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Factorial Validity of the Korean Version of the Illness Intrusive Rating Scale among Psychiatric Outpatients Mainly Diagnosed with Anxiety or Depressive Disorders (불안 및 우울장애를 주요 진단으로 하는 정신건강의학과 외래환자 대상 한국판 질병침습도 평가척도의 요인 타당도 연구)

  • Cho, Yubin;Kim, Daeho;Kim, Eunkyung;Jo, Hwa Yeon;Yun, Mirim;Lee, Hoseon
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.2
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    • pp.77-84
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    • 2019
  • Objectives : The Illness Intrusiveness Rating Scale (IIRS) is a well-validated self-report instrument for assessing negative impact of chronic illness and/or adverse effects of its treatment on everyday life domains. Although extensive literature probed its psychometric properties in medical illness, little attention was paid for its validity for psychiatric population. This study aimed to test factorial structure of the Korean Version of the IIRS (IIRS-K) in a consecutive sample of psychiatric outpatients. Methods : Data set of 307 first-visit patients of psychiatric clinic at Guri Hanyang univ. Hospital were used. Exploratory and confirmatory factor analysis, internal consistency were tested in IIRS-K. We also checked Spearman's correlation analysis between IIRS-K, Zung's self-report anxiety scale and Zung's self-report depression scale. Results : 76.9% of the patients were with anxiety disorder and depressive disorder. The principal component factor analysis of the IIRS-K extracted three-factor structure accounted for 63.2% of total variance that was contextually similar to the original English version. This three-factor solution showed the best fit when tested confirmatory factor analysis compared to the original IIRS, two-factor model of IIRS-K suggested from medical outpatients, and one-factor solution. The IIRS-K also showed good internal consistency (Cronbach's α=0.90) and good convergent validity with anxiety and depression scales. Conclusions : The IIRS-K showed the three-factor structure that was similar but not identical to original version. Overall, this study proved factorial validity of the IIRS-K and it can be used for Korean clinical population.

Average Dietary Energy Intake does not Increase as BMI Increased in the National Health and Nutrition Examination Survey Data of Korea

  • Ahn, Younjhin;Paik, Hee-Young;Lee, Hong-Kyu
    • International Journal of Human Ecology
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    • v.4 no.2
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    • pp.27-37
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    • 2003
  • Although the idea that obese people consume higher calorie diets is widely accepted, many dietary surveys have shown that obese people do NOT consume larger amounts of energy. We had an opportunity to study the relationship between calorie intake and obesity in Korea from the data contained in the '98 National Health and Nutrition Examination Survey of Korea. The survey was executed nationwide for two months - from Nov. 1 to Dec.30 in 1998. The survey included 10,876 (aged >10 years) subjects of whom 9,771 underwent health examinations. Surveyors visited each household and checked health status, measured anthropometry and blood pressures, collected blood and urine samples, and interviewed from the health questionnaires. Well-trained dietitians evaluated the food consumption of 11,525 subjects over the age of 1 year with the 24-hour recall method. The number of subjects from whom a complete health examination and food consumption information was obtained was 8,004. Subjects were classified by BMI (< 20, 20-22, 22-24, 24-26, 26-28, 28 $\leq$) and into newly diagnosed patients with DM (FBS $\geq$ 126 mg/㎗), hypertension (SBP $\geq$ 140 mmHg or DBP $\geq$ 90 mmHg) and hyperlipidemia (Total cholesterol $\geq$ 220 mg/㎗ or TG $\geq$ 200 mg/㎗). Our main results were as following:1) their average energy intake was 2,029.6 $\pm$ 908.5 ㎉ and BMI is 22.6 $\pm$ 3.4 kg/$m^2$;2) a comparison of nutrient intakes by BMI level did not show a significant difference of energy intake even though BMI increased (BMI, < 20: 1,999 ㎉ ∼ 28 $\leq$: 2,028 ㎉);and 3) Even in newly diagnosed patients with diabetes, hypertension or hyperlipidemia, their energy consumption was not significantly increased as BMI increased (from BMI 20). There are several possible explanations for these results:1) Reduced physical activity caused the weight of obese people to increase even with the same energy intake;2) people underreported their energy consumption;or, people intentionally reduced their energy consumption due to self-image regarding their obesity. We might also hypothesize that there is a metabolic problem conceiving obese people, because calorie intake was not higher in obese people than in non-obese people in Korea. Further research is necessary for re-evaluating these current conclusions.

