• Journal of muscle and joint health
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• v.16 no.1
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• pp.5-12
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• 2009

Purpose: The purpose of this study was to investigate bone mineral density(BMD) and fear of falling and falls efficacy in the middle and old aged women over 50 years. Methods: The subjects consisted of 409 women. One-way ANOVA, Pearson's correlations and multiple regression were used to test the BMD, fear of falling and falls efficacy scale by using SPSSWIN 12.0. The BMD of the calcaneus were measured with peripheral dual energy x-ray absorptiometry(DEXA). Results: The average age was 63 years old and the average T-score was -3.21 in patient with osteoporosis, -1.72 with osteopenia, and .13 with normal. There were significant differences in the status of the BMD according to age(p=.000), height(p=.000), weight(p=.000), married status(p=.000), age of menarche(p=.002), and menopause(p=.002). The fear of falling was related with falls efficacy(r=-.247, p=.01), BMD(r=-.337, p=.01). Falls efficacy($\beta$=-.21, p=.000)and BMD($\beta$=-.26, p=.000) were predicting variables of fear of falling. The model explained 13% of the variance in fear of falling(F=27.38, p=.000). Conclusion: Fear of falling and falls efficacy were related with the bone mineral density. Falls efficacy and BMD may be useful for the predicting fear of falling for women in middle and old age. Further studies with assessment of fall-related risk-factors and a longitudinal study are necessary to assess with falls efficacy, and BMD with age.

• Nutrition Research and Practice
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• v.17 no.2
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• pp.269-283
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• 2023

BACKGROUND/OBJECTIVES: This study aimed to examine the food security status of urban poor adolescents and its association with diet quality. SUBJECTS/METHODS: A cross-sectional survey was conducted among 188 adolescents aged 13-18 yrs living in Kuala Lumpur, Malaysia. Household food insecurity and dietary intake data were collected using the Radimer/Cornell hunger and food insecurity instrument and 2-day 24-h dietary recalls, respectively. Diet quality was determined using the Malaysian Healthy Eating Index (HEI). Weight and height were measured and body mass index-for-age, as well as height-for-age z scores were calculated. RESULTS: The present study revealed that 47.9% of the adolescents experienced household food insecurity, 24.5% experienced individual food insecurity, 18.6% household food security, and 9.0% child hunger. The mean score of diet quality was 56.83 ± 10.09, with a significantly lower HEI score among food insecure adolescents (household food insecure, individual food insecure, and child hunger) than household food secure adolescents (P = 0.001). The differences between food secure and food insecure households were found to be significant for energy (P = 0.001) and nutrients including proteins (P = 0.006), carbohydrates (P = 0.005), dietary fiber (P = 0.001), folate (P < 0.001), and vitamin C (P = 0.006). The multiple linear regression showed that adolescents who experienced food insecurity (β = -0.328; P = 0.003) were found to be significantly associated with poor diet quality (F = 2.726; P < 0.01), wherein 13.3% of the variation in the diet quality was explained by the food security status. CONCLUSIONS: Experiencing food insecurity contributed to poor diet quality among urban poor adolescents. Further longitudinal studies are needed to comprehensively understand this association to improve food insecurity and diet quality among urban poor communities.

• Journal of dental hygiene science
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• v.22 no.1
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• pp.30-36
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• 2022

Background: Nowadays, dental health problems in Indonesia are still quite high. It is one of which influenced by low public awareness of the importance of maintaining the health of teeth and mouth that can be measured by toothbrushing behavior. Based on the results of RISKESDAS 2018, only 2.8 percent of the population has a proper toothbrushing behavior. Behavior tends to form at age 6 to 12 years. At this age, children begin to develop habits that tend to settle until adulthood, including toothbrushing behavior. Social cognitive theory is a theory of behavioral change that explains that behavioral changes are influenced by the environment, personal, behavior where these three factors influence each other. This study aims to identify changes in the dental behavior of second grades students before and after the joint toothbrushing at school for 21 days. Methods: A pre-experimental study-design was conducted on elementary school by pre-post treatment method where there are 2 classes that get intervention and 2 other classes as control. A joint toothbrush is performed every morning before the school activities begin. Before and after the joint toothbrushing, all classes are given questionnaires to see if there are any changes in behavior seen through knowledge, attitudes, and practice. Results: Respondent group showed increasement on their knowledge, attitudes, and behaviors towards toothbrushing. In contrast, the control groups showed no significant differences in the 3 factors. Conclusion: In this study the education of toothbrushing through environmental changes is quite effective in elementary school children. Insights into the benefits of this program and refinements of optimally targeted intervention, including longitudinal studies are needed to improve the results.

