• Title/Summary/Keyword: Public Health Nursing

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Effects of Curcumin on UVB-irradiated Inflammation in HaCaT Keratinocyte Cells (울금의 Curcumin 성분이 자외선 B 조사에 의해 발생한 염증에 미치는 영향)

  • Lee, Ju-Yeon;Lee, Eun-Ju;Lee, Young-Sun;Yoo, Wang-Keun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.6
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    • pp.1014-1019
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    • 2011
  • Curcumin is a natural phytochemical present in turmeric, the ground powder of the rhizomes of Curcuma longa. Curcumin has been described as having antioxidant, anti-inflammatory, and anti-carcinogenic properties. However, it is still largely unknown whether curcumin inhibits the UVB-induced inflammatory reaction in HaCaT keratinocyte cell lines. In this study, to confirm the photoprotection properties of curcumin, HaCaT keratinocyte cells were irradiated by UVB, and then treated with curcumin. UVB irradiation induced the increased expressions of IL-$1{\beta}$, TNF-${\alpha}$, IL-6, IL-8, and COX-2 in HaCaT cells. These increased expressions of cytokines (IL-$1{\beta}$, TNF-${\alpha}$, IL-6, IL-8, and COX-2) were down-regulated by curcumin treatment in UVB-irradiated HaCaT cells. In addition skin of hairless mice were damaged by UVB irradiation, which were evidenced by atrophy of epidermis and decrease of collagen in dermis. However, these damages were protected partially by co-treatment of curcumin. Taken together, this data indicate that curcumin may be a promising photoprotection agent, when used in massage pack or sunscreen product, to reduce cell death in UV-damaged skin.

A Convergence Study on the Characteristics of Length of Hospital Stays of Injured and Traumatic Death Patients - Based on the Korea National Hospital Discharge Injury Survey Data (손상 및 외상 사망 환자의 재원일수 특성에 관한 융합 연구 -퇴원손상심층조사자료를 중심으로)

  • Song, Yu-Rim;Lee, Moo-Sik;Kim, Doo-Ree;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.8 no.5
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    • pp.87-96
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    • 2017
  • This study was carried out to provide basic data for prevention of death from injuries and traumas by analyzing the characteristics of length of hospital stay of patients with injuries and traumas, utilizing in-depth investigation data of discharged injuries. The study subjects were 233 patients discharged from January 1 to December 31 in 2014 whom the final treatment result was 'death' and the main diagnosis were injuries and accidental external causes(S00-T98). According to the research findings, the length of hospital stay of females was longer than that of males. Based on the main diagnosis, the longest length of hospital stay had complication of other internal prosthetic devices, implants and grafts(T85). In conclusion, it is necessary to develop a policy to identify the factors affecting the length of hospital stays of patients and to manage them intensively.

Assessing Reliability of Medical Record Reviews for the Detection of Hospital Adverse Events

  • Ock, Minsu;Lee, Sang-il;Jo, Min-Woo;Lee, Jin Yong;Kim, Seon-Ha
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.5
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    • pp.239-248
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    • 2015
  • Objectives: The purpose of this study was to assess the inter-rater reliability and intra-rater reliability of medical record review for the detection of hospital adverse events. Methods: We conducted two stages retrospective medical records review of a random sample of 96 patients from one acute-care general hospital. The first stage was an explicit patient record review by two nurses to detect the presence of 41 screening criteria (SC). The second stage was an implicit structured review by two physicians to identify the occurrence of adverse events from the positive cases on the SC. The inter-rater reliability of two nurses and that of two physicians were assessed. The intra-rater reliability was also evaluated by using test-retest method at approximately two weeks later. Results: In 84.2% of the patient medical records, the nurses agreed as to the necessity for the second stage review (kappa, 0.68; 95% confidence interval [CI], 0.54 to 0.83). In 93.0% of the patient medical records screened by nurses, the physicians agreed about the absence or presence of adverse events (kappa, 0.71; 95% CI, 0.44 to 0.97). When assessing intra-rater reliability, the kappa indices of two nurses were 0.54 (95% CI, 0.31 to 0.77) and 0.67 (95% CI, 0.47 to 0.87), whereas those of two physicians were 0.87 (95% CI, 0.62 to 1.00) and 0.37 (95% CI, -0.16 to 0.89). Conclusions: In this study, the medical record review for detecting adverse events showed intermediate to good level of inter-rater and intra-rater reliability. Well organized training program for reviewers and clearly defining SC are required to get more reliable results in the hospital adverse event study.

