• 보건교육건강증진학회지
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• 제28권2호
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• pp.63-73
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• 2011

Objectives: This study was conducted to investigate the relationships between trust and participation in cancer screening. Methods: Data from 2004 Busan Health Survey were analysed for the study. Multiple logistic regression was performed on participation in cancer screening by trust level with potential confounders(sex, age, education, monthly mean household income, subjective health status, smoking, alcohol intake, exercise, and daily eating habits). Results: In a total of 7,423 participants, 2,078(28.0%) were classified as cancer screening participants. High horizontal trust was associated with increased likelihood of cancer screening participation(OR(men) = 1.20, 95% CI 1.00-1.45) and (OR(women) = 1.19, 95% CI 1.02-1.39), after multiple adjustments. Respondents with high trust in health care system had significantly higher odds ratios for participation in cancer screening: 1.60(95% CI 1.27-2.02) among men and 1.18(95% CI 0.97-1.44) among women, after multiple adjustments. Conclusions: Trust was significantly associated with higher odds of cancer screening participation and could be a potent arena for increasing cancer screening participation.

• 한국생활과학회지
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• 제17권2호
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• pp.335-344
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• 2008

The purpose of this study was to examine male students' awareness and receptivity of cross-sexual fashion. The subjects in this study were 480 male university students and 320 high school boys. After a survey was conducted in August 2007, the following findings were given: 1. How much the students were interested in fashion was investigated, and they thought of fashion often, Even though nothing any fashion shopping plan they were interested display of fashion market and logged onto online fashion shopping malls frequently. 2. As for awareness of cross-sexual, they got a mean of 2.79(1.10), which indicated their awareness level was below the average. Those who were more intrigued by fashion, who were university students and who had a girl friend were better cognizant of cross-sexual. 3. To what extent they were receptive to cross-sexual fashion was checked in terms of clothes, haircare, skin care, accessories and perfume/cosmetic surgery and they were most receptive to cross-sexual haircare(3.49). Those who cared more about fashion were more receptive to cross-sexual. The Value of clothes and perfume/cosmetic surgery for university students was higher than the high school students. 4. They were most receptive to other's cross-sexual haircare(3.51) and to other's cross-sexual clothes(2.77) the least. Those who were more intrigued by fashion were more receptive to others seeking after cross-sexual. The Value of clothes sand perfume/cosmetic surgery for university students was higher than the high school students. 5. There was a strong correlational relationship among their interest in fashion, awareness of cross-sexual, receptivity to their own being a cross-sexual man and receptivity to others who are cross-sexual. The findings of the study illustrated that those who were more intrigued by fashion and who were better aware of cross-sexual were more receptive to cross-sexual fashion.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권1호
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• pp.81-85
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• 2009

As panfacial fractures are involved multiple fracture, there are possibility of many pre-operative & postoperative complications. It is necessary to do exact pre-operative evaluation, appropriate operation and care, for preventing and treating these complications, especially related to optic nerve injury. The complication occurs rarely after periorbital facial bone fracture, and indirect injuries may occur as a result of impact shearing force transmitted into the optic nerve axons or to the nutrient vessels of the optic nerve. Also indirect injuries may occur after the force of impact because of vasospasm and swelling of the optic nerve within the confines of the nonexpansile optic canal. It is necessary to active evaluation and treatments involving decompression of the orbit surgically and high dose steroid therapy in relation to panfacial fracture. But sometimes this treatments are limited due to severe swelling of the face and related multiple bone fractures in the body. This case showed the delayed neuropathy, at last visual loss, in spite of megadose methylprednisolone administration. The purpose of this article is to present indirect traumatic optic neuropathy that is one of many complications in panfacial bone fracture.

