• Title/Summary/Keyword: 영향요인도

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The College Students' Attitude toward Terminal Care and Euthanasia (대학생들의 임종진료에 대한 태도 - 안락사를 중심으로 -)

  • Choi, Youn-Seon;Shin, Jong-Min;Lee, Young-Mee;Lee, Tai-Ho;Hong, Myung-Ho;Kim, Jun-Suk;Yeom, Chang-Hwan
    • Journal of Hospice and Palliative Care
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    • v.2 no.1
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    • pp.16-22
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    • 1999
  • Purpose : Today, people usually die in hospitals and institution-sterile and strange, and equipped with a complex range of technology capable of supporting and prolonging life, frequently only biological one, when a return to health and vitality is no longer possible. Consequently, 'dying with dignity' has become a slogan of opposition to useless and degrading prolongation of life when a patient's organ, though still minimally functional, can no longer support or permit the exercise of self-fulfilling personal control over life's events. Dying with dignity, however, means entirely different things to different people. This study is to investigate the college students' attitude on terminal care and passive euthanasia. Methods : During June 1997, 337 college students participated in this study by responding to the pre-made questionnaire. It deft with the attitude to passive euthanasia, hospice, the most suffering fear facing the death, the preferred place and person to be with if dying. Results : 63.2% of subjects agreed to passive euthanasia. Only 14.2.% of college students can explain the concept of hospice, exactly They got the information about hospice by TV(43%), book(33.5%), religious group(12%) in order. The preferred death place was home(76.6%) and hospital(11.9%) in order. The Most suffering fear facing the death were about unknown(41.5%), loosing colleague(13.6%), pain(11%), isolation(6.5%) in order. Conclusion : About two-thirds of college students agreed to passive euthanasia. But euthanasia is dangerous and unnecessary. We should vigorously promote programmes of education in hospice and palliative medicine and care.

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Effect of Glucose Control, SDSCA and Quality of Life of D-chiro-inositol(DCI) in patients with type 2 diabetes: A Path Analysis (제2형 당뇨병 환자의 D-chiro-inositol의 혈당강하 효과와 당뇨 자가관리 및 삶의 질: 경로분석)

  • Kang, Young Mi;Kim, Hyun Jin;Lee, Tae-Yong;Ku, Bon-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.243-253
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    • 2018
  • This study aimed to investigate the effects of DCI on glucose control, quality of life(SF-36 Version 2.0, Korean) and SDSCA(Summary of Diabetes Self-Care Activities) in patients with type 2 diabetes mellitus. A randomized, double-blind, placebo-controlled study was performed on 46 patients with HbA1c 7.0% taking triple anti-diabetic drug regimen who visited the department of Endocrinology and Metabolism in Chungnam National University Hospital between March 2015 and May 2016. As a result, DCI treatment in the intervention group resulted in significantly reduced HbA1c levels $8.75{\pm}0.79%$(baseline), $8.36{\pm}1.03%$(after 12weeks), and $8.65{\pm}0.81%$(after 24weeks). However, patients in the control group did not show any significant change. Interestingly, both DCI treatment group and the control group significantly showed improvements in SDSCA. Participants in the intervention group showed a small yet significant improvement in their only fasting blood glucose test in SDSCA and revealed significant increase in the quantitative levels of quality of life, from $73.05{\pm}16.85$ to $82.74{\pm}10.68$. By using pathway analysis, improvement of SDSCA scores(${\beta}=-0.505$, t=-2.743) was the most influential factor to the fasting blood glucose. The quality of life of patients with type 2 diabetes mellitus was affected by changes of SDSCA scores(${\beta}=0.411$, t=2.024) and fasting c-peptide(${\beta}=-0.445$, t=-2.668) in DCI treatment group. In conclusion, treatment of DCI effectively improved glucose control in patients with type 2 DM(HbA1c level>7.0%) after 12 weeks of treatment, although it had no impact on glucose control after 24 weeks of treatment. Improved glucose control may encourage diabetic patients to conduct self-care activities and improve the quality of life. Based on the present study, we suggest that diabetes self-management, as well as consideration of comprehensive laboratory findings, may be important factor in regulating the quality of life in type 2 DM patients.

