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A Study on Development of Questionaire for Use in Epidmiologic Survey on Respiratory Illness in Korea (호흡기계(系) 질환의 역학적(疫學的) 조사방법 게발에 관한 연구(II) -한국(韓國) 실정에 맞는 설문조사서 개발-)

  • Ahn, Yoon-Ok;Kim, Keun-Youl;Kwon, E-Hyock
    • Journal of Preventive Medicine and Public Health
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    • v.15 no.1
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    • pp.57-73
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    • 1982
  • Questionaires on symptoms of respiratory disease have been used in Korea to elicit the probable health effects of air pollution in epidemiologic studies: The objectives of such studies often include comparing prevalence of symptoms of respiratory system between different population groups or between the same population groups, at different times. Unfortunately, little attention has, been paid to standardization of those questionaires, whether those are Korean. versions or not. Furthermore, no attempt to develop Korean ,questionaire on respiratory symptoms and relevant information has been made. Followed by 'a comparative study on responses to Korean version questionaires(English origin) of CMI, MRC, and ATS-DLD-78' two types of questionaires on respiratory symptoms and relevant information for Korean adult, which are short form (SUN-81-AS) and long forms (optional questions are added to the short one, SUN-81-AL), have been designed suitable to Korean background by authors (see Annex). The self-administered and closed-question questionaire were tested their validity and reliability by administration to l80 normal adults (medical and nursing students) and 60 clinical patients of Seoul National University Hospital, with spirometric exam. The results obtained and conclusions drawn are as follow: 1. It took less than 10 minutes to complete the questionaire SNU-81-AS and SNU-81-AL. 2. The test-retest reliability of each questions in AS and AL ,were observed as 92.7% and 92.1%, respectively. And all of the level of agreement are statistically significant with kappa statistic. 3. In addition to higher prevalence rate of symptoms in patients group compared, with, normal. group, the correlations between FEV 1.0/FVC predictive value(%) and number of symptoms were statistically significant inpatients group (See Fig. 1 and, Table 7). 4. The answer rate to optional questions in AL form among those who are not to do was about 10%, while the no-answer rate among who are to do was about 15% in Normal (medical and nursing students) group. 5. From the viewpoints of validity and reliability, the new Korean questionaire (SNU-81-AS and AL) developed by authors are to be recommendable to use in epidemiologic studies on respiratory illness in Korea. The self-administration, however, of optional questions in AL form may not assure the quality of data gathered.

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A Case-control Study of the Relationships between Reproductive Factors and Degree of Dysplasia of the Colorectal Adenoma and Cancer (대장 선종 이형성 및 대장암과 임신, 출산, 월경 요인의 관련성에 관한 환자-대조군 연구)

  • Lee, Se-Young;Choi, Kyu-Yong;Kim, Mi-Kyung;Lee, Jin-Hee;Meng, Kwang-Ho;Lee, Won-Chul
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.3
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    • pp.279-288
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    • 2003
  • Objectives : Evidence for an effect of rerroductive factors on colorectal carcinogenesis is not yet consistent. Little research has been conducted to investigate whether reproductive factors were associated with colorectal adenomas that are the precursors of colorecta1 cancer, We evaluated the relationships between reproductive factors and the degree of dysplasia of the colorectal adenoma and cancer as colorectal adenoma-carcinoma sequence. Methods : For this study, 241 adenoma cases with histopathologically confirmed incident colorectal adenoma, 76 cancer cases with colorectal cancer and 1677 controls were collected from Our Lady of Mercy Hospital, The Catholic University of Korea, during 1994-1999. Before colonoscopy, information on demographic characteristics, reproductive factors, life style habits and dietary intake were obtained by interviewed questionnaire. Adjusted OR and 95% CI were estimated by using polytomous logistic regression model, Potential confounders that were selected based on the goodness of fit Statistics and interaction between risk factors were considered in this adjustment. The Wald statistic was calculated to test the heterogeneity of the odds ratios for each case. Results .: Postmenopausal women with natural menopause were found to be positively associated with the risk of mild dysplasia adenoma (multivariate-adjusted OR : 2.59, 95% CI=1.1-0.2). Parity was found to be negatively associated with the risk of colorectal lancer (age-adjusted OR : 0.40, 95% CI=0.2-0.9), but did not significantly decrease the risk of colorectal cancer (multivariate-adjusted OR : 0.95, 95% CI=0.3-2.9). Me associations were seen between a9e at menarche, breast feeding, induced abortion, oral contraceptive use, menopausal types, menopausal age or hormone replacement therapy (HRT and the degree of dysplasia of the colorectal adenoma and cancer. However, none of these associations differed' significantly between the degree of dysplasia of the colorectal adenoma and cancer. Conclusions : These findings suggest that postmenopausal women with natural menopause may experience increased risk of mild dysplasia adenorna among colorectal adenoma-carcinoma sequence.

