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A Study on Perceived Family Support and the Quality of Life in the Elderly (노인의 가족지지와 삶의 질)

  • Shin, Dong-Sun;Hong, Chun-Sil
    • Journal of Home Health Care Nursing
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    • v.4
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    • pp.76-85
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    • 1997
  • In modern society, the human average life span has been prolonged due to medical benefits and changes in society, which results in the rapid and world -wide increase in the population of elderly. Consequently, the field of nursing science, as well as the field of many other discipline, has shown increasing interests in issues on the elderly. In addition, to improve the quality of life for elderiy people a great deal of effort has been made. The purpose of our study is to analyze the correlation between family support and quality of life in order to develop basic data for nursing interventions to maintain life satisfaction of the elderly. The sample consists of 108 subjects residing at home whose ages are over 65 years old. The data has been collected, from November 11, 1996 to November 23, 1996, through interviewing the elderly using a questionnarie. For the family supoort we used two: 1) the 5 - point Likert scale questionnarie developed by Gallo and Warren (Family support I) and 2) the 5-point Likert scale developed by H. S. Kang(Family support II), and for the quality of life we used the 3 - point likert scale questionnarie developed by Choi, Young Hee. For data analysis we used percentages, means, Pearson Correlation Coefficient and ANOVA. The results of our study are as follows: 1. For perceived family support I & II, the minimum score is 12 & 19, the maximum score is 32 & 46, the mean score is 24.49 & 34.90, respectively. 2. For Quality of life, the minimum score is 13, the maximum score is 39, the mean score is 28.61. 3. there is a very strong correlation between the perceived family support of the subjects and Quality of life (for I r=0.35047, p<.001 and for II r= 0.60558, p<.001). 4. The relationship between the general characteristics of the elderly and our two variables. family support and Quality of life, is as follows: 1) According to age(for II F=5.32, p<.01), the amount of monthly pocket money(for II F= 3.52, p<.05), inmate(for I F=2.93, p<.05, for II F=2.84, p<.05), economics(for I F=8.99, p<.01. for II F=7.51. p<.01), supporter(for I F=4.01. p<.01. for II F=3.43, p<.01), there is a statistically significant difference in family support. 2) According to the amount of monthly pocket money(F=6.69, p<.01), inmate(F=2.24, p<.05), economics(F=15.38, p<.01), there is a statistically significant difference in Quality of life. In conclusion, it can be said that the family support is an important variable to the Quality of the elderly life.

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Case Studies for Nanomaterials' Exposure to Environmental Media (나노물질의 환경 매질별 노출 사례 조사)

  • Umh, Ha Nee;Roh, Jinkyu;Lee, Byoung-Cheun;Park, Sumin;Yi, Jongheop;Kim, Younghun
    • Korean Chemical Engineering Research
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    • v.50 no.6
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    • pp.1056-1063
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    • 2012
  • Recent rapidly growth in nanotechnolgies is promised novel benefits through the exploitation of their unique industrial and biomedical applications. With increasing utilization of nanomaterials in consumer products, the potential release of nanomaterials into the environment and their impacts on the ecosystem and human health have been the issues of concern. Nanomaterials that was exposed unintentionally in environment might be accumulated in various environmental media, and finally it will be influenced to human and ecosystems. Therefore, it is important to understand the fate and behavior of nanoparticles for understanding effects on environmental media (air, water, and soil phase). Therefore, in this work, we investigated the several cases for environmental exposure of nanomaterials and suggested the direction of further research. In workplace, exposure to air media is dominant, but finally waste and wastewater was moved to the water and soil phase. In addition, we found the existing sewage treatment plant was not suitable to remove completely nanomaterials in wastewater flow. To deeper study, environmental monitoring tool must be developed additionally and we suggested the several analyzing method for aged and pristine physicochemical properties of nanomaterials exposed into environmental media. This review for nanomaterials' exposure to environmental media will be helpful to investigate the environmental fate of nanomaterials and define the suitable treatment method for nano-waste.

