• Title/Summary/Keyword: health determinants

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The association between meal regularity and weight loss among women in commercial weight loss programs

  • Eom, Haram;Lee, Dongmin;Cho, Yoonkung;Moon, Junghoon
    • Nutrition Research and Practice
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    • v.16 no.2
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    • pp.205-216
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    • 2022
  • BACKGROUND/OBJECTIVES: While many obesity studies have pointed out the importance of meal regularity, few have conducted empirical analyses using data from food diaries. We examined the association between meal regularity (i.e., meal time regularity [MTR] and calorie intake regularity [CIR]) and weight loss. SUBJECTS/METHODS: We collected food diary data from 637 women who had participated in commercial weight loss programs for 28-168 days (4-24 weeks). This study defined "meal regularity" in terms of two concepts: MTR and CIR. MTR refers to how regularly people eat their meals (i.e., at certain times each day), whereas CIR refers to how regularly people consume a certain amount of calories at each meal. We conducted multiple regression analyses. RESULTS: MTR (model 1: β = -2,576.526, P < 0.001; model 2: β = -1511.447, P < 0.05; model 3: β = -1,721.428, P < 0.05) and CIR (model 1: β = -1,231.551, P < 0.01; model 2: β = -2,082.353, P < 0.001; model 3: β = -1,343.490, P < 0.01) turned out to be significant determinants of the amount of weight loss in breakfast, lunch, and dinner contexts. While meal regularity (i.e., MTR and CIR) was significantly associated with weight loss, daily calorie intake from meals was not significantly associated with the amount of weight loss (model 1: β = 0.13, P > 0.05; model 2: β = 0.11, P > 0.05; model 3: β = 0.14, P > 0.05). Subjects who consumed an equal amount of calories per meal throughout the day lost more weight than those who did not (model 4: β = -3,675.51, P < 0.001). CONCLUSIONS: Eating each meal (i.e., breakfast, lunch, and dinner) at a certain time every day may increase weight loss success. Also, consuming the same amount of calories at each meal may help weight loss success.

Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital

  • Mary, J. Jenifer Florence;Sindhuri, R.;Kumaran, A. Arul;Dongre, Amol R.
    • Clinical and Experimental Pediatrics
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    • v.65 no.4
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    • pp.201-208
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    • 2022
  • Background: According to the National Family Health Survey-4, in India, 78.9% of deliveries occur in institutions, although only 42.6% of new mothers initiate breastfeeding within 1 hour of delivery. Purpose: To estimate the proportion of early initiation of breastfeeding (EIBF) among new mothers at discharge from a tertiary care hospital and identify the determinants of delayed initiation of breastfeeding among them. Methods: This was a hospital-based analytical cross-sectional study of 108 new mothers. After obtaining Institutional Review Board approval and informed consent, we interviewed the new mothers on the day of discharge. Multivariate logistic regression was performed using IBM SPSS Statistics ver. 24. Results: The median breastfeeding initiation time was 90 minutes (interquartile range, 30-180 minutes). Overall, 43.5% of the mothers practiced EIBF, 77.4% practiced exclusive breastfeeding, and 43.5% were rooming in at discharge. Reasons for breastfeeding delays included extended recovery time from spinal anesthesia, maternal lassitude, and uncomfortable breastfeeding position due to post-cesarean pain. In the multivariate analysis, a birth weight less than 2,500 g (adjusted odds ratio [aOR], 4.33; 95% confidence interval [CI], 1.12-16.82; P=0.03), cesarean section delivery (aOR, 4.68; 95% CI, 1.57-13.92; P=0.005), and mother's poor knowledge of breastfeeding (aOR, 4.61; 95% CI, 1.44-14.72; P=0.010) were more likely to delay the initiation of breastfeeding. Conclusion: EIBF was practiced by less than half of the new mothers as determined by the cesarean section, baby's birth weight, and mothers' awareness of breastfeeding. Thus, it is vital to improve breastfeeding and nutritional counseling among mothers during the antenatal period and improve healthcare professionals' training to facilitate EIBF, even in circumstances such as cesarean section.

