• Korean Journal of Adult Nursing
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• v.18 no.1
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• pp.146-156
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• 2006

Purpose: 1) to construct cohorts according to risk scores calculated with the Gail Breast Cancer Risk Assessment Tool (Gail et al., 1989) (Gail) and the Breast Cancer Risk Appraisal (Lee et al,. 2003) (Lee) 2) to identify the distribution of risk factors and preventive behavior stages between the cohorts 3) to identify abnormal breast conditions in risk cohort. Method: Using convenience sampling, 775 rural women were selected. Risk appraisal was scored using Gail and Lee. Preventive behavior stages for BSE (Breast self examination) and mammography were measured using 4 stages of the Transtheoretical Model (Prochaska & DiClemente, 1983). Results: 1) The risk cohort according to Gail was 12.3% (n=95), and Lee, 3.1% (n=24). 2) There were significant differences in the distribution of risk factors (age, family history, age at 1st live birth, age at menarche, number of breast biopsy, history of breast disease, and breast-feeding) between cohorts. 3) There was a significant difference in the distribution of the stage of BSE according to Lee. 4) Six women in the risk group detected masses or nodules and physician consultation and ultrasonography were recommended. Conclusion: On the basis of the constructed cohorts, further longitudinal studies of cohorts are recommended with interventions according to characteristics of cohorts.

• Journal of muscle and joint health
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• v.19 no.2
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• pp.197-209
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• 2012

Purpose: This study was aimed to revise Personal Power of Health Care (PPHC) scale which was developed to measure the personal power and competence for health care. Methods: Research phases designed for this study were literature review, scale development, and discussion with experts and pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 25 items with 7 dimensions and tested to 592 adults ranged from 20 to 59 aged living in S and W city. Results: From factor analysis, 7 dimensions were identified and named as follows: Health-perception, Health problem identifying and solving, Socio-economical involvement, Sociocultural relationship, Self-regulation, Spiritual wellbeing, and Health policy participation. The total explained variance was 54.69%. The reliability was .817 of Cronbach's alpha. The PCHC scale was significantly different from gender, religion, education level, monthly income, and presence of family disease, but not different from age and job. Also, there were significant correlations among Health Promotion Lifestyles Profile II, WHO QOL-BREF and self-efficacy. Conclusion: This PCHC scale is reliable and valid to measure personal competence of health care.

• Journal of Korean Public Health Nursing
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• v.24 no.2
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• pp.237-248
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• 2010

Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

• Journal of the Korean Society of School Health
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• v.22 no.1
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• pp.67-72
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• 2009

Purpose: The purpose of this study was to examine the relationship between the toothpaste squeezing methods and the amount of toothpaste that the daycare teachers apply for the children in order to prevent the overuse of fluoride-containing toothpaste among children, and to understand their educational experiences on oral health and their awareness of the right amount of toothpaste used. Methods: The subjects in this study were 87 teachers at 16 different daycare centers in the city of Sokcho, Gangwon Province. They were interviewed to find out whether they had ever received oral health education and whether they were cognizant of the right amount of toothpaste to be used. And a transverse technique and a pea-sized squeezing technique were selected to look for connections between their toothpaste squeezing methods and the amount of toothpaste used by them. Results: 89.7 percent of the daycare teachers investigated taught to preschoolers how to do toothbrushing after they took meals and had a snack. 36.8 percent of the daycare teachers had children squeeze toothpaste on their own. The amount of toothpaste applied by the daycare teachers at a time was 0.58ｇ. When they utilized two other squeezing methods, transverse technique and pea-sized squeezing technique, they used each 0.38 g (p<0.005) and 0.38 g (p=0.405) of toothpaste. Conclusion: To prevent children from being overly exposed to fluoride-containing toothpaste, daycare teachers should learn about the right amount of toothpaste to be used when oral health education is provided, and the transverse technique should be recommended to ensure the use of the proper amount of toothpaste.

