• Title/Summary/Keyword: cross-over studies

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'Outspoken' Oral Hygienists Promote Oral Health Care Awareness at Public Events for (Pregnant) Women and Young Mothers

  • Buunk-Werkhoven, Yvonne A.B.;Gortzak, Jolanda J.C.;Sjoerts, Judith J.E.;Frederiks, Annemarie
    • 치위생과학회지
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    • 제21권3호
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    • pp.140-149
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    • 2021
  • Background: The aim of these two (pre COVID-19 pandemic) public health studies in Amsterdam were to promote the profession of the oral hygienist and to increase oral health care awareness among (pregnant) women and young mothers, who were visitors of public consumer's exhibitions. Methods: Two cross-sectional studies were carried out. In 2018, during the first study, 1,765 visitors of the Household Fair completed a questionnaire. In 2020, during Study 2, 304 visitors of the Nine-Month Fair completed a semi-structured online questionnaire. At both fairs a team of 'outspoken' oral hygienists, i.e., members of the Foundation 'Goed Gebekt', provided the visitors with tailored advices about general health related to adults, mothers', and their children' oral health, using natural routine interviewing, that was based on their own professional daily practical experience. Results: In Study 1, just over half (53.5%) of a total of 1,742 visitors, (85.7% female) was younger than 45 years old. In Study 2, 210 visitors with a mean age of 30.7 years were included. Most women reported their self-perceived oral health as 'good' (mean=8.0, standard deviation=1.3; range 3~10). Qualified (self) employed oral hygienists seem to be known among the visitors, but still only visited upon referral of the dentists. Up to the age of 18 reimbursements by the basic insurance is still unknown to the public. Conclusion: The Foundation 'Goed Gebekt' encourages other oral hygienists to make their own initiatives and experiences public and to share it. Public awareness is needed for oral health promotion and the development of optimally targeted interventions among (pregnant) women and young mothers by oral hygienists.

Daily walnut intake improves metabolic syndrome status and increases circulating adiponectin levels: randomized controlled crossover trial

  • Hwang, Hyo-Jeong;Liu, Yanan;Kim, Hyun-Sook;Lee, Heeseung;Lim, Yunsook;Park, Hyunjin
    • Nutrition Research and Practice
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    • 제13권2호
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    • pp.105-114
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    • 2019
  • BACKGROUND/OBJECTIVES: Several previous studies have investigated whether regular walnut consumption positively changes heart-health-related parameters. The aim of this study was to investigate the effects of daily walnut intake on metabolic syndrome (MetS) status and other metabolic parameters among subjects with MetS. SUBJECTS/METHODS: This study was a two-arm, randomized, controlled crossover study with 16 weeks of each intervention (45 g of walnuts or iso-caloric white bread) with a 6 week washout period between interventions. Korean adults with MetS (n = 119) were randomly assigned to one of two sequences; 84 subjects completed the trial. At each clinic visit (at 0, 16, 22, and 38 weeks), MetS components, metabolic parameters including lipid profile, hemoglobin A1c (HbA1c), adiponectin, leptin, and apolipoprotein B, as well as anthropometric and bioimpedance data were obtained. RESULTS: Daily walnut consumption for 16 weeks improved MetS status, resulting in 28.6%-52.8% reversion rates for individual MetS components and 51.2% of participants with MetS at baseline reverted to a normal status after the walnut intervention. Significant improvements after walnut intake, compared to control intervention, in high-density lipoprotein cholesterol (HDL-C) (P = 0.028), fasting glucose (P = 0.013), HbA1c (P = 0.021), and adiponectin (P = 0.019) were observed after adjustment for gender, age, body mass index, and sequence using a linear mixed model. CONCLUSION: A dietary supplement of 45 g of walnuts for 16 weeks favorably changed MetS status by increasing the concentration of HDL-C and decreasing fasting glucose level. Furthermore, consuming walnuts on a daily basis changed HbA1c and circulating adiponectin levels among the subjects with MetS. This trial is registered at ClinicalTrials.gov as NCT03267901.