• Geomechanics and Engineering
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• v.33 no.5
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• pp.477-486
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• 2023

In the studies on fault dislocation of tunnel, existing literatures are mainly focused on the problems caused by normal and reverse faults, but few on strike-slip faults. The paper aims to research the deformation and failure mechanism of a tunnel under strike-slip faulting based on a model test and test-calibrated numerical simulation. A potential faulting hazard condition is considered for a real water tunnel in central Yunnan, China. Based on the faulting hazard to tunnel, laboratory model tests were conducted with a test apparatus that specially designed for strike-slip faults. Then, to verify the results obtained from the model test, a finite element model was built. By comparison, the numerical results agree with tested ones well. The results indicated that most of the shear deformation and damage would appear within fault fracture zone. The tunnel exhibited a horizontal S-shaped deformation profile under strike-slip faulting. The side walls of the tunnel mainly experience tension and compression strain state, while the roof and floor of the tunnel would be in a shear state. Circular cracks on tunnel near fault fracture zone were more significant owing to shear effects of strike-slip faulting, while the longitudinal cracks occurred at the hanging wall.

• Korean Medical Education Review
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• v.25 no.2
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• pp.132-138
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• 2023

Cohorts are established and operated at medical schools as part of efforts to improve the quality of education. Chosun University College of Medicine clarified the purpose of establishing three cohorts in light of its core values and developed criteria and indicators for each purpose. An organization focusing on cohort construction and operation was established as the Cohort Committee under the Quality Improvement Committee, and guidelines were proposed. In addition, a database and system were developed to handle primary data efficiently, and tools for measuring psychological variables were created. The data collected by establishing a cohort, regions, and admission types of graduates were first analyzed for the following projects: (1) an analysis of the educational process and quality improvement to educate medical professionals who contribute to the community after graduation, and (2) an analysis of the educational process and quality improvement to secure excellence in the medical field (e.g., knowledge and clinical reasoning), using information on the academic achievements of students and graduates as primary data. Chosun University College of Medicine is conducting cohorts and longitudinal studies gradually, starting with a simple, practically feasible system to solve the difficulties faced in cohort establishment and operation. Medical educators hope that future data collection and analysis will improve the quality of medical school education and have practical implications.

• Journal of The Geomorphological Association of Korea
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• v.18 no.4
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• pp.35-57
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• 2011

Minor erosional forms in the bedrock river, like potholes, are not just research subject for the professional geomorphologis. In addition, these features attract general public and make them understand the social contribution and importance of geomorphologic research activities. In this paper, the studies on bedrock minor forms in Korea was reviewed. For further researches, some of major erosional processes and minor forms in bedrock rivers were discussed in detail. Cavitation, plucking, hydro-wedging, and abrasion by passing sediment particles are the major processes to create the longitudinal or transverse minor forms like pothole, furrows, flutes, and runnels. Especially the definition of furrows and runnels are explained to prevent the confusion with pothole, weathering pits and grooves. To make a progress in research on bedrock minor forms the quantitative relationship between the variables should be studied. New techniques for scientific estimation of erosion rates and exposure ages of bedrock surfaces should be used in this field.

• Smart Structures and Systems
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• v.30 no.5
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• pp.479-500
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• 2022

In this study, a new type of isolation bearing is proposed by combining S-shaped steel plate dampers (SSDs) with a spherical steel bearing, and the seismic control effect of a five-span standard high-speed railway bridge is investigated. The advantages of the proposed S-shaped steel damping friction bearing (SSDFB) are that it cannot only lengthen the structural periods, dissipate the seismic energy, but also prevent bridge unseating due to the restraint effectiveness of SSDs in the large relative displacements between the girders and piers. This study first presents a detailed description and working principle of the SSDFB. Then, mechanical modeling of the SSDFB was derived to fundamentally define its cyclic behavior and obtain key mechanical parameters. The numerical model of the SSDFB's critical component SSD was verified by comparing it with the experimental results. After that, parameter studies of the dimensions and number of SSDs, the friction coefficient, and the gap length of the SSDFBs were conducted. Finally, the longitudinal seismic responses of the bridge with SSDFBs were compared with the bridge with spherical bearing and spherical bearing with strengthened shear keys. The results showed that the SSDFB can not only significantly mitigate the shear force responses and residual displacement in bridge substructures but also can effectively reduce girder displacement and prevent bridge unseating, at a cost of inelastic deformation of the SSDs, which is easy to replace. In conclusion, the SSDFB is expected to be a cost-effective option with both multi-stage energy dissipation and restraint capacity, making it particularly suitable for seismic isolation application to high-speed railway bridges.

