Lead (Pb) is ubiquitous in the urban environment and is a well-known toxic element. It may cause adverse health effects on hematopoietic system, peripheral and central nervous systems, kidney functions, and others. In recent decades, lead concentration in blood has been widely used one of indicators for lead exposure and risk evaluation. In this study, we determined the blood-lead levels in general populations of Korea, and investigated the relationship among blood-lead levels, sociobehavioral factors, and lead concentrations in the contacted environments such as ambient air, drinking water, and foods. The study subjects consisted of volunteers who had lived in the residential or industrial area in Korea. Information about gender, age, living area, occupation, smoking, heat system, and dietary habits, etc was collected using a self-reported questionnaires. The lead concentrations of environments were collected by literature search to the study area. Participated subjects in industrial area were 726 and their blood-lead levels were 8.58 $\mu\textrm{g}$/dl for males and 6.26 $\mu\textrm{g}$/dl for female in average. The other subjects in residential area were 317 and their blood-lead levels were 4.58 $\mu\textrm{g}$/dl for males and 3.49 $\mu\textrm{g}$/dl for female in average. The distribution of blood-lead level in the industrial subjects was well fitted to the log -normal distribution and that in the residential subjects was well fitted to the normal distribution. Blood-lead levels in both area were affected by gender, smoking habit, age and residence duration except age in industrial area and residence duration in residential area. It was identified that 30% of blood-lead level was contributed from the inhalation of ambient air in the industrial area, and 8.4% of blood-lead level was from that in the residential area. from this study, it would be suggested for the health risk assessment and management of lead pollution concerns in urban, industrial and rural areas.
Kim, Sung-Ae;Lee, Ji-Young;Hwang, Se-Hyun;Cho, Mi-Suk;Park, Jung-Hyun;Jung, Nam-Yeong;Yu, Byeng-Chul
Journal of Korean society of Dental Hygiene
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v.15
no.1
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pp.101-109
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2015
Objectives: The purpose of the study is to investigate the knowledge and attitude towards radiation protection after radiation safety management education in dental hygiene students. Methods: After receiving informed consents, a self-reported questionnaire was carried out for 135 dental hygiene students in Busan on June 17 for preliminary survey and September 3 for post-education survey, 2011. The questionnaire was modified from Han and consisted of 5 questions of general characteristics, 6 questions of radiation use, 7 questions of scholastic characteristics, 15 questions of knowledge towards radiation safety management, and 15 questions of attitude towards radiation safety management. Cronbach's alpha was 0.808 in the knowledge towards radiation safety management. Attitude towards radiation safety management included 15 questions of general attitude towards radiation safety management, individual and patient, and attitude toward radiation exposure reduction measured by Likert 5 scale. Cronbach's alpha was 0.970 in the attitude towards radiation safety management. Data were analyzed using SAS version 9.2 for educational analysis, technical analysis and multivariate analysis, paired t-test, and GLM. Results: Significant differences were shown in the knowledge and attitudes towards radiation safety management; the level of knowledge was respectively $9.8{\pm}3.0$ and $12.9{\pm}1.9$ points before and after education, and the level of attitude was $4.28{\pm}0.51$ and $4.53{\pm}0.47$ before and after the education. The levels of knowledge and attitude according to general characteristics showed a significant differences in grade and academic results. Post-education survey suggested that the education is very important and necessary and can change the knowledge and attitude towards radiation safety management in the dental hygiene students. Conclusions: Through the radiation safety management education, the levels of knowledge and attitude towards radiation safety management have changed significantly, which showed that the radiation safety management education proved to be very effective. Therefore, an effective radiation safety management education program is necessary to improve the levels of knowledge and attitude towards radiation safety management in the dental hygiene students.
Background : It is increasing the concern for patient satisfaction as a customer information. This study was planned to investigate the activities related to patient satisfaction survey at the Korean hospitals. Methods : We performed the nationwide survey on 235 general hospitals by using the self-administrated checklist from Sep. 9 to Oct. 9, 1996. The response rate were 50.2%. We analyzed the descriptive statistics and chi-square test by SAS software on 118 hospitals. Results : First of all, 62.7% of study hospitals showed to conduct the patient satisfaction survey, and most of hospitals which did not conduct it had a plan to do it within 5 years. The reason that hospitals did not conduct satisfaction survey was due to a lack of administrator's interest or adequate questionnaire form. Second, the bigger, public and being more located in the big city or opened more than 10 years, the more hospitals conducted the patient satisfaction survey. Also, patient satisfaction survey was mainly handled by planning dept. or administrative team. Third, most hospitals had their own way of making questionnaires without proving reliability and validity. The results of the survey were applied to hospital management timely, and were mostly reported to top manager level. Most CEO concerned about the results of satisfaction survey. Fourth, the staffs in charge of survey had problems such as skill related to data analysis and development of questionnaire and they suggested that this problems could be solved through inducing the implementation of the survey results on hospital management, support for the development of standardized questionnaires and increasing the top manager's interests. Fifth, most questionnaires composed of lots of questioning items on hospital equipments and environment, and kindness of hospital employee to patients. Conclusions : Although this study had some limitations in generalization due to low response rate in big hospitals, it is meaningful to find the present state and the problems related to patient satisfaction survey of the general hospitals. We can conclude that there are increasing the concern for patient satisfaction survey among the hospitals nationwide, and it can be needed for technical support related to development of survey tool or method.
