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Fall Risk Assessment (FRA) of Korean community-dwelling elderly (지역 재가 노인의 낙상위험평가)

  • Shin, Sohee;Sato, Susumu
    • 한국노년학
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    • v.39 no.4
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    • pp.895-902
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    • 2019
  • This study reviewed the diagnosis accuracy and evaluation criteria of the fall risk assessment questionnaire that proved validity through factor analysis in previous studies. The purpose of this study was to diagnose high-risk groups and propose personal fall risk profiles for the Korean community-dwelling elderly. The participants of this study were 439 elderly people living in S, U, B, and Y cities Korea (mean age 75.0 ± 5.7 years). Receiver operating characteristic analysis was conducted to review the accuracy of the fall risk assessment and evaluation criteria of the FRA. The results showed that the four sub-factors of the FRA: 'Potential for fall', 'Disease and physical symptoms', 'Environment' and 'Physical function', can effectively diagnose the fall risk of the community-dwelling elderly. The evaluation criteria was presented based on the sensitivity and specificity results. In addition, as a result of analyzing the patterns by the sub factors of the fall risk, the high-risk group accounted for 80% of the elderly who had problems with two or more factors. Therefore, the four sub-factors of FRA can effectively diagnose the fall risk level, and could be present individual fall risk profiles based on the evaluation criteria.

The History of the History of Religions and Intellectual History : Concerning with the Work of Hans G. Kippenberg (서구 종교학의 역사에 대한 지성사적 재조명: 키펜베르크의 논의를 중심으로)

  • Jo, Hyeon-Beom
    • Journal of the Daesoon Academy of Sciences
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    • v.17
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    • pp.113-134
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    • 2004
  • According to Hans Kippenberg, the foundation of an academic study of religions coincided with the beginnings of modernization. Since the second half of the nineteenth century most European countries were involved in a process of rapid social change. The repercussions that this had for daily life were momentous. Instead of working for their traditional needs, people now had to produce goods for a market. Old customs ceded to private contracts and political laws. The superior knowledge of science replaced the inherited worldview. This deep changed severed societies from their ties to the past. Many educated people in Europe believed in an imminent end of all religions. Had not the scientific progress superseded the religious worldview? Historians had to come to terms with that expectation when they directed their attention to historical religions. Friedrich Max Muller introduced a new science, so-called Religionswissenschaft through the study of the ancient Vedic sources. He thought that genuine religion was a taste for, and sense of, the infinite. From his point of view, the Indian sources confirm that nature is more than mechanical laws. Thus his interpretation sought to contradict the materialist ideology of his day. Edward Burnett Tylor described religions as a kind of natural philosophy. His notion of 'soul' functioned to explain natural events. This legacy of the past cannot be missed even in modern society. Only the concept of the soul may preserve human dignity in an age of materialism. Gerardus van der Leeuw, also tried to perform the same function of the cultural critique for the renewal of the religious imagination in modern, rationalized Europe imprisoned in the iron-cage. In this respect, we could think that the interpretations of the history of the History of Religions in the light of the intellectual history are very suggestive for the korean student of religion. It helps them to describe the early history of the study of religion in Korea. For example, Yi Neung Wha(李能和) is regarded as 'a father of korean religious studies, but no one could present a proper answer for the question of why and through which connection of his intellectual milieu he was interested in the religious history and the study of religion. We would discover its signification in his confrontation of the prevailing social thought, such as social evolutionism.

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Effectiveness of an extraoral cold and vibrating device in reducing pain perception during deposition of local anesthesia in pediatric patients aged 3-12 years: a split-mouth crossover study