A Meta-Analysis on the Effects of Social Skill Training for Schizophrenic Patients (정신분열병을 가진 사람들을 위한 사회기술훈련의 효과에 관한 메타분석)

  • Park, Jung-Im;Lee, Keum-Jin
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.309-320
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    • 2013
  • The purpose of this study was to examine the effectiveness of interventions for improving the social skills for people with schizophrenia by using method of meta-analysis. For the purpose of the study, master's theses, doctoral dissertations, and journal articles published in korea up to July, 2013 were systematically reviewed. As a result, a total of 22 studies were eligible for the inclusion criteria. The mean effect sizes and test for homogeneity of effect size(Q-statistic) were analyzed by using Comprehensive Meta-Analysis software 2.0. The main findings of the study were as follows. First, the average effect sizes for total social skill training programs were ES=0.838 of interpersonal capacity, ES=0.782 of social behavioral skills, ES=0.601 of self-assertiveness skills, and ES=0.293 of symptoms. Second, by analysing the moderate variables of the effect size for social skill training programs, 'a place of training', 'a major of trainer', 'running times' and 'sessions' were statistically significant. Based on the study results, the research and practice implications were discussed.

Study on the Ego states and Coping Style of Nursing Students (간호대학생의 자아상태와 대응양상과의 관계 연구)

  • Won, Jeong-Sook
    • Women's Health Nursing
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    • v.8 no.4
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    • pp.608-618
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    • 2002
  • The purpose of this study is to analyze the type of ego states and stress coping style on female college students who are in the course of nursing study. This study is performed in the view of Transactional Analysis and designed to scrutinize descriptive correlations between the type of ego states and stress coping style. The subject is consists of 144 freshmen and sophomore, 138 junior and senior students group, who are students of K nursing college located in Seoul. The sampling investigation period is on Sept. 14, 2002 to Oct. 26, 2002. The measuring instrument used for Transactional Analysis ego state is 50 items Ego-gram research paper devised by Dusay(1997). For studying coping style, Folkman & Lazarus's measurement(1984) was adopted, which is translated and modified by Han, and Oh,(1990). Statistic average and standard deviation were generated by using SPSS PC+, t-test and Pearson correlation. The results were as follows: 1) In the type of ego states on both groups(lower group : freshmen, sophomore upper group : junior, senior) indicated the arithmetic apex NP(maximum value), then the point A was high and the data made a down slope to point AC. In the comparison to type of ego states between two groups, only at point CP, the data value of upper year students represented higher than that of lower year ones by C(t=2.28, p=.023). In the psychological energy level of ego states, both groups indicated average level.2) Stress coping style of whole students were highly and affirmatively dedicated to research. Consecutive consequences follow like this(high to low) : the central point of problem, search for social support, hopeful aspect and indifference. Especially hopeful aspect(t=.67, p=.05), relaxation of tension(t=-2.16, p=.03) made significant difference each other in the view of arithmetic calculation 3) While verifying coping style in terms of ego states level between lower and upper students group, In type CP, high level ego states group indicated significant difference on stress coping style area than low leveled group and made such sequences as the central point of problem, hopeful aspect, search for social support, positive interest and relaxation of tension. In type NP, sequences such as the central point of problem, search for social support, positive interest and relaxation of tension were emerged with little differences. In type A, the central point of problem, positive interest and relaxation of tension. In type FC, hopeful aspect, search for social support, positive interest and relaxation of tension. In type AC, hopeful aspect and indifference were derived significantly different(p<.05). 4) In the aspect of relation between ego states and coping style, type CP presented the central point of problem and relaxation of tension, type NP presented positive interest, search for social support and the central point of problem, type A showed the central point of problem, positive interest and relaxation of tension, type FC showed relaxation of tension, positive interest, search for social support, indifference and the central point of problem, type AC showed hopeful aspect, indifference and the central point of problem. All the sequence shown above had high-to-low procedure and represented static relations each other(p<.05).