금융사고 실태 조사

  • Lee, Sang-Kyung
    • Journal of the Korea society of information convergence
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    • v.7 no.1
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    • pp.25-46
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    • 2014
  • After examining the current situations of financial frauds and the reasons for their occurrence in the financial institutions through examples of financial frauds in domestic and abroad, this study presents ways to prevent such financial scams. The preventive measures consist of activities before and after the occurrence of financial frauds and during normal financial operations. The activities are as follows: 1. Preventive activity should be strengthened before the occurrence of financial frauds. That is, first, the enforcement of consistent internal control is needed. Second, in order to block the probability of financial frauds involved with employees, ethics education and a reward program for inside tippers need to be run. Third, financial institutions need to apply for comprehensive insurance policy to minimize the lost in case. 2. Preventive activity should be strengthened during normal financial operations. First, self authentication system for customers needs to be introduced. Second, dealings of day, week, and month need to be thoroughly checked and the system of audit needs to be expanded. Third, message service for the information on financial frauds and their preventive measures needs to be expanded. Fourth, public notification system against examples of financial frauds needs to be expanded. 3. Preventive activity after the occurrence of financial frauds should be strengthened. First, awareness for preventive measures such as imposing penalty on the manager needs to be enhanced. Second, strict restrictions on financial frauders such as a criminal charge needs to be strengthened. Third, there should be legal devices and resolutions in order to retrieve all the money deceived by financial frauds.

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A Smart Security Equipment and An application for Sexual Offense Prevent GPS device (스마트 보안장비와 성범죄 예방 GPS 애플리케이션)

  • Kim, Dong-Je;Jo, Sung-Gu
    • Korean Security Journal
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    • no.33
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    • pp.27-49
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    • 2012
  • "Do not ask crimes", such as "child sexual abuse" and according to the known through media reports, the people's fear and worry increasingly severe become and the damage increasing day by day and is Still unable to find effective countermeasures that national security policy is a reality. In this study, the result was the development of new security equipment for the purpose of the research team to the solution of the problem of domestic policing these sexual offenses prevention of GPS applications and existing smartphone to suit the era of 20 million development in the online and offline sales and is proposed to complement the problems of the samdanbong multifunction smart samdanbong. First, the function will be applied according to the trend due to the increase of heinous crime, both online and offline sales surge in self-defense products that are being sold on the market, finding problems samdanbong of smart multifunctional smart samdanbong the actual crime and the corresponding effective products were planning to have a secure management system, through a legal review on the current law. Second, sexual offenses, such as Internet use, travel, residential location, and management of sexual offenses Felon Felon's daily life strictly sexual offenses prevention of GPS applications to the characteristics of the sexual offenses scrutinized nearly enough to the frequency of recurrence of 50% is high, look at the case of foreign proposed the streets of sex offenders and the development of applications that can be checked in real-time by considering the basic characteristics to manage.

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The Effects of Supportive Information Types in Web-Based Learning Using 4C/ID Model (4C/ID 모형을 적용한 웹기반 학습에서 지원정보 유형에 따른 효과)

  • Kim, Kyung;Kim, Kyung-Jin
    • Journal of The Korean Association of Information Education
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    • v.20 no.6
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    • pp.655-672
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    • 2016
  • The purpose of this study was to investigate the effects of prior-knowledge level and supportive information types in web-based learning using 4C/ID model(Four-Components Instructional Design model) on cognitive load and schema acquisition. To achieve the purpose, this study applied a web based learning. 166 university students participated in web-based learning for 4 weeks. After web-based learning, they checked self report for cognitive load and made concept map for schema acquisition and the datum from them were used for 2 ways ANOVA. According to the findings, groups in prior-knowledge level invested significantly differences on cognitive load and a question group in case of supportive information types didn't invested significant differences on cognitive load with statement group. Second, groups in prior-knowledge level invested significantly differences on schema acquisition and a question group in case of supportive information types invested significantly higher schema acquisition than a statement group. Furthermore, it happened interaction effect between supportive information types and prior-knowledge level on schema acquisition. This research has several implications with regard to suggesting the guidelines and conditions for the authentic task of the novice.