  • Ashveeta Shetty;Shilpa S Naik;Rucha Bhise Patil;Parnaja Sanjay Valke;Sonal Mali;Diksha Patil
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.6
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    • pp.317-325
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    • 2023
  • Background: Local anesthetic injections may induce pain in children, leading to fear and anxiety during subsequent visits. Among the various approaches recommended to reduce pain, one is the use of a Buzzy BeeTM device that operates on the concept of gate control theory and distraction. The literature regarding its effectiveness during the deposition of local anesthesia remains limited; hence, the aim of the present study was to determine the efficacy of extraoral cold and vibrating devices in reducing pain perception during the deposition of local anesthesia. Methods: A split-mouth crossover study in which 40 children aged 3-12 years requiring maxillary infiltration or inferior alveolar nerve block for extractions or pulp therapy in the maxillary or mandibular posterior teeth were included. The control intervention involved the application of topical anesthetic gel for one minute (5% lignocaine gel), followed by the administration of local anesthetic (2% lignocaine with 1:80,000 adrenaline) at a rate of 1 ml/ minute. Along with the control protocol, the test intervention involved using the Buzzy BeeTM device for 2 minutes before and during the deposition of the local anesthetic injection. The heart rate and face, legs, arms, cry, and consolability revised (FLACC-R) scale scores were recorded by the dentist to assess the child's pain perception. Results: The mean age of the participants in Group A and Group B was 7.050 ± 3.12 years and 7.9 ± 2.65 years respectively. A reduction in the mean heart rate and FLACC-R score was observed during the deposition of local anesthetic solution in the tissues when the Buzzy BeeTM was used in both groups at different visits in the same subjects (P < 0.05) The Buzzy BeeTM device was effective in reducing the heart rate and FLACC-R scores when used during maxillary infiltration and inferior alveolar nerve block local anesthesia techniques (P < 0.05). Conclusion: The use of extraoral cold and vibrating devices significantly reduces pain perception during local anesthetic deposition in pediatric patients. Considering the results of this study, the device may be incorporated as an adjunct in routine dental practice while administering local anesthesia in children.

The Effect of Feeding with Sasa quelpaertensis Nakai Extract on Change in Economic Traits of the Pig (제주조릿대 (Sasa quelpaertensis Nakai) 추출물 급여가 돼지의 경제형질 특성 변화에 미치는 영향)

  • Hyeon Ah Kim;Sang Hwi Im;Ju Sung Kim;Mi Hyeon Park;Jong An Lee;Yong Jun Kang;In Cheol Cho;Moon Cheol Shin
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.43 no.4
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    • pp.240-247
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    • 2023
  • This experiment investigated the effects of feed additives of Sasa quelpaertensis Nakai (SQN) extract on Landrace pigs on economic traits such as the quality, physiological characteristics, and productivity. Sixteen pigs with an average age of 154 days were selected as experimental subjects. The experiment was conducted by dividing the group into eight pigs for the supplementation group, feeding with SQN extract, and another eight for the control group feeding without SQN extract. Water was fed ad libitum. On the 30th day, there was no significant difference between meat quality and productivity. However, the glucose and thyroxine were statistically lower with the supplementation group than with the control group (p<0.05). Also, the levels of creatinine difference between 1.18 ± 0.12 mg/㎗ with the supplementation group and 0.70 ± 0.06 mg/㎗ with the control group (p<0.05). However, all serum biochemistry values were within a normal range, with no health problems. The present study will help solve the problem of reducing the diversity of plant species in Halla Mountain by increasing the availability of the SQN as a pig feed additive.

A Study on the Appropriate School Placement in Urban Development Area - Centerde on Sejong Special Self-Governing City - (도시개발지역 학교 적정배치 방안 연구 - 세종특별자치시를 중심으로 -)

  • Son, Byung-Gil;Lee, Yong-Hwan
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.22 no.4
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    • pp.9-17
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    • 2023
  • This study explores school location, school environment, educational conditions, and appropriate scale of schools in the context of Sejong City's development area and identifies effective school establishment plans based on the analysis of the needs of the educational community. The research questions for this study include, first, what is the change trend in the number of students as a result of the opening of schools in the development area of Sejong City to the present, and what differences are there between Sejong and other new cities? Second, what challenges arise in school location due to the occurrence of oversized schools and undergraduate institutions? Third, what challenges arise in school location that would limit the ability to create a safe school environment? Fourth, what aspects need to be improved in school location decisions to promote proper placement? A survey was conducted among parents and faculty members to collect data. The findings revealed that first, when establishing a school, identifying an appropriate location for the school was the top priority of the respondents. The second was the proximity of the school to dense housing, with a parent drop zone next to the school site. Third, to address the issue of lack of playgrounds and special class and care classes, respondents called for various measures such as securing school sites within a certain area. Finally, integrated operation schools and school facilities are required in preparation for decreasing school-age populations due to low birth rates.

