• Journal of Genetic Medicine
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• 제4권1호
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• pp.15-21
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• 2007

Hereditary syndromes cause approximately 5 to 10% of overall cancer cases. Cancer related with genetic syndromes are found elsewhere, including stomach, breast, colorectum, ovary, brain and so on. Because hereditary cancers are due to germline mutations, these patients have unique clinical features distinct from sporadic cancer. Generally these features include (i) early age-of onset of cancer, (ii) frequent association with synchronous or metachronous tumors, (iii) frequent bilateral involvement in paired organs (iv) frequent association with other site tumors or characteristic clinical manifestation specific to each genetic syndrome. Due to these differences, the management strategy for patients with hereditary cancer is quite different from that for sporadic cancer. Additionally, there are important screening and surveillance implications for family members. Genetic counselling is prerequisite to these families for risk assessment by pedigree analysis, and guidance to clinical or genetic testing. The genes responsible for these syndromes has recently identified, as a result, genetic testing has become important determining factor in clinical decisions.

• Child Health Nursing Research
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• 제29권1호
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• pp.37-50
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• 2023

Purpose: This study aimed to validate the Child Healthy Lifestyle Profile as an instrument for screening healthy behaviors in school-aged children in South Korea. Methods: Self-reported questionnaires were administered to 454 students, comprising elementary-school students (n=221) and child cancer survivors (n=233). Reliability and validity were assessed using Cronbach's α, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). Results: Cronbach's α, as a reliability test, was 0.87. Varimax rotation yielded nine factors with eigenvalues greater than 1 in the EFA, which explained 61.0% of the total variance. In the CFA, both convergent and discriminant validities were acceptable. Therefore, the Child Healthy Lifestyle Profile was validated as an assessment tool for Korean school-aged children. Conclusion: Based on the results of this study, the Child Healthy Lifestyle Profile was identified as a reliable and valid instrument for assessing healthy lifestyles in elementary-school children in South Korea.

• 대한환경공학회지
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• 제35권3호
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• pp.165-170
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• 2013

본 연구에서는 벤즈이소시아졸리논의 초기 생태위해성을 평가하기 위해 물리 화학적 특성과 환경거동 및 경로를 조사하였고, 어류, 물벼룩 및 조류를 이용한 수생태 독성시험을 수행하였다. 조사 결과, 벤즈이소시아졸리논은 비휘발성으로 환경 중 주로 토양과 물에 분포하는 특성이 있으며, 토양 내 이동성과 생물농축 가능성이 낮은 편으로 나타났다. Oryzias laties를 이용한 급성 독성시험 결과 96시간-$LC_{50}$ 값은 4.7 mg/L(측정농도), Daphnia magna를 이용한 48시간-$EC_{50}$ 값은 3.3 mg/L(측정농도)이었다. Pseudokirchneriella subcapitata를 이용한 72시간-$EC_{50}$ 값은 0.456 mg/L(평균 성장률, 설정농도)와 0.262 mg/L(수율, 설정농도)이었다. 시험 종 가운데 독성에 가장 민감한 조류의 수율 $EC_{50}$ 값에 평가 계수 100을 적용한 예측무영향 농도는 2.62 ${\mu}g/L$이었다. 각 시험군의 독성 종말점을 GHS (Globally Harmonized System) 기준에 따라 분류한 결과 조류 독성은 급성독성 1등급, 어류 및 물벼룩 독성은 급성독성 2등급에 해당되었다. 본 결과를 토대로 볼 때 벤즈이소시아졸리논은 생태 환경에 대한 위해성이 예측된다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권1호
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• pp.38-48
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• 2007

Objectives : The K-ARS (Korean ADHD Rating Scale) is one of the most important assessment tool of attention-deficit hyperactivity disorder (ADHD) in Korea. in this study, we presented detailed normative data on the K-ARS for school-aged children in Seoul metropolitan area to put it to practical use. Methods : The subjects were 2,397 students(1,223 boys and 1,174 girls, aged 6-12) from 4 elementary schools in Seoul, and one caretaker of each child completed the K-ARS for parents. Children who showed high scores of the K-ARS for parents were screened, and 2 child psychiatrists interviewed them to make a clinical diagnosis. We compared the mean scores of the K-ARS for parents between ADHD and normal group, and examined the percentage of correct classification. Results : There were some differences in score of the K-ARS for parents according to sex and age, so we presented continuous normative data with T score and subdivided cut-off points for ADHD screening. Interviews with child psychiatrists using DSM-IV criteria were performed to test diagnostic validity, and the difference in every the K-ARS for parents index between ADHD and normal group was significant(p<.001). Using 3 different cut-of points(80th, 90th, 93rd percentage), the accuracies of ADHD correct classification were 67.9, 72.2, 71.1% and all 3 canonical discriminants were significant (p<.05) between ADHD and normal group. Conclusion : The normative data and cut-off points on the K-ARS for parents are useful in screening ADHD children in Seoul metropolitan area.