A Study on the Purchase Patterns of Processed Foods and Perception of School Dietitians on Nutrition Labelling in Chonbuk Area of Korea (전북지역 학교급식소의 가공식품 구매 실태 및 학교 급식 영양사의 영양 표시에 대한 인식 연구)

  • Cha, Yeon-Soo;Choi, Ok-Sim;Rho, Jeong-Ok
    • The Korean Journal of Food And Nutrition
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    • v.21 no.1
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    • pp.87-96
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    • 2008
  • This study was conducted to investigate the purchase patterns of processed foods and perception of school dietitians on nutrition labelling in Chonbuk area of Korea. Self-administered questionnaires were collected from a total 156 dietitians. Statistical data analysis was completed using the SPSS v. 11.5 program. The results were summarized as follows. Among the 156 school foodservice systems, 64.7% of schools were operated in conventional system and 35.3% were in commissary system. Among the processed foods, seasoning foods(98.4%) and cereal products(93.3%) were used widely in school foodservice. Among the general characteristics of schools and dietitians, the style(p<0.01), and type of foodservice(p<0.05), career, and age of dietitians respectively affected the purchasing pattern of the processed foods. Approximately 30% of dietitians responded that some fortified foods used for the meal preparation(eg. Ca-fortified yoghurt). Only 57% of dietitians who has more ten year job career was agreed with the important of fortified foods for the menu planning. Despite the levels of education of the dietitians became higher, were no relationship between the confidence on fortified foods and the improvement on health for children. About 96.2% of dietitians knew nutrition labelling of processed foods. Only 25.6% of dietitians checked nutrition labelling of processed food when they purchased these foods for school lunch. The main reason for their checking nutrition labelling of processed foods was for nutrient of products. The dietitians understanding and trust in nutrition labelling of processed foods were not high. But the half of dietitians responded that the nutrition labelling can be helpful for the purchase of processed foods in school foodservice systems. Therefore, it is necessary to activate the mandatory nutrition labelling of processed foods and to prepare its consumer education program for school dietitians.

Effects of Music on Dental Anxiety and Pain during Ultrasonic Teeth Scaling (치석제거술시 치통 및 불안에 대한 음악의 효과)

  • Kim, Hyo-Suk;Choi, Chung-Ho;Hwang, Kyu-Yoon;Lee, Sung-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.1
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    • pp.63-76
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    • 2001
  • This study was designed to evaluate the effects of music on dental pain and anxiety during ultrasonic scaling. One hundred and twenty five patients visited dental unit of Soonchunhyang University Chunan hospital for scaling were enrolled during August 1999 and February 2000. The patients were allocated randomly into two groups. music (n = 61) and control groups (n = 65). The music group patients listened to self-selected music using an earphone during scaling. Standardized questionnaire were used to assess the subjective denial pain and anxiety before and after scaling in both groups. In music group, more information on music effect was collected. To evaluate changes of physical signs by scaling, blood pressure and pulse were checked by a wrist check oscillometric. The results were as follows: 1. No significant difference in dental pain and anxiety between before and after scaling was observed in music group. However, the music group patients were satisfied with music because of reduction of pain(93.5%) and anxiety(93.4%), 96.7% of music subjects wanted to listen to music in next scaling. 2. While no significant difference in systolic blood pressure before scaling between music and control groups, systolic blood pressure of control group during scaling was significantly higher than that of music group(P<0.05). 3. In multiple logistic regression. the odds ratio(OR) of pain was decreased with age and female patients had higher OR (1.7, p>0.05). Patients with previous scaling experience complained of more dental pain during scaling than patients without experience. Music was not a significant predictor of denial pain during scaling, controlling for possible confounders. 4. While age. music. and scaling experience were not related to dental anxiety during scaling, sex and dental hygiene index were significant predictors of dental anxiety in multiple logistic regression. 5. Both during and after scaling. mean blood pressure of music patients were significantly lower than control patients after controlling for age, sex, and BMI. In conclusion, our data demonstrated that although listening to music did not disappear the dental pain and anxiety. but reduced the intensity of pain and anxiety during scaling. Furthermore, our data imply thai music has a effect of reduction of increasing blood pressure by scaling.