• Diabetes and Metabolism Journal
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• 제42권6호
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• pp.488-495
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• 2018

Background: Skeletal muscle plays a major role in glucose metabolism. We investigated the association between thigh muscle mass, insulin resistance, and incident type 2 diabetes mellitus (T2DM) risk. In addition, we examined the role of body mass index (BMI) as a potential effect modifier in this association. Methods: This prospective study included 399 Japanese Americans without diabetes (mean age 51.6 years) who at baseline had an estimation of thigh muscle mass by computed tomography and at baseline and after 10 years of follow-up a 75-g oral glucose tolerance test and determination of homeostasis model assessment of insulin resistance (HOMA-IR). We fit regression models to examine the association between thigh muscle area and incidence of T2DM and change in HOMA-IR, both measured over 10 years. Results: Thigh muscle area was inversely associated with future HOMA-IR after adjustment for age, sex, BMI, HOMA-IR, fasting plasma glucose, total abdominal fat area, and thigh subcutaneous fat area at baseline (P=0.033). The 10-year cumulative incidence of T2DM was 22.1%. A statistically significant interaction between thigh muscle area and BMI was observed, i.e., greater thigh muscle area was associated with lower risk of incident T2DM for subjects at lower levels of BMI, but this association diminished at higher BMI levels. Conclusion: Thigh muscle mass area was inversely associated with future insulin resistance. Greater thigh muscle area predicts a lower risk of incident T2DM for leaner Japanese Americans.

• Journal of Korean Neurosurgical Society
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• 제58권3호
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• pp.304-307
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• 2015

Only a few cases of anterior longitudinal ligament (ALL) injury related with retropharyngeal hematoma without fracture have previously been reported. The treatment of choice for retropharyngeal hematoma is generally considered to be conservative care, but we believe that early surgery of this pathology would be better in certain situations. Here, we describe two cases with life-threatening large retropharyngeal hematomas related with ALL injuries and operated on at an early stage. Two previously healthy patients visited the emergency room with neck pain and dyspnea after falling. Serious neck swelling was observed and lateral neck X-ray showed severe widening of the prevertebral space. Due to dyspnea progression, emergency endotracheal intubation was performed. Although there was no primary cause of the retropharyngeal hematoma on preoperative examination, ALL tearing was intraoperatively confirmed during early surgery. The in-hospital evolutions of the patients were favorable after surgery. We should bear in mind the possibility of ALL injury and perform early surgery where possible given the earlier convalescence and good prognosis.

• 한국직업건강간호학회지
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• 제9권2호
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• pp.79-85
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• 2000

All clinical nurses are not only faced with the physical and emotional needs of patients but also exposed to the heavy workload. In clinical settings, the nurses' stress becomes more and more critical. Understanding the stress experienced by nurses is essential for planning programs to enhance patient care and to promote nurses health. Many methods to reduce the stress were practiced for patients. In this study, the investigator examined how the imagery influence the reducing the stress of clinical nurses. For this study, the recorded tape for imagery developed in the Society of Rheumatics was applied. In order to evaluate the effect of imagery on the stress of clinical nurse, stress score, serum cortisol, blood pressure, and pulse were measured on 20 clinical nurses for 20 days. The results were as follows: 1. Stress score decreased significantly in the experimental group. And the rate of decrease in stress score was significantly higher in experimental group than in the control group. 2. The level of serum cortisol decreased significantly after the application of imagery. 3. Systolic blood pressure decreased significantly after the application of imagery. These results indicate that after applying the method of imagery on the nurses, stress score, serum cortisol level, and systolic blood pressure were significantly decreased. Therefore, this study proves that imagery is one of the methods to reduce the stress of clinical nurses.