• Journal of muscle and joint health
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• v.14 no.2
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• pp.109-117
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• 2007

Purpose: The purpose of the study was to identify the effect of a self-exercise program on low back pain, abdominal-back muscle strength and waist flexibility in hospital nurses. Method: An experimental research design was employed. 43 subjects (20 in the experimental group and 23 in the control group) who worked in a general hospital in W city agreed to participate in this study. The intervention had 6 sessions with self-exercise program including flexion and extension demonstrated by a trained research assistant. A Visual Analog Scale was used to measure the subjective pain severity. Abdominal-back muscle strength was measured with a back strength dynamometer, while waist flexibility was gauged by the standing of the subject's upper body. Analysis included descriptive statistics, $x^2$ test, t-test and ANOVA. Result: The experimental group exhibited significantly decreased low back pain, an increase in abdominal-back muscle strength, and increased waist flexibility after 6 sessions. The experimental group were not significantly increased in abdominal-back muscle strength than the control group. Conclusion: These results suggest that further research is needed to replicate for verification of clinical validity with the methodological rigors, and to utilize the self-exercise program for care and prevention of low back pain.

• Journal of muscle and joint health
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• v.15 no.1
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• pp.62-72
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• 2008

Purpose: There has been a need to integrating the self-help program for arthritis with the Tai Chi for arthritis(SHTCA). The purpose of this study was to develop and to examine the effect of SHTCA for arthritis applying the nine movement Tai Chi. Method: This study was designed the pre-post test, quasi-experimental design. A total 47 participants were recruited in W-city in Korea, an experimental group(26) and a control group(21) at pre-test, but after the eight weeks the composition of the groups were changed to 22 experimental group and 15 control group. The experimental group participated in the SHTCA once a week for eight weeks. SHTCA program consisted of understanding of the arthritis, contracting of the promise, exercise for muscle strength and joint flexibility and the nine movements of Tai Chi exercise. The measures used to examine the effect of the SHTCA were shoulder flexibility, back flexibility, grasping power, balance, abdominal obesity rates, perception of health status, and EQ-5D standardized five dimensions, mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Results: At The completion of the eight weeks of SHTCA applying the nine movement Tai Chi, the experimental group reported a significance in a number of variables compared to those of the control group: the right shoulder flexibility(p=.018), left shoulder flexibility(p=.031), right grasping power(p=.014), left grasping power(p=.024), the perception of health status(p=.005) and abdominal obesity rates(p=.027). Conclusion: This SHTCA applying the nine movement Tai Chi would be helpful on right shoulder flexibility, left shoulder flexibility, right grasping power, left grasping power, abdominal obesity rates and the perception of health status for arthritis patients.

• Journal of Korean society of Dental Hygiene
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• v.19 no.1
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• pp.65-78
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• 2019

Objectives: This study was conducted to characterize the impact of cognitive function and oral health status on mastication in senior citizens, ${\geq}65$ years of age, using senior centers in the city of Wonju, South Korea. Methods: A cross-sectional study consisting of a simple oral examination and survey questionnaires was performed in 154 individuals. General characteristics, subjective masticatory function, objective masticatory function, cognitive function, and oral health status were collected as variables. Correlation and multiple linear regression analyses were conducted. A p-value of <0.05 was considered to be statistically significant. Results: The subjective masticatory function was scored using the 5-point Likert scale. When subjective masticatory function was analyzed in groups according to cognitive function, the mean subjective masticatory function scores were 4.31, 4.09, and 3.29 in the normal group (cognitive score of ${\geq}16$), suspected dementia group (cognitive score of 1215), and mild dementia group (cognitive score of ${\leq}11$), respectively. Thus, subjective masticatory function decreased along with decreasing cognitive function. When cognitive function, subjective masticatory function, and objective masticatory function were compared with indicators of oral health status (number of functional teeth, oral dryness), subjective masticatory function exhibited a significant positive correlation with objective masticatory function (r=0.635, p<0.01), cognitive function (r=0.292, p<0.01), and total number of functional teeth, including prosthetic appliances (dentures) (r=0.305, p<0.01). According to the regression analysis, age, sex, number of functional teeth, and cognitive function affected subjective masticatory function. Conclusions: The results of this study revealed that age, sex, number of functional teeth, and cognitive function affected subjective masticatory function, whereas oral dryness did not. Therefore, dental professionals must consider subjective masticatory function when providing oral care in senior patients with low cognitive function.