The Occurrence of Renal Scarring in Children with Unilateral Vesicoureteral Reflux (일측성 방광 요관 역류 환아에서 신반흔의 발생)

  • Lee, Tae Ho;Son, Mi Ran;Byun, Soon Ok;Moon, Jung Woong
    • Clinical and Experimental Pediatrics
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    • v.48 no.9
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    • pp.998-1003
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    • 2005
  • Purpose : We evaluated the occurrence of renal scarring in children with unilateral vesicoureteral reflux(VUR), and the relationships between renal scar formation and risk factors such as VUR, duration of fever, acute-phase reactant, age, and sex. Methods : We retrospectively analyzed the data of 35 children newly diagnosed with unilateral vesicoureteral reflux after urinary tract infection(UTI) in Wallace Memorial Baptist Hospital between January 1996 and December 2004. Ultrasonography, Erythrocyte sedimentation rate(ESR), and C-reactive protein(CRP) were performed initially. Voiding cystourethrography(VCUG) was performed 1 to 3 weeks after treatment with UTI. $^{99m}Tc$-dimercaptosuccinic acid(DMSA) scan was performed 4 to 6 months after treatment. Results : Scintigraphic renal damage was present in 29 percent of the refluxing and in 3 percent of the nonrefluxing kidneys(P<0.05). The severity of VUR was significantly correlated with renal scar formation(P<0.05). The duration of fever before treatmen($5.0{\pm}1.3$ vs $2.6{\pm}1.3$) and prolonged fever of over 5 days were significantly different between renal scar group and non-renal scar group(P<0.05). ESR($56.3{\pm}23.8$ vs $27.9{\pm}18.1mm/hr$, P<0.05) and CRP($12.8{\pm}7.3$ vs $3.9{\pm}3.8mg/dL$, P<0.05) at the diagnosis of UTI in the renal scar group were higher, compared to those of the non-renal scar group. There were no significant differences in age and sex between the two groups. Conclusion : The presence and grade of VUR, the duration of fever before treatment, prolonged fever over 5 days, ESR, and CRP were risk factors for renal scarring, irrespective of age and sex. Diagnosis and management of VUR, in children with UTI, is important to prevent renal scars.

A Study on Anxiety-Depression and Psycnoticism in Hospitalized Patients (종합병원 입원 환자의 정신 건강 평가)

  • Kim, Jin-Sung
    • Journal of Yeungnam Medical Science
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    • v.9 no.1
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    • pp.54-67
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    • 1992
  • The author studied the mental status of 497 patients admitted in non-psychiatric wards and 42 patients diagnosed as mental disorders by DSM-III-R criteria and admitted in three general hospitals located in Pusan city, using NADS and PSCS. The assessment were obtained from October, 1991 to March, 1992 and the results as follows: The mean ${\pm}$ SD of Anxiety-Depression scores were $34.4{\pm}10.4$ in non-psychiatric patients and $50.0{\pm}18.3$ in psychiatric patients. The psychiatric group had significantly higher scores than non-psychiatric group. The mean ${\pm}$ SD of Psychosis scores were $3.9{\pm}4.4$ in non-psychiatric patients and $20.3{\pm}9.8$ in psychiatric patients. The psychiatric group had significantly higher scores than non-psychiatric group. In the psychosocial factors, dissatisfaction in family atmosphere and acquaintanceship with parellts(P<0.001, relatively), pessimistic in future, present and past self-images(P<0.001, relatively), and yes in previous psychiatric treatment of admission(P<0.01, relatively) had common significant relationships to Anxiety-Depression and Psychosis scores. There were correlationships between NADS scores and PSCS scores(${\gamma}$ = 0.74), past and present self-images(${\gamma}$ = 0.45), present and future self images(${\gamma}$ = 0.45), past and future self-images(${\gamma}$ = 0.34) and family atmosphere and acquaintanceship with parents(${\gamma}$ = 0.49). The regression analysis revealed that present self-image, acquaintanceship with parents, future self-image, past self-image, and family atmosphere, in order of significance were to be descriptive or predicable variances for Anxiety-Depression status. The discriminant analysis according to Anxiety-Depression scores showed that the cases of incorrect classification were 22 for non-psychiatric patient group and 2 for psychiatric patient group.