Life Cycle Assessment for the Fabrication Process of Superhydrophilic Oil/Water Separator (초친수성 유수분리필터 제조공정에 관한 전과정평가)

  • Park, Sungmook;Kim, Jieun;Yeom, Changju;Lee, Heyjin;Yang, Sungik;Eom, Ig-chun;Kim, Pil-je;Kim, Younghun
    • Korean Chemical Engineering Research
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    • v.54 no.6
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    • pp.800-805
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    • 2016
  • Rapid growth in nanotechnologies promises novel benefits through the exploitation of their unique industrial applications. However, as the production volume of nanomaterials increases, their unintentional exposure to the environment has been occured. Potential impacts of nanoproducts on the environment can be evaluated in the life cycle assessment (LCA). LCA is the systematic analysis of the resource usages and emissions over the life time from the primary resources to the moment of disposal. In this study, we performed LCA for fabrication processes of superhydrophilic oil/water separator using nano-$TiO_2$. $TOTAL^{TM}$ freeware was used to analyze for all fabrication processes, and 6-environmental impact factors (resource depletion, climate change, ozone depletion, acidification, eutropication, and photochemical oxidation) were introduced. In addition, the use of nano-$TiO_2$ in the fabrication of superhydrophilic oil/water separator was actively contributed to the environmental impact factors, compared to the bulk-$TiO_2$.

A Study on the Distributive Equity of Neighborhood Urban Park in Seoul Viewed from Green Welfare (녹색복지 관점에서 서울시 생활권 도시공원의 분배적 형평성 분석)

  • Kim, Yong-Gook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.42 no.3
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    • pp.76-89
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    • 2014
  • The functions of urban park including health related benefit and climate adaptation and mitigation are expanding. However, in-depth research and discourse on the equitable distribution of expanded park function has been limited so far. Following research suggests Green Welfare concept to reflect distributive equity and multifunctionality in the process of urban park policy development and execution. This study developed park welfare indices to analyze disparities of neighborhood urban park(NUP) distribution viewed from green welfare by literature review. The findings analyzed through the Correlation Analysis and Cluster Analysis by SPSS 18.0. The results of the study are as follows. First, green welfare is defined as "to receive equitable benefits and participate in the delivery process of green services which are promoting health and securing safety from climate change risks for every citizen by life cycle regardless of socioeconomic status". Second, NUP per person in Seoul indicate meaningful differences by socioeconomic and environmental status of Seoul administrative districts. Park welfare indices correlated to NUP per person were shown population density(negative), percentage of individuals $aged{\geq}65$(positive), percentage of self-reliance of local finance(positive), flood and air pollution vulnerability by climate change(negative). Third, the cluster analysis identifies three significant clusters that indicate differences of park welfare level. Thus, it was found that NUP in Seoul from a green welfare perspective was provided disproportionately. Future urban park policy in Seoul was required equitable distribution of multifunctionality of park beyond quantitative expansion, and priority consideration should be given to park service consumer.

Economic Crisis and Intergenerational Economy: Lessons from Korea's 1997~98 Economic Crisis (경제위기와 세대 간 경제: 1997~98년 경제위기의 교훈)

  • An, Chong-Bum;Lee, Sang-Hyop;Hwang, Namhui
    • KDI Journal of Economic Policy
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    • v.32 no.1
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    • pp.27-49
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    • 2010
  • This paper provides insight into some important features of the intergenerational resource allocation in Korea, before and after the financial crisis in 1997-98. Data sets of three periods before and after the financial crisis (1996, 2000, and 2005) were used to compare the results. This research particularly addresses two related issues: i) the generational effects of economic crisis, and ii) the capacity of age reallocation systems to spread economic risks across generations. The results show tremendous consumption smoothing and resource reallocation by age, during and after the financial crisis. Private education and private health consumption decreased for children between 1996 and 2000. However, the decrease in private education and private health consumption was mitigated by the increase in public consumption. It appears that the public sector did not only mitigate the adverse impact of the economic crisis on consumption, but it also reduced the widening disparity amongst generations. Within transfers, the public transfers for the elderly increased substantially as the private transfers decreased rapidly. Finally, there was a big increase in the asset-based reallocation of the elderly. The increase in asset-based reallocation was mainly due to an increase in asset income between 1996 and 2000, but it was almost entirely due to a decrease in saving (i.e. an increase in dissaving) between 2000 and 2005. This suggests that Korean elderly seemed to have some degree of supporting system during the crisis, even without sufficient pension benefits. The increased reliance on asset accumulation will be critical in the long-run in Korea, as public pension funds diminish due to population aging.