Digital Diplomacy via Social Networks: A Cross-National Analysis of Governmental Usage of Facebook and Twitter for Digital Engagement

  • Ittefaq, Muhammad
    • Journal of Contemporary Eastern Asia
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    • 제18권1호
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    • pp.49-69
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    • 2019
  • Over the last couple of years, digital diplomacy has become a fascinating area of research among Mass Communication, Peace and Conflict Studies, and International Affairs scholars. Social media and new technology open up new avenues for governments, individuals, and organizations to engage with foreign audiences. However, developing countries' governments are still lacking in the realization of the potential of social media. This study aims to analyze the usage of social media (Facebook & Twitter) by the two biggest countries in South Asia (Pakistan and India). I selected 10 government officials' social media accounts including prime ministers', national press offices', military public relations offices', public diplomacy divisions', and ministries of foreign offices' profiles. The study relies on quantitative content analysis and a comparative research approach. The total number of analyzed Twitter tweets (n=1,015) and Facebook posts (n=1,005) include 10 accounts, five from each country. In light of Kent and Taylor's (1998) dialogic communication framework, the results indicate that no digital engagement and dialogue occurs between government departments and the public through social networking sites. Government departments do not engage with local or foreign audiences through digital media. When comparing both countries, results reveal that India has more institutionalized and organized digital diplomacy. In terms of departmental use of social media, the digital diplomacy division and foreign office of India is more active than other government departments in that nation. Meanwhile, Pakistan's military public relations office and press office is more active than its other government departments. In conclusion, both countries realize the potential of social media in digital diplomacy, but still lack engagement with foreign audiences.

아동복지기관 종사자의 내재적 동기가 경력몰입을 통해 이직의도에 미치는 영향 (The intrinsic motivation of child welfare workers: Modeling its causal relationships with career commitment and turnover intentions)

  • 강현아
    • 사회복지연구
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    • 제42권4호
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    • pp.445-468
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    • 2011
  • 본 연구는 아동복지 종사자가 자신의 일에 대한 순수한 즐거움을 동기로 그 일을 하는지, 즉 그들의 내재적 동기가 자신의 전문분야에 대한 애착을 의미하는 경력몰입을 통해 이직의도에 영향을 미치는지 분석하였다. 이를 위해 전국의 아동보호전문기관, 가정위탁지원센터, 아동양육시설 종사자들을 대상으로 설문조사를 실시하였다. 구조방정식분석방법을 통해 353명의 아동복지 종사자의 내재적 동기, 경력만족 및 이직의도 간의 인과관계를 검증하였다. 먼저, 잠재변인이 적절한 측정변인으로 구성되었는지 측정분석을 통해 확인하였으며, 구조분석을 통해 구조모형의 변인 간의 관계를 파악하였다. 분석결과, 연구가설에서 설정한 대로 내재적 동기는 경력몰입을 통해 이직의도에 영향을 미치는 것으로 나타났다. 그러나 내재적 동기가 이직의도에 직접적으로 영향을 미치지 않는 것으로 나타났다. 또한 통제변수들 중에서는 종사자의 월수입과 근무시간이 경력몰입과 이직의도에 유의미한 영향을 미쳤다. 이 결과를 반영하여 모형 적합도를 높인 수정모형을 제시하였으며, 매개효과의 유의성을 검증하였다. 마지막으로 이 연구결과를 바탕으로 사회복지 실천적 함의를 제안하였다.

Minimally Invasive Procedure versus Conventional Redo Sternotomy for Mitral Valve Surgery in Patients with Previous Cardiac Surgery: A Systematic Review and Meta-Analysis