Micronutrients and prevention of cervical pre-cancer in HPV vaccinated women: a cross-sectional study

  • Chandrika J Piyathilake;Suguna Badiga;Nongnut Thao;Pauline E Jolly
    • Korean Journal of Community Nutrition
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    • v.28 no.1
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    • pp.61-73
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    • 2023
  • Objectives: Prophylactic vaccines against high-risk human papillomaviruses (HR-HPVs) hold promise to prevent the development of higher grade cervical intraepithelial neoplasia (CIN 2+) and cervical cancer (CC) that develop due to HR-HPV genotypes that are included in HPV vaccines, but women will continue to develop CIN 2+ and CC due to HR-HPV genotypes that are not included in the quadrivalent HPV vaccine (qHPV) and 9-valent HPV vaccine (9VHPV). Thus, the current vaccines are likely to decrease but not entirely prevent the development of CIN 2+ or CC. The purpose of the study was to determine the prevalence and determinants of CIN 2+ that develop due to HR-HPVs not included in vaccines. Methods: Study population consisted of 1476 women tested for 37 HPVs and known to be negative for qHPVs (6/11/16/18, group A, n = 811) or 9VHPVs (6/11/16/18/31/33/45/52/58, group B, n = 331), but positive for other HR-HPVs. Regression models were used to determine the association between plasma concentrations of micronutrients, socio-demographic, lifestyle factors and risk of CIN 2+ due to HR-HPVs that are not included in vaccines. Results: The prevalence of infections with HPV 31, 33, 35 and 58 that contributed to CIN 2+ differed by race. In group A, African American (AA) women and current smokers were more likely to have CIN 2 (OR = 1.76, P = 0.032 and 1.79, P = 0.016, respectively) while in both groups of A and B, those with higher vitamin B12 were less likely to have similar lesions (OR = 0.62, P = 0.036 and 0.45, P = 0.035, respectively). Conclusions: We identified vitamin B12 status and smoking as independent modifiable factors and ethnicity as a factor that needs attention to reduce the risk of developing CIN 2+ in the post vaccination era. Continuation of tailored screening programs combined with non-vaccine-based approaches are needed to manage the residual risk of developing HPV-related CIN 2+ and CC in vaccinated women.

SCUBA Diving Buddy Selection Process by Instructors' Perception (지도자가 지각하는 스쿠버다이빙의 버디선택 결정과정)

  • Gwon, Heonsu;Lim, Bong-Woo
    • 한국체육학회지인문사회과학편
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    • v.55 no.6
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    • pp.551-560
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    • 2016
  • The purpose of this study was to explore how SCUBA diving instructors' perception on their divers affects the buddy selection process in SCUBA diving clubs. For the purpose of this study, 6 people who have more than 5 year experiences and have been working as instructor in scuba diving clubs were selected as research participants. The results are as follows. First, they perceived necessity of buddy selection through awareness of importance of buddy through education and through partner perception to overcome perceived danger. Second, when selecting a buddy, they established standards according to level whether they have a rescue diver license and secured standards through new sense of value. Third, buddy selection determinants were interaction between buddies, mutual trust and realization of buddy's role. As such, a SCUBA diver should select other buddy to perform pair diving and buddy is selected based on relationship such as mutual communication, mutual trust and belief. When they perform buddy's role comprehensively based on mutual relationship with buddy, continuous relationship as buddies can be built.

Development of a Happiness Scale for Korean Old People (한국 노인의 행복 요인 탐색과 척도개발)

  • Im, Eunki;Jung, Taeyun
    • 한국노년학
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    • v.29 no.3
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    • pp.1141-1158
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    • 2009
  • This study was conducted to explore the determinants of happiness for Korean Old People. A total of 105 Korean old people responded to open-ended questions about their happiness. From the content analysis of those reponses were happiness-related 70 items derived. Then 200 old people rated themselves on the list of those items. Factor analysis of those data ended up with 33 items of 8 factors, which were ①Family relationship, ②Religion, ③Financial ability, ④Health, ⑤Work/Job, ⑥ Psychological stability, ⑦Leisure, ⑧Public welfare. This Happiness Scale for the Korean old people, Subjective wellbeing Scale, Emotion experience Scale, and Self-esteem Scale were also administered to the identical 200 Korean old people. Results indicated that the construct validity of this new Happiness Scale for Korean old people was obtained. Finally, the implications and limitations of the present study and suggestions for further studies were discussed.

