The purpose of this study was to examine the association between oral health status and health related quality of life (HRQoL). The study used a nationally representative sample of Koreans (2013 Korea National Health and Nutrition Examination Survey) aged 19~64 years (n=3,252). Dependent variable was HRQoL, which was assessed with each component of EuroQol-5 dimension (EQ5D). Independent variable was oral health status (oral pain, chewing problem, speaking problem, and perceived oral health). After adjustment for confounders (socio-demographic factors, oral health behaviors, health behaviors, and physical conditions), the risk of having poor HRQoL was greater in adults with poor oral health status. The odds ratio (OR) of having pain/discomfort were 1.50 (95% confidence interval [CI], 1.22~1.86) for respondents with oral pain, 1.72 (95% CI, 1.33~ 2.22) for respondents with chewing problem, 1.79 (95% CI, 1.22~2.62) for respondents with speaking problem, and 1.36 (95% CI, 1.09~1.70) for respondents with poor perceived oral health. The OR of having anxiety/depression were 1.74 (95% CI, 1.28~2.38) when having a chewing problem, 1.72 (95% CI, 1.12~2.64) when having a speaking problem, and 1.54 (95% CI, 1.14~2.08) when rating his/her oral health poor. Among Korean adults, two of the EQ5D components were associated with oral health status. Future study is needed to examine the detailed causal relations between oral health status and HRQoL longitudinally.
Objectives: The purpose of the study is to investigate the correlation with subjective oral health status and food preference in elderly people. Methods: Data were extracted from the fifth Korea National Health and Nutrition Survey 2010-2012. The survey data included general characteristics of the subjects, food preference, and subjective oral health status. Food preference was analyzed by assigning score to 63 food categories. The subjective oral health status consisted of toothache within a month, self-perception of oral health, chewing difficulty, mastication difficulty, and speaking difficulty. Data were analyzed by frequency analysis, descriptive statistics, ${\chi}^2$ test, t-test, and ANOVA using SPSS 22.0 program. Results: Elderly men had a tendency to have a liking for all food categories except for fruit. Difficulty in chewing and mastication was shown in those who had older age, lower education, lower monthly income, and national basic livelihood security. Difficulty in speaking was found in those who had older age, lower education, and national basic livelihood security. Self perception of oral health status was closely related to food preference for pulses and potatoes, fish, vegetables and others(p<0.05). Difficulties in chewing and mastication had relation to all food categories excepting cereals, lipids and sugars(p<0.05). Speaking difficulty were significantly different in pulses, potatoes, meat, eggs, vegetables, fruits, milk, dairy products, and others(p<0.05). Conclusions: Poor subjective oral health status was closely related to food preference. It is necessary to educate that maintenance of good oral health is to ingest the balanced nutrition in the elderly people.
This study aimed to provide knowledge helpful for understanding voice problems related to occupations in the clinical field through an investigation and comparison of subjective vocal symptoms of 12 professional actors and 12 speech-language pathologists Among the 11 symptoms, "Difficulty with high pitch when singing," "Hypertension in the neck when speaking," and "Feel voice fatigue" were the most frequent symptoms in both groups. Additionally, the professional voice users reported a higher frequency of "Difficulty with high pitch when singing" (p=.049), "Hoarse voice" (p=.021), "Difficulty (requiring effort) when speaking" (p=.032), "Pain in the neck when speaking" (p=.009), and "Feel vocal fatigue" (p=.018) than the elite vocal performer group. This may be due to the different voice-related environments and differences in voice demands during occupational activities between the two groups.