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Studies on the Failure Rate of Artificial Insemination in Korean Native Cows (한우 암소의 인공수정 실패율에 관한 조사연구)

  • Park, Sairom;Kim, Hun;Lee, Young-Sub;Kim, Jin-Woo;Kim, Jong Bok;Song, Young-Han;Lee, Hak-Kyo;Lee, Sung-Jin
    • Reproductive and Developmental Biology
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    • v.37 no.1
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    • pp.23-27
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    • 2013
  • This study was carried out to investigate the influence of artificial insemination (AI) failure in 1,619 Korean native cows at Gangwon East area, Korea. The average AI failure rate was 37.02% in the cows and the highest rate was 40.85% in Yangyang-city. Based on the parity in the cows, the AI failure rate was 49.14% and 29.91% in the first and fifth parity cows, respectively. Whereas cows until fifth parity were decreased in AI failure, cows with sixth or more parity showed an upturning AI failure trends with the increasing of parity number. AI failure rate incidence according to the rump fat thickness measured by ultrasound was 28.9% and 33.4% at 5 mm to 10 mm and over than 15 mm, respectively. There was a positive correlation (0.2186) between AI failure rate of mother and that of their offspring cows. That is, offspring of dams with high AI failure rate showed also higher AI failure than those of dams having lower AI failure rate. In conclusion, these results indicate that the AI failure rate was closely related to the rump fat thickness, parity number, and conception rate of mother cows. In addition, these results might strengthen the basis to improve the reproductive performance in Korean native cows.

Repellent and Insecticidal Activity of Sequential Extracting Fractions Obtained from BPH-Resistant Rice Varieties against Brown Planthopper (Nilaparvata lugens) (벼멸구 저항성벼 품종 추출분획물의 기피 및 살충 활성)

  • Kim, Sung-Eun;Kim, Young-Doo;Kim, Bo-Kyoung;Ko, Jae-Kwon;Chun, Jae-Chul
    • The Korean Journal of Pesticide Science
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    • v.10 no.2
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    • pp.124-130
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    • 2006
  • Rice plant extracts of brown planthopper (BPH) resistant rice varieties, Jangseongbyeo (JSB) and Hwacheongbyeo (HCB) at different growth stages (seedling, tillering, heading and ripening) were sequentially fractioned using hexane, ethyl ether, ethyl acetate, butanol, and distilled water. The extracts were applied to BPH susceptible rice variety, Dongjjnbyeo (DJB), to investigate the insecticidal and repellent effects against BPH. BPH insecticidal effects were not clearly observed with almost all of the extract fractions obtained from both JSB and HCB varieties for 12 h, whereas the ethyl ether and hexane extract fractions showed about 10 to 30% of BPH mortality in 24 to 48 h of application periods. An effective BPH repellent activity was found with the applications of ethyl ether extract fractions obtained from JSB variety. The extract fractions obtained from HCB variety did not show any different repellence among the various fractions. The BPH repellent effects of the extract fractions obtained at different growth stages of either JSB or HCB varieties did not show any correlations. The effect of ethyl ether fraction on BPH repellent was continually increased by 30 h after treatment and thereafter decreased. In addition, the first sub-fraction separated by a flash column chromatography eluted with chloroform:methanol (9:1, v/v) from the BPH effective ethyl ether faction in JSB variety might be meaningful to repel BPH from BPH susceptible target rice plants. The results indicated that the ethyl ether fraction obtained from JSB was higher in repellent activity than in insecticidal activity, and suggesting that there might be specific substance(s) in the first sub-fraction (sF1) of the ethyl ether fraction in JSB that could provide repellent activity against BPH.

Distributional characteristics of risky phytoplankton species at inner and outer sites around Incheon seaport of Korea (인천항 내, 외에서 식물플랑크톤 위해종의 분포특성)