Morbidity Rate and Medical Care Utilization of Sailors during the Voyage (항해중 선원의 상병 및 치료양상)

  • Park, Jae-Yong;Jun, Jung-Won
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.1 s.25
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    • pp.102-115
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    • 1989
  • The purpose of this study was to find out morbidity rate and utilization pattern of medical services of sailors on a voyage. The subjects of this study were 470 sailors who are sailors' trainee and safety-trainee for embarkation in a ship. Data were collected by means of personal survey conducted from September 5 to October 30, 1988. The subjects were sailed 12.6 months on the average. During the voyage, 49.4% of the sailors had sickness more than once, and 24.7% was unable to work more than a day because of illness. The average monthly morbidity rate was 85.7 per 1,000 and the monthly prevalence rate of disease that was unable to work more than a day was 21.2 per 1,000. The sailors of 40-49 years old had the highest morbidity rate of 103.6 per 1,000/month. The number of days activity restricted due to sickness was 93.4 days per 1,000 persons, and the average duration of illness was 11.2 days per sickness. The proportion of treatment days to sickness days was 48.8%. Considering morbidity unable to work more than a day, the number of those who had traumatic injury were 17.2%, which revealed the highest rate, influenza or cold were 15.5%, and the digestive disease 11.2%. Less than half(42.1%) of patients were treated with medicine kept in the cabin. However, 2.1% was transferred by helicopter and 29.5% was treated at hospitals or clinics in nearby port. In the cabin, 67.4% of patients was cured completely.

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Analysis for Effectiveness of Cigarette Warning Picture and Message - Focusing on Smoker, Non-smoker, Ex-smoker (담뱃갑 경고그림 및 메시지 효과 분석 - 흡연자, 비흡연자와 금연자를 중심으로)

  • Seo, Yon-Hee;Kim, Woo-Jin
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.187-194
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    • 2019
  • This study is a descriptive study for analyzing cigarette warning picture and message effect according to smoking status (smoking, non-smoking, ex-smoking). A total of 219 subjects participated in the study. Data collection was conducted from June 4, 2017 to June 14, 2017. The survey was conducted by using the 10 cigarette warning pictures(heart disease, stroke, lung cancer, laryngeal cancer, oral cancer) and cigarette warning messages selected by the Ministry of Health and Welfare in 2016. The results of the study showed that there was a statistically significant difference in smoking cessation intention between smoking, non-smoker and ex-smoker groups after exposure of smoking warning picture and cigarette warning message(F=36.08, p<.001). Therefore, it is suggested that the contents of cigarette warning picture and warning messages including T.V Anti-Smoking Public Service Announcement need to be replaced regularly in order to improve the smoking cessation of smokers according to National Health Promotion Act.

Factors Associated with Behavioral Intention to COVID-19 Social Distancing in Loss versus Gain Advertising Context (COVID-19 사회적 거리두기 실천의도에 영향을 미치는 요인: 손실과 이득 메시지 프레이밍 광고상황)

  • Choi, Ja In;Choi, Ja Yun
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.463-471
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    • 2022
  • Purposes of this study were to identify the factors associated with behavioral Intention to social distancing (BItSD) in a loss versus gain advertising context. This study is a secondary analysis of data surveyed after randomly allocating one of the loss and gain message framing advertisements for the prevention of coronavirus disease-2019 (COVID-19) infection to 379 adults aged 19 and over living in Korea in early March 2021. Attitude toward advertisement (𝛽=.03, p<.001), involvement in COVID-19 (𝛽=.14, p=.006) and emotional stigma (𝛽=-0.17, p<.001) were associated with BItSD, and the explanatory power of these variables was 19% (Adjusted R2=.19). Therefore, when health care professionals communicate with the public, they should develop the strategies to increase public people's involvement in the information and to induce positive advertising attitudes, and provide the effective messages to prevent stigma by accurate information.

Effect of Perceived Health Status, Self-Esteem and Quality of Life on Life Satisfaction of Elders Living at Home (재가노인의 지각된 건강상태, 자아존중감, 삶의 질이 생활만족도에 미치는 영향)

  • Chang, Koung Oh;Kim, Min Ja;Kim, Ick-Jee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4723-4733
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    • 2015
  • This study was to examine the effect of perceived health status, self-esteem and quality of life on life satisfaction of community dwelling elders school participants. A cross-sectional descriptive study was conducted with a survey of 269 older people in person 3 senior center welfare at G City. The data were analyzed with t-test, ANOVA, Pearson's correlation coefficients and multiple regression using SPSS WIN 21.0 program. The mean score of the was life satisfaction $27.05{\pm}6.63$. Life satisfaction was had a positive correlation with self-esteem (r=.676 p<.001) and a negative correlation with perceived health status(r=-.6.02, p<.001) and quality of life(r=-.536, p<.001). The result of the regression indicated that perceived health status, self-esteem, quality of life explained 59.3% of variance in life satisfaction. The result suggest that it is necessary to develop strategies to promote life satisfaction for community dwelling elders to improve life satisfaction.