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The Impact of Direct-to-Consumer Advertising of Prescription Medications on Healthy Lifestyle (전문의약품 소비자광고가 생활습관 변화에 미치는 영향에 대한 연구)

  • Yang, Hae-Kyung
    • Journal of the Korean Home Economics Association
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    • v.50 no.4
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    • pp.103-113
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    • 2012
  • In the U.S. where Direct-to-Consumer Advertising (DTCA) of prescription medications is permitted, spending on DTCA has been accelerating. As a result, it has been an issue of intense public policy attention regarding whether DTCA is beneficial to the public by promoting a healthy lifestyle. Most of the literature concerning DTCA focuses on its impact on demand and empirical evidence regarding its impact on health-related behavior is scant. This study uses a database of DTCAs for high blood cholesterol, hypertension, diabetes, and overweight treatment medications that have appeared in nationally circulated U.S. consumer magazines during 2000 to 2004 and the Simmons National Consumer Survey in order to compute the level of individual advertising exposure and examines whether those who are exposed to DTCA are more likely to engage in regular exercise and diet control. The study finds evidence that for those with chronic conditions, greater exposure to DTCA leads to less exercise but more diet control. By therapeutic class level, exposure to DTCA leads to less exercise for those with hypertension and who are overweight, whereas those with high blood cholesterol are more likely to engage in regular exercise. Looking into differential responses by socioeconomic status, those with less education are more likely to engage in exercise after being exposed to DTCA. The results imply that the effects of DTCA vary by therapeutic class. In order to enhance the benefits of DTCA, it is important to closely monitor the messages in DTCA and require it to include messages that promote lifestyle change should it be a part of the treatment.

The Anti-obesity Effect of Aureobasidium pullulans SM-2001 Extract (Polycan®) on 3T3-L1 Preadipocytes and Adipocytes (3T3-L1세포에서 흑효모 SM-2001 추출물(Polycan®)의 항비만 효과)

  • Kim, Young-Suk;Lim, Jong-Min;Ku, Bon-Hwa;Moon, Seung-Bae;Cho, Hyung-Rae;Lee, Seon-Min;Kwon, Jung-Hee
    • Journal of Life Science
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    • v.30 no.10
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    • pp.835-843
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    • 2020
  • Obesity, the world's leading metabolic disease, is a serious health problem in both industrialized and developing countries. Natural substances are of great interest in preventative medicine, especially in the field of metabolic syndromes-from insulin resistance to obesity and diabetes. In the present study, we investigated the effect of A. pullulans SM-2001 Extract (Polycan®) on the adipocyte differentiation of 3T3-L1 preadipocytes and the anti-obesity effect of 3T3-L1 adipocytes. Although β-glucan has been found to have health benefits in the regulation of the immune system and blood cholesterol levels, its role in obesity has not been fully investigated. Polycan® suppressed lipid accumulation and glycerol-3-phosphate dehydrogenase (GPDH) activity without affecting cell viability in 3T3-L1 preadipocytes and adipocytes. Polycan® also inhibited cellular lipid accumulation through down-regulation of transcription factors, such as PPARγ and C/EBPα, and induced dose-dependent phosphorylation of AMP-activated protein kinase (AMPK)-a cellular energy sensor-while the total AMPK protein content remained unchanged. Taken together, this shows that the activation of AMPK by Polycan® in adipocytes plays a critical role in Polycan®-induced inhibition of adipocyte differentiation. Our results show that Polycan® has an anti-obesity action in vitro, suggesting a potential novel preventative agent for obesity and other metabolic diseases.

Association of Blood Pressure Levels with Carotid Intima-Media Thickness and Plaques (혈압 수준과 경동맥 내중막 두께 및 동맥경화반의 관련성)