Detection and characterization of potential virulence determinants in Staphylococcus pseudintermedius and S. schleiferi strains isolated from canine otitis externa in Korea

  • Gi Yong Lee;Soo In Lee;Ji Heon Park;Sun Do Kim;Geun-Bae Kim;Soo-Jin Yang
    • Journal of Veterinary Science
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    • v.24 no.6
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    • pp.85.1-85.13
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    • 2023
  • Background: A recent increase in the occurrence of canine skin and soft tissue infections, including otitis externa and pyoderma, caused by antimicrobial-resistant Staphylococcus pseudintermedius and S. schleiferi has become a significant public and veterinary health issues. Objective: We investigated the virulence potentials associated with the occurrence of canine otitis externa in S. pseudintermedius and S. schleiferi. Methods: In this study, the prevalence of genes encoding leukocidins, exfoliative toxins, and staphylococcal enterotoxins (SEs) was investigated using previously characterized S. pseudintermedius (n = 26) and S. schleiferi (n = 19) isolates derived from canine otitis externa. Susceptibility to cathelicidins (K9CATH and PMAP-36) and hydrogen peroxide (H2O2) was also examined in both staphylococcal species. Results: A high prevalence of genes encoding leukocidins (lukS/F-I, lukS1/F1-S, and lukS2/F2-S), exfoliative toxins (siet, expB, and sset), and SEs was identified in both S. pseudintermedius and S. schleiferi isolates. Notably, S. pseudintermedius isolates possessed higher number of SE genes, especially newer SE genes, than S. schleiferi isolates harboring egc clusters. Although no significant differences in susceptibility to K9CATH and H2O2 were observed between the two isolate groups, S. pseudintermedius isolates exhibited enhanced resistance to PMAP-36 compared to S. schleiferi isolates. Conclusions: These findings suggest that high a prevalence of various toxin genes together with enhanced resistance to cathelicidins may contribute to the pathogenicity of S. pseudintermedius and S. schleiferi in canine cutaneous infections.

Survey and Suggestions on the Educational and Research Environment of Graduate Students of Korean Medicine: Focusing on fostering of KMD-scientist (한의사과학자 양성을 위한 한의학과 대학원 재학생의 교육 및 연구환경 실태조사와 제언)

  • Myungsun Kim;Myung-Ho Kim;Minjung Lee;Dongyeop Jang;Sa-Yoon Park
    • The Journal of Korean Medicine
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    • v.44 no.3
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    • pp.59-73
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    • 2023
  • Objectives: The role of physician-scientists who bridge the gap between basic science and clinical medicine is crucial in advancing medical innovation. This study aims to examine the educational and research environment and career satisfaction of graduate students in Korean Medicine among those who are Korean medicine doctor (KMD). Methods: This study analyzed the results of a survey consisting of respondents' composition, job status, graduate education and job satisfaction, economic conditions, career determinants, and obstacles to the career path of KMD-scientists from 65 participants including both full-time and part-time graduate students. Results: The results revealed significant differences between full-time and part-time graduate students in terms of weekly hours spent and job priorities, motivation for entering graduate school, career preferences, and desired career paths. The study highlights the need for tailored support for full-time and part-time graduate students and the importance of economic assistance in fostering KM scientists. Economic difficulties were identified as a major obstacle for full-time graduate students pursuing research careers. Tuition fees were found to be a significant burden for all graduate students. Furthermore, it emphasizes the importance of enhancing the research capabilities of part-time graduate students and improving the quality of education to foster KMD-scientists. Conclusion: This research provides essential insights for Korean Medicine colleges and graduate schools to develop targeted improvement plans and effectively train KMD-scientist.