The Influence of the Enlistment-Motivation on the South Korean Military Life (입대 동기가 육군 병사와 해병대원의 군 생활과 미래 인식에 미치는 영향)

  • Kyung Jae Song ;Min Han ;Joonsung Bae ;Sung Yeol Han
    • Korean Journal of Culture and Social Issue
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    • v.16 no.4
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    • pp.469-485
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    • 2010
  • The present research investigated the influence of the enlistment motivation on an image of military organization, soldier's stress, a confidence of social life after discharge from military service and military life satisfaction in Korean military service. Participants of this research were 257 soldiers (121 conscript Army soldiers and 136 voluntary Marines) from 2 companies in the army and 2 companies in the Marine Corps located in South Korea. Results of this study showed that 1) conscript Army group(M=2.39, SD=.71)had a significantly higher score than voluntary Marines group(M=1.95, SD=.63)in extrinsic enlistment motivation. On the contrary, Marines group(M=4.16, SD=.76) had a significantly higher score than Army group(M=3.62, SD=.87) in intrinsic enlistment motivation. 2) Enlistment by intrinsic motivation has positive influence on the military life. Result of Regression analysis showed that enlistment by intrinsic motivation significantly predicted a military life satisfaction(𝛽=.402, t=6.424, p<.001), a confidence of social life(𝛽=.528, t=9.836, p<.001), and an image of military organization(𝛽=.494, t=8.486, p<.001). On the other hand, enlistment by extrinsic motivation has negative influence on the military life. Result of Regression analysis showed that enlistment by extrinsic motivation significantly predicted the soldier's stress in military life(𝛽=.415, t=6.642, p<.001), and no confidence of social life(𝛽=-.177, t=-3.306, p<.001). These results suggest that Korean military needs to focus on enhancing intrinsic enlistment motivation of young men of conscription age before conscription by educating, and advertising etc. And also, we discuss that Korean military needs to consider how to boost intrinsic motivation of military life.

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Important Social Issues in Korea: Continuity and Change over 10 Years (한국 사회문제의 변화: 지난 10년간 세 시점의 비교)

  • Doun-Woong Hahn;Hoon-Seok Choi
    • Korean Journal of Culture and Social Issue
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    • v.12 no.1
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    • pp.103-128
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    • 2006
  • The present study investigated individuals' perception of important social issues in Korea. Based on previous research(Hahn, 1994; Hahn & Kang, 2000), a checklist containing 370 social issues was created. This checklist was administered to 1600 Koreans(812 college students, 788 adults) residing in 5 regional areas in Korea during the period of December 2004 and February 2005. Data were analyzed by the respondents' age, sex, and residing areas, and findings were compared to those of the two previous studies conducted in 1994 and 1999. Major findings of the study are as follows. First, across the three surveys, over 50% of the respondents consistently indicated the following four items as important social issues in the Korean society: political corruption, environmental pollution, the education system that is driven too much for college entrance, employment difficulty for local college graduates. Second, more than 50% of the respondents in the current survey indicated the following 12 items as important social issues that must be resolved: high unemployment rate, political corruption, environmental pollution, education system, overall difficulty of getting jobs, the nation's distrust in politics, hardships of life among the working classes, political incompetence, people with defective personal credit standings, employment difficulty for local college graduates, political instability, corruption of public servants. Third, analyses on the top 30 social issues across the three surveys revealed a positive and significant rank-order correlation for a five-year period(i.e., 1994-1999, 1999-2004), but not for a ten-year period(i.e., 1994-2004). Implications of the study and directions for future research are discussed.

Assessment of Heavy Metal Exposure Levels (Pb, Hg, Cd) among South Koreans and Contribution Rates by Exposure Route - Korean National Environmental Health Survey (KoNEHS) Cycle 4 (2018~2020) - (한국인의 체내 중금속(납, 수은, 카드뮴)의 노출수준 및 노출경로별 기여율 평가 - 제4기 국민환경보건 기초조사(2018~2020) -)

  • Gihong Min;Jihun Shin;Dongjun Kim;Jaemin Woo;Kyeonghwa Sung;Mansu Cho;Wonho Yang
    • Journal of Environmental Health Sciences
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    • v.49 no.5
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    • pp.262-274
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    • 2023
  • Background: Exposure levels for heavy metals such as lead (Pb), mercury (Hg), and cadmium (Cd) have increased due to human activities. They are known to be a public health concern. Objectives: This study aimed to determine the exposure levels to heavy metals in the blood and urine of South Korean adults and to present the contribution rate of exposure pathways using an exposure algorithm for men aged 19~64, women aged 19~64, and all seniors aged 65 or older. Methods: We analyzed data from the Korean National Environmental Health Survey (KoNEHS) Cycle 4 (2018~2020). A total of 2,646 participants aged ≥19 years were included. Multiple regression analysis was performed to determine the factors affecting heavy metal concentrations. The contribution rate was calculated by applying three exposure algorithms for ingestion, inhalation, and dermal exposure. Results: Factors that commonly affect heavy metal concentrations in blood and urine were gender and age. The main influencing factors for Pb and Cd were education level and smoking status, while frequency of fish consumption and of alcohol consumption were indicated to be the main influencing factors for mercury. The contribution rates of lead and cadmium from food ingestion were 78.03~79.62% and 88.39~92.89%, respectively. Additionally, the highest contribution for mercury was accounted for by food at 81.69~85.77%. As a result of the risk assessment, cadmium was found to pose a potential health risk a with total cancer risk (TCR) of more than 1×10-6. Conclusions: The KoNEHS could be an important study for determining the level of exposure to heavy metals and their influencing factors. Integrated exposure to heavy metals could assess the main exposure pathways, and this methodology could be applied to exposure management of heavy metals.