Hospital-based home care reinbursement and service use for the elderly (노인의 의료기관 가정간호 급여청구 및 서비스 이용 현황)

  • Chin, Young-ran
    • 한국노년학
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    • v.29 no.2
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    • pp.645-656
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    • 2009
  • The purpose of this study was to address the current status of hospital-based home care(HBHC). We analyzed the data on HBHC from national electronic data information of Health Insurance Review Agency. Beside, we surveyed 75 hospital-based home care agency. In 2006, 20,343 elderly(64.0% from all HBHC user) used 333,889 visits(76.8%from all visits). Medical diagnosis was composed of circulatory disease including cerebrovascular diseases 41.3%, endocrine system disease including Diabetes mellitus 10.4%, neoplasm 9.7%. Some of subjects used HBHC in excess of maximum covered 8 visits a month by National Health Insurance, decubitus 7.0%, the cancer 5.4%, the diabetes 2.5%, the hypertension 1.1%, and the stroke 0.9%. This results will contribute to expand the coverage of hospital-based home care by National Health Insurance. There was distribution difference in medical diagnosis and nursing intervention between HBHC and Public health center-based home care(PBHC) subjects. Therefore, HBHC subjects had more severe medical diagnosis, and were intervened more injections, examinations, than PBHC subjects. These differences must be considered to set up functional role among the three types of home visit care.

An Experimental Study on the Speeds of Various Screen-Film Systems (증감지(增感紙)-Film계(系)의 감도측정(感度測定)에 관(關)한 실험(實驗))

  • Kang, Hong-Seok;Huh, Joon
    • Journal of radiological science and technology
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    • v.11 no.1
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    • pp.3-16
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    • 1988
  • Author has made an experiment on absolute speeds of 18 screenfilm combinations that have been on sale in Korea, with various beam qualities. At this time, the beam qualities were 60kVp with the ANSI extremity phantom, 80kVp with the ANSI chest phantom and 85kVp with 20 mm aluminium filter under scatter free condition. The obtained results were as follows; 1. When three independent measurements were performed, the percent standard deviations of mAs quantities of 1.0 + fog were decreased by the hardening of the beam quality, and the decreasing tendency was somewhat great in the blue systems. 2. Generally, the increasing tendency of absolute speeds was distinct by the hardening of the beam quality in the green systems. Conclusively, the green systems were more strongly dependent upon the beam quality rather than the blue systems. Therefore, the relative speed of green systems to blue systems were great under the same condition. 3. Differences in the green systems were kept almost constant even though the beam qualities were changed. 4. They were shown the mutual relationship of absolute speed and relative speed rather than independent.

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Anxiety, Depression Levels and Quality of Life in Patients with Gastrointestinal Cancer in Turkey

  • Bektas, Didem Kat;Demir, Sati
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.723-731
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    • 2016
  • Background: Cancer is a major public health problem in many parts of the world. Gastrointestinal (GI) cancers are responsible for 20% of all cancer-related deaths. In Turkey, stomach cancers account for 8.9%, colon cancer for 6.9%, and pancreatic cancer for 5.9%. This study examined the anxiety-depression levels and the quality of life of patients with GI cancer. Materials and Methods: This descriptive study was carried out on 335 adult patients who had gastrointestinal cancer and who were hospitalized in medical oncology clinics. Data were collected by using hospital anxiety and depression scale, EORTC QLQ C-30 and a patient information form. Results: Patients who were male and secondary school graduates/graduates/postgraduates experienced more functional difficulties. Patients with poor economic status experienced more symptoms. Patient general wellbeing decreased with increase disease duration. The level of functional difficulties decreased with an increasing number of hospital stays. Anxiety scores increased with decreasing age. Both anxiety and depression scores increased with increasing disease duration. Patients who were female, single/widowed/divorced, and literate/elementary school graduates had higher anxiety and depression scores. Life quality decreased with increasing anxiety and depression. Conclusions: Patients should be supported to prevent anxiety and depression, and should be followed up with this in mind.