You, Sun Ju;Kim, Jong Kyung;Jung, Myun Sook;Kim, Se Young;Kim, Eun Kyung
Korean journal of health promotion
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v.18
no.4
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pp.184-193
/
2018
Background: Despite increasing the number of newly licensed nurses across Korea, shortages caused by geographical imbalances remains a significant concern. Therefore, understanding nursing students' attitudes to working and living, factors influencing where they first choose to work after graduation is useful in formulating appropriate interventions to retain nurses in regional areas. Methods: A total of 329 senior nursing students from areas outside Metropolitan Seoul completed self-report questionnaires. Data were analyzed using t-test, chi-square test and multiple logistic regression analysis. Results: Of the respondents, 57.8% reported that they planned to work in the region in which their school was located. The three factors ranked as having the greatest influence on their decision to work in non-metropolitan regions were: the cost of living, housing costs, and the proximity to family. Enjoyable aspects of rural life contributed positively to students' intentions to work in non-metropolitan regions, whereas isolation and socialization problems negatively affected their intentions to work in such areas. Conclusions: Greater consideration should be given to improving working conditions and housing environments in non-metropolitan regions.
Objectives : This study aimed to assess the possible association of dental pain with suicidal ideation among adolescents by analysing data from the 2018 Korean Youth Risk Behavior Survey, a nationwide online survey. Methods : Of 62,823 adolescent middle and high school students in Korea, 60,040 participants were selected for analysis, after excluding cases with missing values. Participants were given a questionnaire about their self-evaluation of health including dental pain and suicidal ideation. Logistic regression analysis demonstrated the relationships between dental pain and suicidal ideation after controlling for potential confounding factors. Results : The proportion of Korean adolescents reporting suicidal ideation was 13.3%. The proportion of adolescents who experienced dental pain was 23.4%. Compared to adolescents who did not report dental pain, adolescents who reported experiencing dental pain were significantly more likely to experience suicidal ideation (OR=1.94, p<0.001). In two multivariate models, the relationships between dental pain and suicidal ideation (AOR=1.24, p<0.001) were statistically significant. Conclusions : Dental pain was associated with increased risk of suicidal ideation among Korean adolescents, even when controlling for sociodemographic factors and other health conditions. It is necessary to consider screening adolescent patients who present with dental pain for suicidal ideation.
This study is a descriptive survey study using a self-reported survey method to find out the job value and intention of career choice of college students in the medical management field. This study was conducted on university students in medical management at three four-year universities located in Busan Metropolitan City. A total of 139 effective questionnaires were used as statistical analysis data. As a result of the analysis, social dedication and stability were significantly displayed in the selection of jobs for hospital administration and administrative positions, and social dedication and stability were significantly displayed in the selection of jobs as medical recorders. In choosing a career as an international medical tourism coordinator, the focus on human relations, maintaining face, and pursuing stability have been significant. Only social commitment was significantly shown in the choice of occupation as a health educator. A comparison of job values according to general characteristics showed that there was a difference in the pursuit of knowledge and social commitment. In the case of grades, there was a difference in social dedication and stability. There was no significant difference in the case of religious or non-religious matters. In the case of economic level, only economic priorities differed. Through this study, we would like to present basic data so that college students in medical management who prepare to take the first step into a professional medical management society can recognize the need for recognition of job value and move in a better direction in choosing a job.