Happiness Determinants for Korean Adolescents (한국 청소년의 행복을 결정하는 요인들)

  • KyungSook Jeon;Taeyun Jung
    • Korean Journal of Culture and Social Issue
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    • v.15 no.1
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    • pp.133-153
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    • 2009
  • Two empirical studies were conducted to examine what determines the happiness of Korean adolescents. In Study 1, 155 high school students were asked to describe situations where they felt happy. Content analysis was conducted for their responses, which led to three categories, physical (economy, health and appearance), psychological (self-related responses, rest and leasure, and religion), and social one (haman relationship including family, friendship, etc, and social achievement). In Study 2, 450 high school students rated themselves on each of 88 happiness items developed through the responses obtained in Study 1. Factor analysis created 10 happiness factors labeled familial relationship, individuality, academic performance, religion, dating friends, appearance, self-discovery, economy, friendships, and psychological composure. These findings were compared with those findings about the middle-aged and the old-aged, and discussed on the developmental and cultural perspective.

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Dexamethasone-induced muscle atrophy and bone loss in six genetically diverse collaborative cross founder strains demonstrates phenotypic variability by Rg3 treatment

  • Bao Ngoc Nguyen;Soyeon Hong;Sowoon Choi;Choong-Gu Lee;GyHye Yoo;Myungsuk Kim
    • Journal of Ginseng Research
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    • v.48 no.3
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    • pp.310-322
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    • 2024
  • Background: Osteosarcopenia is a common condition characterized by the loss of both bone and muscle mass, which can lead to an increased risk of fractures and disability in older adults. The study aimed to elucidate the response of various mouse strains to treatment with Rg3, one of the leading ginsenosides, on musculoskeletal traits and immune function, and their correlation. Methods: Six Collaborative Cross (CC) founder strains induced muscle atrophy and bone loss with dexamethasone (15 mg/kg) treatment for 1 month, and half of the mice for each strain were orally administered Rg3 (20 mg/kg). Different responses were observed depending on genetic background and Rg3 treatment. Results: Rg3 significantly increased grip strength, running performance, and expression of muscle and bone health-related genes in a two-way analysis of variance considering the genetic backgrounds and Rg3 treatment. Significant improvements in grip strength, running performance, bone area, and muscle mass, and the increased gene expression were observed in specific strains of PWK/PhJ. For traits related to muscle, bone, and immune functions, significant correlations between traits were confirmed following Rg3 administration compared with control mice. The phenotyping analysis was compiled into a public web resource called Rg3-OsteoSarco. Conclusion: This highlights the complex interplay between genetic determinants, pathogenesis of muscle atrophy and bone loss, and phytochemical bioactivity and the need to move away from single inbred mouse models to improve their translatability to genetically diverse humans. Rg3-OsteoSarco highlights the use of CC founder strains as a valuable tool in the field of personalized nutrition.

Factors that Influence Physician Salary Payment through Analyzing on Internet Invitation Webpage in Korea (초빙광고 자료를 활용한 봉직 의사의 급여수준과 관련요인)

  • Kang, Hyun Goo;Lee, Ji Hyung;Jung, Da-Doo;Lee, Moo-Sik
    • Journal of agricultural medicine and community health
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    • v.46 no.1
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    • pp.12-22
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    • 2021
  • Backgrounds: Proper distribution and supply of physicians are factors that affect national health care systems. This study investigated the payment distribution levels and the determinants that influence the salary levels of hospital hired physicians. Methods: We analyzed 4,014 job advertisements posted on an internet invitation information site about physician recruitment from May 2016 to May 2019. We used univariate analysis to determine the relationship between average monthly salary and the other related variables. Multiple regression analysis was used to determine the predictors of physician salary level. Results: The average monthly salary for the service physician was 15.4 million won, highest for orthopedic surgeons with 22.24 million won, and lowest for diagnostic laboratory physician with 11.4 million won. The factors significantly associated with average monthly salary were; non-major specialty, housing provision, no severance pay, and incentives(p<0.05). Non-major specialty, incentives, and the regions were predictors of the average standardized monthly salary(p<0.05). Conclusion: Factors associated with average monthly salary as revealed by this study were; medical specialty, hospital regional location, housing provision, payment of retirement allowance, and payment of other incentives respectively. However, this study was a cross-sectional study, and further studies will be required.