  • Kwon, Oh Youn;Kang, Jung-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6958-6965
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    • 2014
  • This study examined the occurring pattern of potential risky species and the related abiotic factors for port-specific environmental management considering the control of ballast water-induced foreign species at Incheon seaport. From a total of 62 species observed during the study, 13 red-tide and 7 toxic phytoplankton, normally occurring species in Korean waters, occurred from the seasonal investigation at the inner and outer sites of the Incheon seaport from 2007 to 2009. The number of potential risky phytoplankton was relatively high at the outer site of the port during summer and winter. Red-tide species, such as Skeletonema spp., Thalassiosira nordenskioldii, and Paralia sulcata, dominated the total standing crops at the inner site (avg. 72.4%) and outer site (avg. 77.6%) in spring and summer, being positively correlated with the concentrations of total suspended solids (TSS) and pH (p<0.05). In summer, the red-tide species (Skeletonema spp.) and toxic species (Alexandrium catenella, A. tamarense, Dinophysis acuminata and Pseudo-nitzschia spp.) co-dominated (avg. 74.2%) at the inner site, while Skeletonema spp. and P. sulcata predominated (avg. 67.2%) at the outer site. During the study periods, the toxic species were significantly and positively correlated with the chemical oxygen demand (COD), dissolved inorganic nitrogen, silicate and phosphate (p < 0.05). The chlorophyll-a (chl-a) concentration of phytoplankton at the outer site ranged from 1.49 to $5.46{\mu}g/L$ on average, which was 3-5 times higher than that at the inner site in spring, summer and autumn, whereas there was no difference in the concentration between inner (avg. $0.94{\mu}g/L$) and outer (avg. $0.95{\mu}g/L$) sites in winter. In summary, diverse red-tide species dominated and a relatively high chl-a concentration existed at the outer site, whereas a relatively high number of toxic species and low chl-a concentration was observed at the inner site in summer. The potential risky species can outbreak in association with the concentration of nutrients, COD and TSS, suggesting that distinctive management of potential risky species is needed considering the environmental characteristics of Incheon seaport.

Lead Level in Hair of Elementary School Children in Urban and Rural Areas (국민학교 저학년 학생들의 두발중 연농도와 관련요인)

  • Byun, Yung-Woo;SaKong, Jun;Kim, Chang-Yoon;Chung, Jong-Hak
    • Journal of Yeungnam Medical Science
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    • v.10 no.1
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    • pp.103-113
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    • 1993
  • This study was conducted to explore the feasibility of using the lead level in the hair of children as a screening test for lead intoxication of children and as an indicator for environmental pollution. Lead concentration of hair was measured for 268 seven to nine-year-old elementary school children in Taegu city (147 children) and Gampo town(121 children). The lead level in hair was measured by atomic absorption spectrophotometer equipped with a graphite furnace atomizer. The following information was obtained for all children: sex, age, father's occupation and smoking habits, kinds of hair cleaner, fingernail biting habits, and status of the child's hands and clothing. The mean lead level in hair was $8.7{\pm}2.9{\mu}g/g$ in the urban area and $7.7{\pm}2.2{\mu}g/g$ in the rural area. There were significant differences between two groups(p<0.01). The difference of lead levels in hair measured by cleanliness of the child's hands(clean: $7.4{\pm}2.7{\mu}g/g$, dirty: $8.2{\pm}2.6{\mu}g/g$) and child's clothing(clean: $8.0{\pm}2.5{\mu}g/g$, dirty: $9.3{\pm}2.6{\mu}g/g$) were statistically significant, but other factors were not significant. In multiple regression analysis, difference of residency and age were significant variables for lead level in the hair of children. These findings suggest that measurement of lead level in the hair is a useful method for the screening of the lead intoxication of children and monitoring environmental conditions.

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A survey on sex life behavior and factors of low back pain (요통환자들의 성생활 행태와 영향 요인 조사)