  • Lee, Young-Hoon;Kweon, Sun-Seog;Choi, Jin-Su;Rhee, Jung-Ae;Choi, Sung-Woo;Ryu, So-Yeon;Shin, Min-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.5
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    • pp.298-304
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    • 2009
  • Objectives : The aim of this study was to investigate the association of blood pressure levels with the common carotid artery intima-media thickness (CCA-IMT) and carotid plaques. Methods : Data were obtained from 2,635 subjects, aged 50 years and over, who participated in the Community Health Survey (a population-based, cross-sectional study) in Dong-gu, Gwangju city between 2007 and 2008. Participants were categorized into three groups according to blood pressure levels; normotensives (<120/80 mmHg), prehypertensives (120-139/80-89 mmHg), and hypertensives ($\geq$140/90 mmHg). Prehypertensives were further categorized as low prehypertensives (120-129/80-84 mmHg) and high prehypertensives (130-139/85-89 mmHg). Carotid intima-media thickness and plaques were evaluated with a high-resolution B-mode ultrasound. Statistical analyses were performed using chi-square test, ANOVA, and multiple logistic regression. Results : Prehypertensives had significantly greater maximal CCA-IMT values than normotensives, with a multivariate adjusted odds ratio of 1.78 (95% CI=1.36-2.32) for abnormal CCA-IMT (maximal CCA-IMT$\geq$1.0 mm), and 1.45 (95% CI=1.19-1.77) for carotid plaques. The multivariate adjusted odds ratio of low prehypertensives was 1.64 (95% CI=1.21-2.21) for abnormal CCA-IMT, and 1.30 (95% CI=1.04-1.63) for carotid plaques compared with normotensives. Subject with hypertension had higher frequency of abnormal CCA-IMT (odds ratio, 2.18; 95% CI=1.49-3.18), and carotid plaques (odds ratio, 1.98; 95% CI=1.46-2.67) compared with normotensives after adjustment for other cardiovascular risk factors. Conclusions : Our results indicate that there is a significant increase in the prevalence of carotid atherosclerosis in subjects with prehypertension (even in low prehypertensives) compared with normotensive subjects. Further studies are required to confirm the benefits and role of carotid ultrasonography in persons with prehypertension.

Feasibility Study of Case-Finding for Breast Cancer by Community Health Workers in Rural Bangladesh

  • Chowdhury, Touhidul Imran;Love, Richard Reed;Chowdhury, Mohammad Touhidul Imran;Artif, Abu Saeem;Ahsan, Hasib;Mamun, Anwarul;Khanam, Tahmina;Woods, James;Salim, Reza
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7853-7857
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    • 2015
  • Background: Mortality from breast cancer is high in low- and middle-income countries, in part because most patients have advanced stage disease when first diagnosed. Case-finding may be one approach to changing this situation. Materials and Methods: We conducted a pilot study to explore the feasibility of population-based case finding for breast cancer by community health workers (CHWs) using different data collection methods and approaches to management of women found to have breast abnormalities. After training 8 CHWs in breast problem recognition, manual paper data collection and operation of a cell-phone software platform for reporting demographic, history and physical finding information, these CHWs visited 3150 women >age 18 and over they could find-- from 2356 households in 8 villages in rural Bangladesh. By 4 random assignments of villages, data were collected manually (Group 1), or with the cell-phone program alone (Group 2) or with management algorithms (Groups 3 and 4), and women adjudged to have a serious breast problem were shown a motivational video (Group 3), or navigated/accompanied to a breast problem center for evaluation (Group 4). Results: Only three visited women refused evaluation. The manual data acquisition group (1) had missing data in 80% of cases, and took an average of 5 minutes longer to acquire, versus no missing data in the cell phone-reporting groups (2,3 and 4). One woman was identified with stage III breast cancer, and was appropriately treated. Conclusions: Among very poor rural Bangladeshi women, there was very limited reluctance to undergo breast evaluation. The estimated rarity of clinical breast cancer is supported by these population-based findings. The feasibility and efficient use of mobile technology in this setting is supported. Successor studies may most appropriately be trials focusing on improving the suggested benefits of motivation and navigation, on increasing the numbers of cases found, and on stage of disease at diagnosis as the primary endpoint.

A Direction and Challenge of School Safety Policy : Focusing on 'Vision Zero' (학교안전정책의 방향 및 과제 : 'Vision Zero'를 중심으로)

  • Park, Youn-Ju
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.18 no.4
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    • pp.44-57
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    • 2019
  • 'Vision Zero' is a fundamental response to rapidly increasing number of traffic accidents. It was first introduced in Sweden in the late 20th century and is spreading worldwide. 'Vision Zero' criticizes an existing traffic safety policy that presupposes a reasonable human beings. It suggests that traffic safety policies should be on the possibility of making mistakes by irrational beings. Under the ethical vision that human life and health cannot be exchanged for any other social benefits, the policy issue should allow to make zero out the death rate and serious injuries of traffic accidents while allowing minor injuries. 'Vision Zero' argues that the government should design an environment in which individual mistakes never lead to fatal accidents. 'Vision Zero', which shows a different perspective from existing policies regarding safety ultimate goal, is spreading from traffic safety to other areas such as health, safety and well-being. This study examines the implication of the Korea's school safety policy from the perspectives of 'Vision Zero' on the five areas : "for what", "from what", "by what", "by whom", and "how". The study is intended to establish a new directions and challenges of school safety policy in Korea through an analytical discussions on 'Vision Zero'.