  • Muhammad Ali Tariq;Minhail Khalid Malik;Qazi Shurjeel Uddin;Zahabia Altaf;Mariam Zafar
    • Journal of Chest Surgery
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    • 제56권6호
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    • pp.374-386
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    • 2023
  • Background: The heightened morbidity and mortality associated with repeat cardiac surgery are well documented. Redo median sternotomy (MS) and minimally invasive valve surgery are options for patients with prior cardiac surgery who require mitral valve surgery (MVS). We conducted a systematic review and meta-analysis comparing the outcomes of redo MS and minimally invasive MVS (MIMVS) in this population. Methods: We searched PubMed, EMBASE, and Scopus for studies comparing outcomes of redo MS and MIMVS for MVS. To calculate risk ratios (RRs) for binary outcomes and weighted mean differences (MDs) for continuous data, we employed a random-effects model. Results: We included 12 retrospective observational studies, comprising 4157 participants (675 for MIMVS; 3482 for redo MS). Reductions in mortality (RR, 0.54; 95% confidence interval [CI], 0.37-0.80), length of hospital stay (MD, -4.23; 95% CI, -5.77 to -2.68), length of intensive care unit (ICU) stay (MD, -2.02; 95% CI, -3.17 to -0.88), and new-onset acute kidney injury (AKI) risk (odds ratio, 0.34; 95% CI, 0.19 to 0.61) were statistically significant and favored MIMVS (p<0.05). No significant differences were observed in aortic cross-clamp time, cardiopulmonary bypass time, or risk of perioperative stroke, new-onset atrial fibrillation, surgical site infection, or reoperation for bleeding (p>0.05). Conclusion: The current literature, which primarily consists of retrospective comparisons, underscores certain benefits of MIMVS over redo MS. These include decreased mortality, shorter hospital and ICU stays, and reduced AKI risk. Given the lack of high-quality evidence, prospective randomized control trials with adequate power are necessary to investigate long-term outcomes.

Occupational stress changes and new-onset depression among male Korean manufacturing workers

  • Jiho Kim;Hwan-Cheol Kim;Minsun Kim;Seong-Cheol Yang;Shin-Goo Park;Jong-Han Leem;Dong-Wook Lee
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.33.1-33.9
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    • 2023
  • Background: Studies on the association between occupational stress and depression have been frequently reported. However, the cross-sectional designs of studies limited insight into causal associations. In this study, we investigated the longitudinal association between occupational stress and new-onset depression among employees in a single manufacturing plant. Methods: The annual health checkup data of employees at a manufacturing plant in Korea were collected. A total of 1,837 male employees without depression who completed a health checkup during two consecutive years were included. Occupational stress was measured using a short form of the Korea Occupational Stress Scale (KOSS-SF), and depression was assessed using a Patient Health Questionnaire-2. The association between occupational stress change over the two years and newly developed depression was investigated using two logistic regression models. Results: Across all sub-factors of KOSS-SF, employees who reported increased occupational stress had a higher risk of new-onset depression. Newly developed depression was significantly associated with job demand (odds ratio [OR]: 4.34; 95% confidence interval [CI]: 2.37-7.96), job insecurity (OR: 3.21; 95% CI: 1.89-5.48), occupational climate (OR: 3.18; 95% CI: 1.91-5.31), lack of reward (OR: 2.28; 95% CI: 1.26-4.12), interpersonal conflict (OR: 2.14; 95% CI: 1.18-3.86), insufficient job control (OR: 1.93; 95% CI: 1.05-3.56), and the organizational system (OR: 1.84; 95% CI: 1.01-3.36). Conclusions: For every sub-factor of the KOSS-SF, occupational stress increase and persistent high stress were associated with the risk of developing new-onset depression. Among the seven sub-factors, job demand had the most significant effect. Our results show that occupational stress should be managed to promote employee mental healthcare.

The relationship between visual display terminal usage at work and symptoms related to computer vision syndrome