  • Nam, Chul-Hyun;Woo, Kwang-Seog
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.31-49
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    • 2002
  • The purpose of this study was to investigate discomforts and sexual life and to identify the relation between the discomforts and sexual life with low back pain. The data were collected from March 2 through July 31, 2001. Four hundred forty-two questionnaires were returned (response rate=88.0%). Analysis of the data was done with SPSS PC+ and use descriptive statistics, $x^2$-test, t-test, ANOVA. regression. The statistics shows that over than 80% of the adults experienced lumbago at least one time in their life, and Back pain is known as one of the most common complaints made by the patients of all ages in the general hospital or local medical clinics throughout. However, in certain case it leads to a chronic condition which can cause a great deal of problems in management and in financial burden to individuals and society. The result of this study was summarized as follows: 1) It appeared that regarding the distribution of gender, male was the higher(63.6%) then that of female, the portion of forties was 28.5%. Sitting for long time was 23.1% in men and 21.7% in women. Unknown reason including sexual behaviour was 12.9% in men and 15.5% in women. Patients treated medicine and physical therapy were 36.4%. In level of educational background, the rate of high school was 31.0%, technical college was 28.5%. The highest proportion by occupation was 18.3% of office workers, occupation posture was 41.9% of sitting. 2) Men(26.0%) and most of women(34.8%) were not satisfied in the explanation satisfaction rate of sex life concerned disease. 23.8% in men and 23.6% in women considered flexibility of waist good. Man(33.3%) and most of woman(35.0%) considered that Health education is necessary. 32.7% in men and 27.3% in women did't mind educator is whoever. Preventing of lower back pain(LBP) and proper Health education of sex life are demanded in daily life. 3) 58.0% of man and 64.0% of woman mostly had a posture which is man over woman. 28.5% in men and 27.8% in women considered that proper information finding of LBP and sex life was very few and few. 37.7% in men and 42.7% in women have acquired information about sex life flung their friends. 4) The number of sex life was decreased from 2.96 0.98 to 2.61 1.63 and also the time of sex life was decreased from 3.65 1.89 to 226 1.64. The satisfaction rate of sex life changed from 3.60 0.86 to 2.77 1.10. In the number of sex life, The non correct group was 2.62 1.91 and the correct group was higher in 2.68 1.65. In the time of sex life, The non correct group was 2.02 1.47 and the correct group was higher in 229 1.65. The satisfaction rate of sex life was 2.76 0.86 in non correct group and 2.88 1.10 in correct group. So there was a difference. 5) In the satisfaction rate of sex life, Men who have a lower back pain were higher than women and no attack group was higher than attack group. As they had many sex life, the satisfaction rate was higher significantly in statistics. As the time of sex life was short, the satisfaction rate was lower significantly in statistics. As the age was low, the demand rate of Health education was high and as means of patient who had a lower back pain was high, the demand rate of Health education was high. As the patient who had a lower back pain had a long married life, the demand rate of Health education was high and as education level was high, the demand rate of Health education was high. It is necessary to provide patients with conservative treatment, educational teaching, and training to prevent further injuries in the future. In general, it is important to educate the public how to prevent back injuries and how to treat themselves in an onset period to prevent further injuries sliding into a chronic state. Sexuality is an integral part of normal and healthy relationships, but patients are unable to enjoy sex because they are riot able to get into a comfortable position due to back pain. Many conditions of the spine can make certain positions uncomfortable. Health educator should make the education program of the discomforts and the sexual pattern for low back pain in workplace and/or hospital. Further study Is needed on how to integrate the educational program on sexuality into the total rehabilitation program.

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Research on the Loss of Irrigation Water Flowing in the Earth Channel (흙 수로내에서의 용수손실에 관한 연구)

  • 김철회
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.14 no.3
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    • pp.2703-2715
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    • 1972
  • 1. Title of Research Research on the Loss of Irrigation Water Flowing in Earth Channel. 2. Purpose and Importance of Research The purpose of this research is to obtain the accurate loss rated of irrigation water flowing in earth channels so as to give a criterion of designing rational and effective suplpy project of irrigations water. It is the present status that the loss rates of 10 to 20% are obscurely applied without any scientific proof. Therefore, the importance of this research lies in securing loss rates, which are experimentally proves to be suitable for specific local conditions. 3. Content and Scope of Research The selected test reach of the main channel is 1,000m long. Discharges were measured at up and downstream enps by using current meter. The test reach of the lateral channel is 500m long, and parshall flumes were set at both ends to measure inflow and outflow. Finally, for the supply ditch, the test section is 200m long, and sharp-edged rectangular weirs were provided at both ends to measure inflow and outflow. In addition, various factors influence on the loss of irrigation water in channel wer examined. 4. Results of Research and Proposition Results: 1. In the main channel, which is 1,000 M long, and has a slope of 1/3,000 and was constructed by cutting earth, its loss rate is 9.64%. 2. In the lateral, which has a slope of 1/1,500, and is 500m long, and was constructed by cutting, its loss rate is 15.55%. Its average seepage rate is 2.08cm/day. 3. In the supply ditch, which has a slope of 1/300, and is 200m long, and was constructed by filling earth, its loss rate is 12.34%, its average seepage rate being 3.37cm/day. Proposition: As could be seen in the results above-mentioned, it is contradictory to apply a loss rate of 20% for every main channels and 15% for every laterals without variation, as done so for in planning irrigation project. The fact, however, is that loss rates must be different according to localities and characteristics. Due to the fact that this experiment is small in its scope and is nothing but a preliminary one, it is hardly possible to draw decisive conclusions with the results obtained in this research. Loss rates, that are secured through more extensive research, should be used, in order to establish precise irrigation project. Moreover, such researches should be carried out for a number of loclities throughout the nation.

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