Objectives: The objective of the study was to investigate the related factors of non-utilization of dental care among Korean adults. Methods: Korean National Health and Nutrition Survey 2012 was carried out in South Korea. A total of 5,589 adults were interviewed and examined. A multinominal logistic regression model was used to estimate the odds ratio with 95% confidence intervals for the non-utilization of dental care. Results: The non-utilization of dental care was shown to have a badly perceived oral health status, less toothbrushing before sleeping(OR=1.18: 95% CI=1.00-1.39), periodontitis symptoms (OR=1.82: 95% CI=1.50-2.22), toothache experience (OR=2.03: 95% CI=1.75-2.34), TMJ symptom experience (OR=3.31: 95% CI=2.74-3.99), speaking problem (OR=1.87: 95% CI=1.75-2.34) and a partial dentures needs (OR=2.49: 95% CI=1.93-3.19). Conclusions: The non-utilization of dental care tended to have badly perceived oral health status, less toothbrushing before sleeping, periodontitis, toothache experience, TMJ symptom experience, speaking problem, and partial dentures needs.
Thailand is one of the ASEAN countries and is said to be the most visited country in Southeast Asia. Despite its development, Thailand falls as one of the countries with the lowest rates of English proficiency. This article is written to describe one of the possible factors of Thailand's low English proficiency, which is the foreign language anxiety of students. This article outlines references regarding the English language anxiety of Thai students and uses them as a basis in distinguishing English language anxiety among nursing students in Boromarajonani College of Nursing Nakhon Lampang, Thailand (BCNLP). A survey was conducted using a questionnaire based on the FLCA Scale by Horwitz, Horwitz, and Cope, (1986) with a focus group consisting of 80 participants randomly selected from $1^{st}$ year to $4^{th}$ year nursing students of BCNLP. As found in the survey there were two sources of English language anxiety among nursing students: 1. Fear of negative evaluation due to unpreparedness, and feeling and thinking that others are better in language learning as the main factors; and 2. Communicating apprehension, where in speaking without preparation, speaking in the foreign language in front of other students, and self-doubt about one's ability to speak in the foreign language are the highest ranked causes of anxiety. The results indicate two main problems: unpreparedness and self-concept. Therefore, it is recommended that English Language classes should be taught with the learner-centered approach and that instructors should put importance in preparing the students during class, and encouraging them to increase a positive self-concept towards English language learning.
The mandible plays a crucial role in the vital human functions of breathing, eating, and speaking. No other bone in the body has such a distinctive shape and function. Because of its prominence in the facial structure, the mandible is highly prone to fracture. A clinical study on 122 patients with mandibular fracture who visited Kangnam General Hospital during 4 year(1992-1995) was done by analysing sex, age, cause, fracture site, teeth involvement, treatment method, complication and involvement of other body part. The results obtained were as follows : 1. The occurrence was more frequent in male than in female with the ratio of 5.4 : 1 and most frequently in twenties. 2. Violence was the most common cause of facial mandibular fracture. 3. In mandibular fracure, fracture site was average 1.5 sites, most frequently in symphysis and simple fracture was 86.1%. 4. As treatment methods, open reduction(78.6%) was used more frequently than closed reduction(21.4%). 5. Post-operational complication occurred in 27.0% of the cases. 6. Other injuries that were related to maxillofacial fracture occurred in 25.4%.
In recent years, the studies on the student movement in Republican China have been more accurate. However, some areas still remain uncovered, such as the technology of student movement. In this paper, the author focuses on how students utilize sound tools in their movements, especially in public meetings. During the May 4th Movement and the 1920s, Chinese students mainly used speaking trumpets without electricity. In the 1930s, electric tools began to appear in student movement for sound propagation. In the student movement of postwar China, students of various political positions could make a use of loudspeaker, wired broadcasting, and megaphone or other equipments. The battle of sound had been part of the Chinese civil war. In general, sound tools had taken an important role in the history of student radicalism.