  • Soonsu Shin;Eun Hye Yang;Hyo Choon Lee;Seong Ho Moon;Jae-Hong Ryoo
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.1.1-1.11
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    • 2023
  • Background: Although it is well known that the usage of visual display terminal (VDT) at the workplace causes computer vision syndrome (CVS), previous studies mainly focused on computer use and the health of white-collar workers. In this study, we explored the relationship between the usage of VDT including various devices, and symptoms related to CVS in a large population including pink-collar workers and blue-collar workers. Methods: 21,304 wage workers over the age of 20 years were analyzed from the 6th Korean Working Conditions Survey. To investigate the association between VDT use at work and symptoms related to CVS among wage workers, odds ratios (ORs) and 95% confidence interval (CI) were calculated by multivariate logistic regression models. Results: In the group with the highest VDT usage at work, the OR of headache/eyestrain was 2.16 (95% CI: 1.86-2.52). The OR of suspected CVS patients was significantly increased in the highest group of usage of VDT at work (OR: 1.69; 95% CI, 1.39-2.06). Compare with the reference group, the OR for headache/eyestrain in the highest group of VDT usage was 2.81 (95% CI: 2.13-3.70) in white-collar workers, 1.78 (95% CI: 1.32-2.40) in pink-collar workers, and 1.59 (95% CI: 1.18-2.15) in blue-collar workers. Conclusions: We observed a relationship in which the use of VDT in the workplace increases the risk of headache/eyestrain regardless of occupational classification. Our findings emphasize the importance of paying attention to the health of VDT workers and making plans to improve their working conditions.

학교보건 관련 국내 연구동향 분석 (The Analysis of the Research Trends Related to School Health in Korea)

  • 정정심;김정순
    • 한국학교보건학회지
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    • 제17권1호
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    • pp.85-95
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    • 2004
  • Objectives : The aim of this study was to identify the trend of school health research by analyzing articles related to school health for the last 10 years. this information can be used to guide research direction for the future. Methods : This study is a descriptive study that analyzed annual data. using an objective frame of evaluation about the methodology and research domain in each paper, all the papers included in the journals concerning school health from January 1993 to December 2000 were analyzed. The data was processed statistically by frequency and percentage. Results : 455 papers in 9 journals related to school health were published. The Journal of the Korean Society of School Health had 204 articles, the highest number of any journal. most of the articles were descriptive, but the number of experimental studies increased over time. the most common research subjects were students were the greatest ones, but the trend to study both parents and teachers increased near the end of the sampling period. the most common selection of subjects appeared to be based on convenience, but probability sampling gradually increasing annually. the most common research instrument was the questionnaire and the reliability and the validity of instruments were described in approximately half of the studies. The survey was the most commonly used method of data collection. The papers that met ethical issue in data collection were less than those that did not. In addition, the papers that provided the rationale for the calculation of sample size were less than those that did not. parametric statistics were the main methods of data analysis, but some advanced statistics were used more often than simple descriptive statistics in the latter part of the sampling period. In general, limit of the studies were not frequently mentioned but more recommendations were made. regarding the characteristics of the research area, the assesment domain was remarkable. The rate of school health problem assesment was the highest among research subjects. Sex- related subjects were the highest in detail research subjects. Conclusions : The research of school health has increased quantitatively, but it is difficult to ascertain its qualitative development. Therefore, on the basis of the research completed up until now, more school-based intervention studies and longitudinal studies need to be another target for the evaluation of the effects of the school health service. as well, policy suggestion through international and cross-sectional comparison studies are needed to assist in the establishment of the long term direction of school health.

콩고오지 제조중(製造中)의 peptide에 관(關)한 연구(硏究) -제1보(第一報) 콩고오지 제조중(製造中)의 peptide의 소장(消長)- (Studies on peptides during soybean-koji preparation -part I Peptides formation during soybean-koji preparation-)