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Analysis of impact structure on Business satisfaction and Continuous business intention by the conflict Response and processing of Apartment Reconstruction projects (공동주택 재건축 사업의 갈등대응 및 처리가 사업만족도 및 지속적 사업의사에 미치는 영향구조 분석)

  • Kim, Hyung-Jin;Lee, Joo-Hyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1699-1706
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    • 2015
  • The purpose of this study is to induce a indicator related to the response, handling and management which are appeared on each step of business enforcement in housing reconstruction projects. Then, it aims to appropriately and reasonably resolve the conflicts of reconstruction business with relevant subjects. These projects physician satisfaction and continual business was going to have the impact that any analysis of the structure in an evaluation. In addition, this study analyzes the impact structure on the business satisfaction and a intention for continuous business through this evaluation. This study sets a operational hypothesis in order to verify the relationship between the variables. then, it creates the structural model by using the Smart PLS 3.0. After analyzing the impact structure by using total 252 samples, this study adopts the final hypothesis which shows (+) path coefficient as set in the hypothesis and test statistic above 1.65. In result, six out of the nine hyphothesis are adopted. then, The 'Response to conflict' which affects the 'Management to conflict(H1)' has a path coefficient of 0.618. In addition, the 'Handling to conflict' which affects the 'Management to conflict(H2)' has a path coefficient of 0.150. The 'Handling to conflict' which affects the satisfaction of 'business' has a path coefficient of 0.101. and the 'management to conflict' which affects the satisfaction of 'business(H7)' has a path coefficient of 0.644. In addition, the 'Intention for continuous business(H8)' shows a path coefficient of 0.258. Finally, The satisfaction of 'business' which affects the 'intention for continuous business(H9)' has a path coefficient of 0.391.

Analysis of Impact Structure on Business satisfaction and Continuous Business Intention by the Conflict Solution According to the Process of Reconstruction Projects (재건축사업의 추진 단계별 갈등해결이 사업만족도 및 사업지속의사에 미치는 영향구조 분석)

  • Kim, Hyung-Jin;Lee, Joo-Hyung
    • The Journal of the Korea Contents Association
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    • v.15 no.4
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    • pp.500-509
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    • 2015
  • The purpose of this study is to induce a indicator related to the response, handling and management which are appeared on each step of business enforcement in Reconstruction projects. Then, it aims to appropriately and reasonably resolve the conflicts of reconstruction business with relevant subjects. These projects physician satisfaction and continual business was going to have the impact that any analysis of the structure in an evaluation. In addition, this study analyzes the impact structure on the business satisfaction and a intention for continuous business through this evaluation. This study sets a operational hypothesis in order to verify the relationship between the variables. then, it creates the structural model by using the Smart PLS 3.0. After analyzing the impact structure, this study adopts the final Five hypothesis which shows (+) path coefficient as set in the hypothesis and test statistic above 1.65. then, The 'Approval for union establishment(H1)' has a path coefficient of 0.127. In addition, the 'Approval for business enforcement(H2)' has a path coefficient of 0.343. The 'Management and disposition plan(H4)' has a path coefficient of 0.145. and the 'External Factors(H6)' has a path coefficient of 0.124. Finally, The 'satisfaction of business' which affects the 'intention for continuous business(H7)' has a path coefficient of 0.727.

The Influence of gender or culture on determining esthetic facial profile (심미적 측모 판단에 미치는 성별과 문화의 영향력)

  • Ko, Su-Jin;Kim, Hyun-Soon;Kim, Young-Jin
    • The korean journal of orthodontics
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    • v.31 no.3 s.86
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    • pp.301-309
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    • 2001
  • Because many of patients seeking orthodontic treatment worry about the facial appearance and their chief motivation for orthodontic treatment is facial esthetics, it is critical to understand the influence of gender or culture on the evaluation of profile esthetics. The purpose of this study was to find out any influence of gender or culture on judging good facial profile. 4 different groups were asked to evaluate 133 facial profiles to test the influence of gender or culture on judging good facial profiles. Those 4 groups consisted of 10 Korean males, 10 Korean females, 10 Korean American males, and 10 Korean American females. 2 evaluation systems were introduced, absolute and relative. Soft tissues of selected good profile group were analyzed and statistic analysis was performed. Conclusions were as follows 1. Inter-evaluator difference for judging good facial profile was statistically significant, even if there was general agreement for the best profile among 40 raters. 2. Gender difference under the same cultural environment was not significant statistically. 3. The same ethnic groups with different cultural background showed statistically different preference on judging good Profile. 4. Good facial profile group had their own characteristics compared to remaining group in several soft tissue measurements which were vertical facial ratio, soft tissue facial convexity, and antero-posterior relative lip position.