Effects of enzymolysis and fermentation of Chinese herbal medicines on serum component, egg production, and hormone receptor expression in laying hens

  • Mei Hong Jiang;Tao Zhang;Qing Ming Wang;Jin Shan Ge;Lu Lu Sun;Meng Qi Li;Qi Yuan Miao;Yuan Zhao Zhu
    • Animal Bioscience
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    • v.37 no.1
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    • pp.95-104
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    • 2024
  • Objective: In the present study, we aimed to investigate the effects of enzymolysis fermentation of Chinese herbal medicines (CHMs) on egg production performance, egg quality, lipid metabolism, serum reproductive hormone levels, and the mRNA expression of the ovarian hormone receptor of laying hens in the late-laying stage. Methods: A total of 360 Hy-Line Brown laying hens (age, 390 days) were randomly categorized into four groups. Hens in the control (C) group were fed a basic diet devoid of CHMs, the crushed CHM (CT), fermented CHM (FC), and enzymatically fermented CHM (EFT) groups received diets containing 2% crushed CHM, 2% fermented CHM, and 2% enzymatically fermented CHM, respectively. Results: Compared with crushed CHM, the acid detergent fiber, total flavonoids, and total saponins contents of fermented CHM showed improvement (p<0.05); furthermore, the neutral and acid detergent fiber, total flavonoids, and total saponins contents of enzymatically fermented CHM improved (p<0.05). At 5 to 8 weeks, hens in the FC and EFT groups showed increased laying rates, haugh unit, albumin height, yolk color, shell thickness, and shell strength compared with those in the C group (p<0.05). Compared with the FC group, the laying rate, albumin height, and Shell thickness in the EFT group was increased (p<0.05). Compared with the C, CT, and FC groups, the EFT group showed reduced serum total cholesterol and increased serum luteinizing hormone levels and mRNA expressions of follicle stimulating hormone receptor and luteinizing hormone receptor (p<0.05). Conclusion: These results indicated that the ETF group improved the laying rate and egg quality and regulated the lipid metabolism in aged hens. The mechanism underlying this effect was likely related to cell wall degradation of CHM and increased serum levels of luteinizing hormone and mRNA expression of the ovarian hormone receptor.

Risk Factors for Renal Function Impairment Following Radiofrequency Ablation of Renal Tumors (신장 종양 고주파 절제술 이후 신장 기능 저하의 위험요소)

  • Il Cheol Park;Seong Kuk Yoon;Dong Won Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.317-330
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    • 2022
  • Purpose To evaluate the various factors that affect renal function following percutaneous radiofrequency ablation (RFA) therapy in patients with renal tumors. Materials and Methods Between 2010 and 2018, 91 patients diagnosed with renal tumors using ultrasonography and CT-guided RFA were enrolled. We retrospectively investigated the serum creatinine (SCr) level and estimated glomerular filtration rates immediately prior to RFA and during post-treatment follow-up. The patients were divided into two groups based on the degree of change in SCr level (0.3 mg/dL). Group comparisons were performed using univariable and multivariable logistic regression analyses to determine the factors impacting renal function. Results Impaired renal function was associated with solitary kidney, chronic kidney disease (CKD) over stage 3, and pyeloureteral injury. Sex, age, other cancers, tumor size, location, growth pattern, and proximity to the collecting system were not significantly associated with impaired renal function. There was a difference in the overall change over time between the association with and without solitary kidney, CKD stage 3, and pyeloureteral injury. Conclusion Among the medical conditions present prior to RFA, solitary kidney and CKD over stage 3 could be considered as risk factors for impaired renal function. Post-procedural pyeloureteral injury can also be considered a risk factor.