• 지역사회간호학회지
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• 제22권2호
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• pp.212-222
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• 2011

Purpose: This study was conducted to survey children's health status and need of customized visiting health care services in one province. Methods: The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center. Results: Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care. Conclusion: These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.4163-4167
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• 2016

Background: Cervical cancer is the second most common in Thailand, but the mortality rate may be rising yearly. It is a cancer that can be prevented by early screening for precancerous lesions, several methods being available. Objective: To identify the prevalence of abnormal Papanicolaou (Pap) smears and lesions with visual inspection with acetic acid (VIA) in pregnant women and assess risk factors for this group. Materials and Methods: This prospective study was performed at Prapokklao Hospital, Thailand during April-July 2016. All pregnant women of gestational age between 12-36 weeks who attended an antenatal clinic were recruited. All participants were screened for cervical cancer by Pap smear and VIA. If results of one or both were abnormal, colposcopic examination was evaluated by gynecologic oncologist. Results: A total of 414 pregnant women were recruited. Prevalence of abnormal Pap smear and VIA were 6.0 and 6.7 percent, respectively. The most common abnormal Pap smear was low grade intraepithelial lesion (LSIL, 44%). Factors associated with abnormal Pap smear in pregnant women were low BMI, multiple partners and being a government officer. In pregnancy, Pap smear had higher sensitivity and specificity than VIA for detection of precancerous cervical lesion. Patients with young coitarche or more than 25 years of active sexual activity were high risk groups. Conclusions: Prevalence of abnormal Pap smear and VIA in pregnant women was 6.0 and 6.7 percent, respectively. Factors associated with abnormal Pap smear were coitarche, years of sexual activity, low BMI, multiple partners and being a government officer.

• 한국작물학회지
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• 제31권3호
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• pp.356-360
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• 1986

엽녹소형광측정에 의한 수도 내냉성검정의 가능성을 검토하기 위하여 내냉성이 다양한 11개 품종을 1 /5000a pot에 원형직파하여 육성된 재료들을 수잉기에 1$0^{\circ}C$의 저온에 8 일간 처리하여 저온처리전후의 가변형광량( $F_{VAR}$)과 형광증가속도(F/sun R/)의 변화를 비교하였다. 내냉성이 약한 품종들에서 저온처리에 의한 형광특성들의 감소가 커서 각 품종들의 저온장해정도와 가변형광량 및 형광증가속도의 저온처리전후의 대비지수는 부의 유의상관을 나타내어 이들 형광특성들은 도체형양기관에 나타나는 저온장해의 정도를 판단하는데 유용하게 이용될 수 있을 것으로 판단되었다. 엽록소형광을 이용한 내냉성검정방법은 다량의 육종재료 검정에 정밀성, 경제성, 신속성과 함께 검정에 공시된 개체를 계속 육종에 이용할 수 있어 이의 활용이 기대된다.다.

• 대한불안의학회지
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• 제6권2호
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• pp.119-124
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• 2010

Objective : The reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ- 9) was examined in Korean patients with depressive symptoms. Methods : Eighty six outpatients diagnosed as major depressive disorder or depressive episode of bipolar I disorder according to the DSM-IV criteria were assessed with the PHQ-9, Hamilton Depression Rating Scale (HDRS), the Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR), and the Center for Epidemiologic Studies Depression Scale (CES-D). Results : The Cronbach's alpha coefficient from the PHQ-9 was 0.81. And the correlations of each item with the total score were statistically significant (r=0.28-0.70, p<0.01). The test-retest correlation coefficient (r=0.89, p<0.01) was relatively high and correlations of the PHQ-9 with the HDRS, QIDS-SR and CES-D were 0.70, 0.81, and 0.81 respectively. Conclusion : These results demonstrated that the Korean version of PHQ-9 could be a reliable and valid tool for the screening and assessment of depressive patients. The Korean version of PHQ-9 will be a useful tool for screening depressive symptoms in Korea.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.5213-5217
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• 2012

Objective: This research was conducted to determine the breast cancer risk levels of women with and without previous mammography and their beliefs on breast cancer and mammography. Methods: The sample for this descriptive research consisted of women aged 50 years or older who were registered at the Family Health Center in the city center of Erzurum. The research was conducted with a total of 420 women with at least one mammography (210) and without mammography (210) who presented to the center on Wednesdays and Thursdays for any reason between 1 January 2010 and 1 January 2011. Research data were collected using the personal information "Breast Cancer Risk Assessment Form" accepted and recommended by the Turkish Ministry of Health, and the Champion's Health Belief Model Scale for Breast Cancer and Screening (CHBMS). Data were evaluated using percentages and means with the t-test. Results: According to the research data, 89.8% of the women were found to be in the low risk group, 87.6% with and 91.9% without mammography. When the health beliefs of women with and without mammography were compared, it was found that susceptibility, seriouness, motivation, mammography benefit scores were higher among those with mammography (p<0.01). The mammography barrier score average was higher in the group without mammography (p<0.01). Conclusion: Knowing women's health beliefs, which have positive and negative effects on participating in mammography screening, may increase the rate of mammography uptake among women. Moreover, women with high breast cancer risk may be determined by increasing society's level of knowledge on breast cancer and risk factors.

• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1620-1627
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• 2000

Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.