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Evaluation of Emission Reduction Program for In-use Diesel Vehicles Using PM10 Concentrations of Road-side and Background Monitoring Network (도로변 및 배경농도 측정망 PM10 자료를 이용한 노후 운행경유차 배출가스 저감사업 효과 해석)

  • Kim, Cheol-Hee;Jo, Hyun-Young;Lee, Song-Weon;Oh, Chang-Seok
    • Journal of Environmental Science International
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    • v.20 no.12
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    • pp.1585-1598
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    • 2011
  • Emission reduction program for in-use diesel vehicles (ERPDV) has been enacted since 2004 over the Seoul metropolitan area, and diesel emission reduction is forced to fulfill this regulation. This study was performed to evaluate the ERPDV using $PM_{10}$ concentrations of both road-side monitoring and national background network during the period of 2004-2010. In order to assess the pure road emission, we first eliminated the long range transport effect by deducting the trend of annual national background concentrations from the road-side $PM_{10}$ concentrations, and then analyzed the time series of the resultant $PM_{10}$ concentrations over Seoul metropolitan area. The annual rates of variations of road-side $PM_{10}$ with the deduction of trend of background level show -3.2, +0.4, and -2.4 ${\mu}g/m^3$/year, in Seoul, Incheon, and Gyonggi province, respectively. There are steadily decreasing trend in Seoul with all of statistic parameters such as mean, mediam, 5%ile, 10%ile, 25%ile, 75%ile, 90%ile, and 95%ile concentrations. Incheon shows some fluctuations with positive with no significant trend, and Gyonggi province shows overall decreasing but not consistent. Student-t test shows 95% significant level of ERPDV effect in Seoul, but there exists no significant level greater than 90% in both Incheon, and Kyonggi province. Total annual averaged trend over the whole Seoul metropolitan area is estimated to lie in approximately $-2.9{\mu}g/m^3$/year in this study, implying the intimate involvement of ERPDV to a large extent. This is also suggesting that the further research cost-effectiveness of ERPDV with consideration of the long range transport process would be needed over the Seoul metropolitan area.

Analysis on Survival and Prognostic Factors for Cancer Patients with Malignancy-associated Hypercalcemia

  • Zhang, Su-Jie;Hu, Yi;Cao, Jing;Qian, Hai-Li;Jiao, Shun-Chang;Liu, Zhe-Feng;Tao, Hai-Tao;Han, Lu
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6715-6719
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    • 2013
  • Objective: To explore the incidence, clinical characteristics, diagnosis and treatment strategies, prognosis of patients with malignancy-associated hypercalcemia (MAH). Methods: The data of 115 patients with MAH who were treated at the Medical Oncology Department of Chinese PLA General Hospital from Jan., 2001 to Dec., 2010 was retrospectively reviewed. Survival analysis was performed using the Kaplan-Meier method and the Cox proportional hazard model with statistic software SPSS 18.0. Results: The patients had blood calcium levels ranging from 2.77 to 4.87 mmol/L. Except for 9 cases who died or were discharged within 5 days after admission, all other patients recovered to normal blood calcium level after treatment with bisphosphonates or intravenous hydration and diuretics; their survival after occurrence of MAH was from 1 day to 4,051 days, and the median survival time was only 50 days. In the log-rank test, the male, renal metastasis, central nervous system symptoms and hypercalcemia occurring over 140 days after cancer diagnosis were predictors of poor survival (P=0.002, P=0.046, P=0.000, P=0.009). In the COX analysis, being male, central nervous system symptoms and hypercalcemia lasting over 140 days after cancer diagnosis were independent prognostic factors for survival time (RR=2.131, P=0.027; RR=3.054, P=0.002; RR=2.403, P=0.001). According to these factors, a score system was established to predict the patient prognosis and adjust the treatment. Conclusion: Cancer patients with MAH have an extremely poor median survival. Some independent factors indicate poor prognosis, including male gender, central nervous system symptoms and hypercalcemia lasting over 140 days after cancer diagnosis. The prognostic score can serve as a reference for MAH prognosis and treatment, worthy of further investigation.

Prevalence of Staphylococcus aureus in Kimbap (김밥 중 황색포도상구균의 분포조사)

  • 김창민;강윤숙;윤선경;좌승협;이동하;우건조;박영식
    • Journal of Food Hygiene and Safety
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    • v.17 no.1
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    • pp.31-35
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    • 2002
  • According to food poisoning statistic data of 2000, the food poisoning outbreaks have occurred mainly by meat (27.9%), shellfish and its processed products (26.0%), and ready-to eat meals (24.0%) such as Kimbap and packed lunch boxes. The major causative flood poisoning bacteria were Salmonella spp. (35.6%), Staphylococcus aureus(11.3%) and Vibrio parahaemolyticus (3.2%). In this study, we conducted the isolation and enumeration for S. aureus in Kimbap. This monitoring data will be applied to the following study, risk assessment. The Kimbap samples were collected from department stores, convenient stores and snack bars located in Seoul, Busan, Daejeon, and Gwangju. The overall isolation rate of S. aureus from 214 Kimbap samples was 34.1% and the average count was 623 cells. Enterotoxin typing test for isolates showed 42.5%, 4.1% and 2.7% for type, A, B and C, respectively. There was no significant seasonal difference in S. aureus isolation, but the average count in summer(793 cfu/g) was 1.8 times higher than that of winter(446 cfu/g).