요인은 권위주의 성향, 종교 유무와 내재적/외재적 종교 성향이었다. 학교 환경에서 성 고정관념이나 편견에 대한 학생들의 교육적 경험에 보건교사의 영향력은 지대하다. 따라서 성평등에 기반을 둔 진정한 교육적 변화를 위해서는 보건교사에게 자신의 성인지적 관점을 능동적으로 성찰할 수 있는 교사 연수 프로그램을 구축하고 제공할 필요가 있다.