• Steel and Composite Structures
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• v.48 no.1
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• pp.27-41
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• 2023

Under the long-term effect of corrosive environment, many cold-formed steel (CFS) structures have serious corrosion problems. Corrosion leads to the change of surface morphology and the loss of section thickness, which results in the change of instability mode and failure mechanism of CFS structure. This paper mainly investigates the elastic local buckling behavior of corroded CFS columns. The surface morphology scanning test was carried out for eight CFS columns accelerated corrosion by the outdoor periodic spray test. The thin shell finite element (FE) eigen-buckling analysis was also carried out to reveal the influence of corrosion surface characteristics, corrosion depth, corrosion location and corrosion area on the elastic local buckling behaviour of the plates with four simply supported edges. The accuracy of the proposed formulas for calculating the elastic local buckling stress of the corroded plates and columns was assessed through extensive parameter studies. The results indicated that for the plates considering corrosion surface characteristics, the maximum deformation area of local buckling was located at the plates with the minimum average section area. For the plates with localized corrosion, the main buckling shape of the plates changed from one half-wave to two half-wave with the increase in corrosion area length. The elastic local buckling stress decreased gradually with the increase in corrosion area width and length. In addition, the elastic local buckling stress decreased slowly when corrosion area thickness was relatively large, and then tends to accelerate with the reduction in corrosion area thickness. The distance from the corrosion area to the transverse and longitudinal centerline of the plate had little effect on the elastic local buckling stress. Finally, the calculation formula of the elastic local buckling stress of the corroded plates and CFS columns was proposed.

• Journal of East-West Nursing Research
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• v.29 no.2
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• pp.106-116
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• 2023

Purpose: The purpose of this study was to identify the impact of obesity on the incidence of diabetes mellitus in adults with pre-diabetes. Methods: This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study. This study used data from a sample of 3,693 adults with prediabetes who were followed every two years from 2001 to 2018. Statistical data analysis for frequency, number of cases per 1,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression analysis was performed using IBM SPSS statistics version 26. Results: During the observation period, there were 1,309 (35.4%) patients with diabetes, and the total number of person-years was 35,342. The incidence of diabetes was higher in the obese group compared to the normal weight group (body mass index [BMI]: hazard ratio=1.57, 95% confidence interval [CI]=1.40~1.77, waist: hazard ratio=1.55, 95% CI=1.38~1.76, waist to hip ratio [WHR]: hazard ratio=1.53, 95% CI=1.24~1.89, body fat [BF] (%): hazard ratio=1.42, 95% CI=1.27~1.61). Conclusion: An increase in BMI, waist circumference, and WHR, which are indicators of obesity, can exacerbate the risk factors for diabetes. Thus, a decrease in BMI, waist circumference, and WHR is necessary to prevent pre-diabetes. In particular, health care professionals should provide individualized weight management program interventions, including adult obesity programs and obesity counseling in partnership with local health departments, to reduce BMI and waist circumference in people at high risk for diabetes.

• Korean Journal of Culture and Social Issue
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• v.9 no.1
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• pp.81-114
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• 2003

This study examines the basis and change of delinquent behavior among Korean adolescents. Theoretical framework was developed and qualitative analysis of delinquency behavior was examined. In order to understand the basis and change of juvenile delinquency, the influence of family environment, school environment and individual factors were investigated through cross-sectional and longitudinal studies. The results of the findings can be summarized into the following six main points: 1) two subcultures of adolescent functioning could be ascertained, 2) the decrease in social support and increase in moral disengagement were directly related to a rise in juvenile delinquency, 3) family disintegration contributed to juvenile delinquency, 4) peer influence help to raise juvenile delinquency, 5) schools were unable to give hope to those students who were not doing well in school and were ineffective in dealing with juvenile delinquents, and 6) the phenomenon of juvenile delinquency points to the importance of opening up the closed school system and closed society, allowing individual diversity and skills to be recognized.