• 보건행정학회지
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• 제24권4호
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• pp.380-388
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• 2014

Background: The volume of surgery has been examined as a major source of variation in outcome after surgery. This study investigated the direct effect of surgery volume to in hospitals mortality and the moderating effect of structural complexity-the level of diversity and sophistication of technology a hospital applied in patient care-to the volume outcome relationship. Methods: Discharge summary data of 11,827 cancer patients who underwent surgery and were discharged during a month period in 2010 and 2011 were analyzed. The analytic model included the independent variables such as surgery volume of a hospital, structural complexity measured by the number of diagnosis a hospital examined, and their interaction term. This study used a hierarchical logistic regression model to test for an association between hospital complexity and mortality rates and to test for the moderating effect in the volume outcome relationship. Results: As structural complexity increased the probability of in-hospital mortality after cancer surgery reduced. The interaction term between surgery volume and structural complexity was also statistically significant. The interaction effect was the strongest among the patients group who had surgery in low volume hospitals. Conclusion: The structural complexity and volume of surgery should be considered simultaneously in studying volume outcome relationship and in developing policies that aim to reduce mortality after cancer surgery.

• 한국지역사회생활과학회지
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• 제22권3호
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• pp.455-469
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• 2011

The purpose of this study was to find out how follow-up activities of reading picture books influenced infants' language and socio-emotional development. Subjects of this study were 27 2-year-old infants at public day care centers in Busan. After implementing follow-up activities of reading picture books for 8 weeks, this study tried to investigate changes in infants' language and socio-emotional development. Results of this study are as follows. First, follow-up activities of reading pictures have brought positive impacts on infants' language ability. Results indicate a positive influence on infants' expressive and acceptive language ability. Second, follow up activities have also enhanced infants' socio-emotional development. Sepcifically, they have been effective in improving infants' low-level socio-emotional development such as 'internal control', 'peer interaction', and 'achievement motivation'. It is expected that the follow-up activities developed by this research would help to enhance infants' language development and socio-emotional development.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.284-287
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• 2021

We report a case of delayed chest wall reconstruction after thoracotomy. A 53-yearold female, a victim of a motor vehicle accident, presented with bilateral multiple rib fractures with flail motion and multiple extrathoracic injuries. Whole-body computed tomography revealed multiple fractures of the bilateral ribs, clavicle, and scapula, and bilateral hemopneumothorax with severe lung contusions. Active hemorrhage was also found in the anterior pelvis, which was treated by angioembolization. The patient was transferred to the surgical intensive care unit for follow-up. We planned to perform surgical stabilization of rib fractures (SSRF) because her lung condition did not seem favorable for general anesthesia. Within a few hours, however, massive hemorrhage (presumably due to coagulopathy) drained through the thoracic drainage catheter. We performed an exploratory thoracotomy in the operating room. We initially planned to perform exploratory thoracotomy and "on the way out" SSRF. In the operating room, the hemorrhage was controlled; however, her condition deteriorated and SSRF could not be completed. SSRF was completed after about a month owing to other medical conditions, and the patient was weaned successfully.

• Human Ecology Research
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• 제59권2호
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• pp.233-243
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• 2021

This study examined the longitudinal effects of media usage by early school-age children and of maternal parenting stress on children's school adjustment. The study focused on the mediating effect of executive function difficulty. Longitudinal data to examine the hypothetical model were drawn from the eighth (2015) through tenth (2017) waves of the Panel Study of Korean Children (PSKC) collected by the Korea Institute of Child Care and Education (KICCE). A total of 581 children (293 boys and 288 girls) and their mothers were included. Confirmatory factor analysis, structural equation model, and bootstrapping analysis were applied using SPSS 25.0 and Amos 26.0. The results are as follows. First, no significant correlation was found between early school-age children's media usage and maternal parenting stress. Second, neither media usage by early school-age children nor maternal parenting stress were found to directly affect children's school adjustment. Third, media usage by early school-age children and maternal parenting stress were shown to indirectly affect children's school adjustment via executive function difficulties. In other words, higher levels of media usage by early school-age children and maternal parenting stress during the first grade lead to greater executive function difficulties after a year, which, in turn, lead to a lower level of school adjustment in the third grade. This study indicates the need to develop practical support for the psychological wellbeing of mothers while they are performing their role as a parent and for children in maintaining suitable levels of media usage during early childhood.