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Comparative Study of DNA Fragment According to Steps of Genetically Modified Soybean Processed Food (대두 가공식품의 공정단계별 유전자재조합체(GMO) 단편의 검출확인 및 비교 연구)

  • Hwang, Sun-Wook;Lee, Cheol-Su;Nam, Young-Suk;Kim, Su-Bok;Oh, Duk-Hwan;Kim, Young-Chan
    • Journal of Food Hygiene and Safety
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    • v.18 no.4
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    • pp.211-217
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    • 2003
  • To discriminate between the genetically modified soybean processed foods which were Korean traditional foods as Beansprout, doenjang, Beancurd (Tofu) and the unmodified one. we had analyzed comparatively that the loss degree of inner DNA about denaturalization factors in process step as heat or pressure and decision of suitable PCR primer by size. As a result of having compared about ${\beta}$-actin was 160bp, 335 promotor was 130 bp and NOS terminator was 132 bp effective. As a result of having checked a loss degree of a gene, as for the bean curd, DNA was mostly preserved well, and the loss of DNA along the processing process was hardly observed by a processing process. Most DNA of beansprout have moved to trunk after germination stage, and the appropriate analysis part was judged as the trunk. And the doenjang showed a detection difference of DNA by an operation of an enzye among self-life periods. Besides, after 50days, insertion gene was destoryed entrely so that detection was not possible.

A Study on the Professionalism of Estheticians (피부미용사의 전문직업성 연구)

  • Yang, Hyun-Ok;Kwak, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.6
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    • pp.1380-1388
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    • 2009
  • The purpose of this study was to examine the professionalism of estheticians in gusan and jeonju city, jeollabuckdo province. Total 290 questionnaires were collected. The period of research was from april 1 to 20, 2009. The findings of the study were as follows: First, when their professionalism was checked in light of the selected variables, their age, education and work years at current job made no statistically significant differences, but that was different according to life satisfaction and job satisfaction. By life satisfaction, the estheticians who found their lives satisfactory professionalism better than the others who didn't(t=2.77, p<.01) By job satisfaction, the estheticians who were contented with their job took the most positive professionalism, and those who found their job just not to be bad looked at it less positively than the others who were discontented(F=6.06, p<.01). Second, when the correlation of their professionalism of the sub-factors was investigated, there was a statistically significantly positive correlation among faith in autonomy(r=.595, p<.001), use of professional organization(r=.428, p<.001) and sense of mission(r=.492, p<.001). Their faith in services(r=-.634, p<.001) had a statistically significantly negative correlation to faith in self-control(r=-.485, p<.001).

Effects of Kangaroo Care on Physical Development and Adaptation of External Environment of Prematurity, and Maternal Role Confidence who Delivered Premature Infants (캥거루식 접촉이 미숙아 신체발달과 외부환경 적응 및 어머니의 역할수행 자신감에 미치는 효과)

  • Lee, Ji-Won;Eo, Yong-Sook;Han, Jung Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.128-137
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    • 2016
  • This study aimed to investigate the effect of kangaroo care on physical development adaptation of external environment of prematurity, and maternal role confidence of those who delivered preterm infants. The subjects were 38 preterm infants and mothers with cesarean section delivery in the hospital, located at B city. Eighteen premature infants were assigned to the kangaroo care (KC) group or the control group (CG). Data were collected between June 2013 and June 2015. KC was given 3 times a day (60 min at a time) and performed a total of 10 times. The physical development indicator (weight, height, and head circumference) as well as the adaptation of external environment (temperature, heart rate, oxygenation) of preterm infants were checked before the start of the program. Following the initial measurement, the program was performed, and measurements were taken again at the end of the program. For measurement of maternal role confidence, structured self-reported questionnaires were performed. The results showed that the KC group had a lower oxygenation compared with the CG (t=2.27, p=.02); however, the physical development indicator (weight t=-0.83, p=.21, height t=-0.34, p=.37, head circumference t=1.29, p=.10) and maternal role confidence (t=-0.41, p=.34) were not significantly compared with the CG. The results of this study suggest that the practice of KC helps the adaptation of external environment of preterm infants