Among public organizations, does variation in organizational structure explain variation in public managers' leadership styles (e.g., transformational and transactional leadership)? The study of leadership in public organizations is increasingly an area of scholarly interest partly sparked by movements to reform public organizations, particularly in the context of emergency management. There is, for example, a need for effective leadership that can help organizations respond to disasters (Kapucu et al. 2010; Van Wart and Kapucu 2011; Stern 2013). There are numerous documented cases where the lack of leadership skills has been linked to major social and economic losses as a result of poor disaster response (e.g., Hurricane Katrina in the U.S.). Yet, leadership is a complex concept and numerous theoretical frameworks have been developed to help explain it (Van Wart 2005). Practically speaking, the existence of different theories of leadership suggests that public managers can decide to exercise various styles of leadership. The style of leadership that a public manager exhibits matters because some styles are perceived to be more effective than others (Trottier et al. 2008). While the effects of leadership have been extensively studied, antecedents or predictors of leadership style have received little scholarly attention (Wright and Pandey 2009; Nielsen and Cleal 2011). The purpose of this research note then is to explore the potential causal relationship between the structure of an organization and the ability of a public manager to exercise transformational leadership in the context of emergency management in two Asian countries: South Korea and Japan. This research note consists of three main sections. The following section explores the relationship between leadership and organizational structure. The second section examines how certain concepts of leadership and organizational structure were applied in two case studies of disaster response. The final section presents some directions for future research.
This paper analyzes an NHK's 'Performances of Reform and Revival'. As a result of analysis, it was focused on reinforcement of the management such as audit, corporate governance, compliance, and thus the accountability was insufficient. Generally speaking, public service broadcasting is the form of organization of mass media that is most directly accountable to society. Therefore, the efforts is required for public service broadcasting to figure out to endow the social roles and responsibilities to themselves differentiated from other commercial broadcasters. And it is necessary that the concrete systems and activities based on an answerability model so that public broadcasters fulfill the accountability. Answerability means that broadcasting organizations and journalists both take account of and are accountable to the public. In such a process, the positive and voluntary civic participation is indispensable.
In this paper, local public archives is referred to the public archives of provincial governments and metropolitan city governments as defined in the public Records Management Act. Under the Act, as professional archives, the local public archives preserves records designated as permanent preservation which the local government and its sub-agencies created or received to conduct public business. The Act also allows local public archives to establish an appropriate basic plan to manage its holdings as well as to oversight its sub-agencies. The Act stipulates that the local public archives are to be established in all provinces and metropolitan cities. The local public archives shall preserve archival heritage safely and utilize use of the recorded information as defined in the Article one of the Act. The local archives shall respect the principle of provenance. It is expected that the local archives shall strengthen local archival promotion campaigns which necessarily reflect unique local circumstances. However, as the Act just recommended the establishment of local public archives not to force as a mandatory procedure, it resulted in a flow of some confusions and misinterpretations. Despite the act was proclaimed two years ago, the local public archives are not yet established, not to mention that no preparatory works are on the way. To establish the local public archives effectively which meet local residents needs and demands, provincial governments and metropolitan city governments should proceed a well-prepared preparatory works plan considering the steps to transform them into the local public archives when they establish agency records centers. The first step in this process is to reach at a common consensus on the functions and roles of the local public archives which accommodates local residents needs and demands. Secondly, by analyzing the functions of archives to be established, an estimation of needed human resources, facilities, equipments, organization, budget appropriation, and local rules should be performed. Otherwise, the establishment of decent local archives is a far remote future. One of the methods to proceed this project systematically is to establish a local research institute for the local archives and cultural studies which would be put under the local university authority while consulting with local governments, local civil organizations, local historical and cultural societies. It is very undesirable to stress too much upon administrative efficiency when concerned parties discuss the functions and roles of the local public archives. They must keep in mind that when the functions to collect and use historically valuable records are active then administrative efficiency can be raised as well as accountability. Collecting and arranging historically valuable records is a short-cut way to promote accountability and develop local political culture. The local public archives is a valuable community historical center and an effective medium to facilitate historical speaking and writing among local people, something more than a simple public archives. Then our campaign for the establishment of local public archives can be a meaningful political cultural movement.
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