• Korean Journal of Environmental Biology
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• v.35 no.4
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• pp.684-693
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• 2017

The purpose of this study was to analyze fish communities in the Wonju stream located in Wonju-si in Gangwon-do, and to evaluate the health of the stream through past and present changes. We performed investigations four times from May 2015 to September 2016. In the survey, 5,201 individuals which belonged to 27 species and 9 families were collected. Zacco platypus was the dominant species and Pungtungia herziwas the subdominant species. Eight Korean endemic species (Acanthorhodeus gracilis, Zacco koreanus, Coreoleuciscus splendidus, Squalidus gracilis majimae, Microphysogobio yaluensis, Iksookimia koreensis, Koreocobitis rotundicaudata, Coreoperca herzi) were observed and showed a ratio of 16.54%. The fish community of dominance ($0.72{\pm}0.10$), diversity ($1.37{\pm}0.32$), evenness ($0.61{\pm}0.13$), and richness ($1.70{\pm}0.23$) were evaluated. According to our analysis of tolerance guilds, the total individual number of intermediate species was higher than the sensitive and tolerant species. As a result of the trophic guild analysis,the omnivore and insectivore species were relatively high. The value of the qualitative habitat evaluation index (QHEI) in the wonju stream was averaged 121.2 (${\pm}23.4$), indicating a suboptimal condition. Stream health showed that the fish assessment index (FAI) value was an A to C grade in the Wonju stream. A correlation coefficient analysis with FAI and various factors was analysed statistically, and had a high correlation in QHEI, with the omnivore species, insectivore species, intermediate species, sensitive species, dominance, diversity, evenness, and richness.

• Korea journal of population studies
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• v.31 no.2
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• pp.133-155
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• 2008

The purpose of this study is to examine the pattern and characteristics of population movement in Kangwon province. The data for this study were drawn from in- out- migration data established by Korea National Statistical Office(KNSO) between 2000 and 2007. Sample survey and depth interview were also used. The results showed that the population of all Si and Gun except Choonchun and Wonju declined. This decline of population in Kangwon province persisted during the last decades. The decline started with the industrialization in the 1960s and 1980s. The decline of population in Kangwon province continued in the 1990s and 2000s with the open agriculture policy rooted in UR and FTA. All Si and Gun can be classified into five groups in terms of population movement in Kangwon province between 2000 and 2007. The first group(Group B) is where in-migration from other Si and Gun and out-migration to Seoul and Kyunggi continues in the period. Choonchun, Wonju, and Sokcho belong to this category. The second group(Group C) is where out-migrarion to Seoul and Kyunggi is larger the in-migration. It includes Cholwon, Taebaek, Donghae, and Samchok. The third group(Group D) is where out-migration to Group B is larger than that of other places. Hwachun, Pyungchang, Hoegsung, Gosung, and Hongchun are included in this group. The fourth group(Group E) is where out-migration to both Group B and Seoul & Kyunggi is large. Youngwol, Gangnung, and Chungsun belong to this category. The fifth group(Group F) is where few population movement occurs. It includes Yangyang, Yanggu, and Injae. The findings also shows that the extent of population movement to Choonchun and Wonju is larger than that of Seoul and Kyunggi in recent period. This finding indicates that the effect of base city like Choonchun and Wonju has become in recent years.

• Physical Therapy Korea
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• v.9 no.2
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• pp.61-81
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• 2002

The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.