Background: Gastric carcinogenesis is a complicated process that involves environmental and genetic factors like interleukin-4 (IL-4) and IL-8. Single nucleotide polymorphisms in their genes are associated with changed levels of gene expression. Here, we investigated the association between IL4-590 C>T and IL8-251T>A and gastric cancer (GC) risk in Sichuan of Southwestern China. Materials and Methods: We surveyed the research subjects using a self-designed questionnaire with questions on demographic factors and putative risk factors. Approximately 2-5ml of whole blood was collected after field survey to analyze IL4-590 C>T and IL8-251T>A genotypes using MALDI-TOF MS. Results: Our study recruited 308 pairs of GC patients and controls, including 224 (72.7%) men and 84 (27.3%) women in each group. There were 99 cardia and 176 noncardia GC patients in the case group. The case and control groups had an average age of $57.7{\pm}10.6$ ($mean{\pm}SD$) and $57.6{\pm}11.1$ years. GC patients reported a significantly greater proportion of family history of cancer (29.9% vs 10.7%, p<0.01) and drinking (54.6% vs 43.2%, p<0.01) than did controls. Variant genotypes of IL-4-590 C>T and IL-8-251 T>A were not associated with overall GC risk (adjusted OR, 0.89; 95%CI, 0.61-1.28 for CT or CC vs TT; adjusted OR, 1.14; 95%CI, 0.86-1.79 for TA or AA vs TT). Stratification analysis of two SNPs for risk by subsites only found that variant IL-8-251 TA or AA genotype was associated with increased noncardia GC risk (adjusted OR, 2.58; 95%CI, 1.19-5.57). We did not observe interactions between the IL-8-251 T>A genotype and smoking (adjusted OR, 0.38; 95%CI, 0.08-1.79) or drinking (adjusted OR, 0.36; 95%CI, 0.08-1.65) for risk of noncardia GC. Conclusions: Our data indicate no association between the two SNPs of IL-4-590 and IL-8-251 with overall GC risk, while the IL-8-251 TA or AA genotype conferred risk of cardia GC. Our findings contribute to the evidence body for risk of SNPs associated with the development of gastric cancer in this region.
With rapid increasing usage of smart phones, social concerns have arisen about the possible effects of electromagnetic fields emitted from wideband code division multiple access(WCDMA) mobile phones on human health. The number of people with self-reported electromagnetic hypersensitivity(EHS) who complain of various subjective symptoms such as headache, insomnia etc. has also recently increased. However, it is unclear whether EHS results from physiological or other origins. In this double-blinded study, we investigated physiological changes such as heart rate, respiration rate, and heart rate variability with real and sham exposures for 15 EHS and 17 non-EHS persons using a module inside a dummy phone. Experiment was conducted using a WCDMA module with average power of 24 dBm at 1950 MHz with the specific absorption rate of 1.57 W/kg using a headphone for 32 min. As a conclusion, WCDMA RF exposure did not have any effects on the physiological variables in either group.
Journal of Family Resource Management and Policy Review
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v.20
no.1
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pp.141-158
/
2016
The purpose of this study was to analyze the effects of family stress on instances of depression in married, middle-aged women; more specifically, this study examined the moderating effects family strength and support have on depression in middle-aged women. Three hundred women from 40 to 60 years of aged, all of whom resided in Gyeonggi-do, participated in this study. For the final analysis, 249 self-reported questionnaires were used. Descriptive statistics, correlative analysis, and multiple regression analysis were conducted using SPSS ver. 21.0. The major results of this study were as follows. First, the mean scores of family strengths and family support were higher than the median scores. The mean level of depression was lower than the median of depression frequency, while the mean for the family stress scores was the same as the median. Second, depressions frequency was influenced by family type, health status, and average income. There was a positive correlation between depression and family stress. Third, family support had a moderating effect on depression. Family strength did not seem to have the same moderating effect, while there did seem to be a moderating effect of instrumental support from families on the relationship between family stress and depression. In conclusion, to decrease the frequency of depression in married, middle-aged women', it may be necessary to increase family support, and it seems to be especially necessary to increase the amount of instrumental support from families.
Objectives: The aim of this study was to examine factors influencing satisfaction with clinical practice in dental hygiene students. Through this study, we suggested efficient guidance to increase satisfaction levels with clinical practice. Methods: A self-reported questionnaire was filled out by 235 students of clinical dental hygiene in Seoul Gyeonggi Chungcheong Kyongsang and Jeolla province from June 9 to 30, 2017. The questionnaire consisted of questions on general characteristics (6 items), clinical practice characteristics (7 items), ego-resilience (14 items), family support (24 items), teaching effectiveness(35 items), and clinical practice satisfaction (30 items). Data were analyzed using SPSS 19.0. One way ANOVA, the Scheffe Post-hoc test, and the Pearson correlation coefficients were reviewed, and a multiple regression analysis was conducted. Cronbach's alpha of ego-resilience, family support, teaching effectiveness, clinical practice satisfaction were 0.784, 0.892, 0.954 and 0.935, respectively. Results: ego-resilience was 3.24 points, family support was 3.24 points, teaching effectiveness was 2.93 points, clinical practice satisfaction 3.44 points. The meaningful variables which influenced clinical practice satisfaction were the ego-resilience, family support and teaching effectiveness. These factors explained 40.6% of the variance in clinical practice satisfaction. Conclusions: One of the most significant predictors of clinical practice satisfaction in dental hygiene students was teaching effectiveness. Therefore, a teaching program to improve eaching effectiveness should be developed and applied.
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