  • 김재욱
    • Applied Biological Chemistry
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    • 제6권
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    • pp.79-87
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    • 1965
  • 콩고오지 제조중(製造中)에 일어나는 콩 단백질(蛋白質)의 형태적(形態的) 변화(變化) 및 대두단백질(大豆蛋白質)이 Aspergillus soya가 분비(分泌)하는 protease의 작용(作用)을 받아 생성(生成)되는 peptide의 총체적(總體的)인 동향(動向)을 알기 위(爲)하여 제국중(製麴中) 경시적(經時的)으로 채취(採取)한 시료(試料)에 대(對)하여 불용성단백태질소(不溶性蛋白態窒素) 수용성단백태질소(水溶性蛋白態窒素) peptide 태질소(態窒素)를 측정(測定)한 다음 peptide군(群) 액(液)을 cross linkage가 각각(各各) 다른 여러 가지 Dowex-50을 사용(使用)하여 분자사별(分子篩別)을 한 각(各) fraction에 대하여 전질소(全窒素) amino태(態) 질소(窒素), 및 average peptide lingth을 측정계산(測定計算)하여 다음과 같은 결과(結果)를 얻었다. 1. 불용성단백태질소(不溶性蛋白態窒素) 및 peptide 태(態) 질소(窒素)는 균사발생시(菌絲發生時)까지 별변화(別變化)가 없었으나 균사발생시(菌絲發生時)부터 불용성단백태질소(不溶性蛋白態窒素)는 급격(急激)히 감소(減少)되고, peptide 태(態) 질소(窒素)는 급격(急激)히 증가(增加)되었다가 포자발생시(胞子發生時)를 한계점(限界點)으로 하여 감소율(減少率) 및 증가율(增加率)이 완화(緩和)되었다. 수용성단백태질소(水溶性蛋白態窒素)는 콩고오지 전면(全面)을 균사(菌絲)가 피복(被覆)할때까지 일정(一定)하나 그후 포자발생시(胞子發生時)를 한계점(限界點)으로 하여 증가(增加)되었다가 다시 서서(徐徐)히 감소(減少)하였다. 2. Peptide 군(郡)을 분자식별(分子篩別)한 결과(結果) 제국초(製麴初)는 각(各) fraction의 비(比)에 별(別) 변동(變動)이 없으나 균사(菌絲) 발생후(發生後)에는 X-16, X-12, X-8, X-4, X-2 fraction은 상당(相當)한 증가(增加)를 보이다가 포자잘생후(胞子發生後)에는 큰 변동(變動)이 없고 effluent fraction은 출국(出麴)까지 계속(繼續)하여 증가(增加)되고 있다.

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잉즈의 베이징 노스탤지어 서사에 관한 고찰 - 린하이인(林海音) 소설집과 우이궁(吳貽弓) 동명 영화 『베이징 남쪽의 옛 이야기(城南舊事)』를 중심으로 (A Study on Yingzi's Narration of Nostalgia for Peking - Based on Linhaiyin's Novel ChengnanJiushi and Wuyigong's Film of the Same Title)

  • 김수진
    • 비교문화연구
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    • 제37권
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    • pp.31-49
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    • 2014
  • Peking has peculiar features as capital city, and has gone through various transformations, with its name changed from Peking to Peiping to Peking. Even when it did not serve as a capital city, it still played an unrivaled role in cultural aspects. Laoshe, a great writer of 'Peking flavour' literature, is famous for works full of cultural charms of Peking. In his works, which show the manners, norms, art, culture and optimistic life style of Peking, Peking culture is described as an extension of cultural traditions of Qiren. In addition, his critical view of reality is also expressed in the works. Linhaiyin's literary works show ordinary hutongs she experienced in the 1920s in Chengnan, the southern part of Peking, and the quiet and simple life of warm-hearted people living there. Her vague memories of Peking, along with her nostalgia for the city, let her describe the city with recreated happy memories of it instead of the harsh critical view. Her works express the city in her recreated memory full of hope, with her dark memories of the city being glossed over. As seen above, Laoshe realistically described the tragic and difficult life of low class people in hutongs of Peking as well as lower middle class people of the city. Meanwhile, in ChengnanJiushi, Linhaiyin expresses the daily routine and ordinary life of people in Peking from the perspective of middle class people. In addition, she showed the sympathetic view of middle class citizens towards their low-class neighbors. In Peking Menghualu, Wangdewei mentioned that the 'castle of memory' which old Peking people in Taiwan tried to establish fills an important gap for the continuity of Peking cultural history and cultural imagination. This indicates that the 'Peking castle of memories,' which Linhaiyin, a Taiwanese writer well known for 'Peking flavour,' has established plays a big role in filling part of such gap. ChengnanJiushi, Wuyigong's film based on Linhaiyin's novel of the same title, also describes the daily sceneries and culture of the southern Peking in the 1920s, which both Taiwanese and Chinese people miss, through sophisticated images with 'profound yearning tinted with calm sadness', accomplishing an artistic achievement different from that of the novel.