• Pediatric Infection and Vaccine
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• v.12 no.2
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• pp.114-123
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• 2005

Purpose : A wide, epidemic outbreak of M. pneumoniae pneumonia occurred throughout Korea in late 2003. Compared with previous years, the 2003 outbreak resulted in more severe cases and in an increased incidence of extrapulmonary symptoms and/or complications. We compared the clinical characteristics for M. pneumoniae pneumonia of 2003 to those of the past years. Methods : One hundred six children diagnosed with M. pneumoniae pneumonia by serologic tests at Bundang Cha General Hospital between Aug 2003 to April 2004 were enrolled. Medical records were reviewed retrospectively, for clinical, laboratory and radiological aspect as well as complications. The pleural effusions of 3 patients who underwent thoracentesis were also analyzed. Results : The duration of fever, cough, rhinorrhea, and sore throat was $8.2{\pm}4.7$, $22.1{\pm}4.8$, $8.4{\pm}2.1$, $4.3{\pm}1.2$ days, respectively. The incidence (percentage) and duration of abdominal pain, vomiting, diarrhea, headache, skin rash, arthralgia was $5.1{\pm}2.5$ (21.9%), $3.4{\pm}2.1$ (17.1%), $4.3{\pm}1.8$ (16.2%), $3.5{\pm}2.1$ (14.4%), $5.5{\pm}0.7$ (5.9%) and $4.6{\pm}1.3$ days (4.9%), respectively. The mean duration of admission and treatment were $7.4{\pm}4.3$ days and $21.6{\pm}11.1$ days. Higher values of CRP and ESR on admission were positively correlated with the duration of fever and length of admission. The findings of pleural effusion were similar to those seen in TB pleurisy. Complications, including myocarditis (2 cases), arthritis (3 cases), vasculitis (5 cases), asthma (3 cases), ARDS (1 case), and DIC (2 cases) were observed in 14.1% of patients. Conclusion : We found a number of characteristics of M. pneumoniae pneumonia among cases from late 2003 that were different from those of previous years. This outbreak resulted in more severe cases and in an increased incidence of extrapulmonary symptoms and/or complications. A multicenter study is needed to verify the changes in clinical characteristics observed during the 2003 outbreak from previous ones.

• Journal of Nutrition and Health
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• v.49 no.2
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• pp.99-110
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• 2016

Purpose: The current study was conducted in order to identify health and nutritional status of Korean underweight women in their twenties by comparing with normal, overweight, and obese women. Methods: Data from the 2010~2012 Korea National Health and Nutrition Examination Survey were used in this study. Subjects were 897 women aged 20~29 years. Subjects were classified according to underweight, normal weight, overweight, and obese groups based on body mass index. Health status was assessed using data from the health questionnaire and examination. Nutritional status was assessed using data from 24-hour dietary recall and a food frequency questionnaire. Results: The underweight group had higher education and exercised less than the obese group. Means of blood chemistry and blood pressure of the underweight group did not differ from those of the normal weight group. Means of fasting glucose, insulin, lipid profiles, blood cell counts, and blood pressure in the underweight group were different from those of the overweight or obese group. Proportions of delivery, breast feeding, and irregular menstruation in the underweight group were lower compared with the other groups. Except retinol intake, means of nutrient intake did not differ among four groups. There were significant differences among four groups in the intakes of cereals and eggs and frequency of consumption of dairy products. Conclusion: The current findings showed that health and nutritional status of underweight women in their twenties did not differ from those of normal weight women. In particular, health status of underweight women in their twenties was better than that of obese women of the same ages. Further study on health and nutritional status of extremely underweight women is necessary.

• Research in Community and Public Health Nursing
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• v.10 no.2
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• pp.549-563
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• 1999

This paper is a review of findings from studies that have used vignettes to identify salient characteristics that have been found to influence individuals' perceptions of child sexual abuse. Vignette studies finding avoid to unreliable and biased self-reports. A review of the literature revealed that factors influencing the perception process are divided into two groups. One group of factors relates to the details of the abuse situation including characteristics of sexual act (intrusiveness of the sexual act and the frequency of acts), characteristics of victim (age of victim, the gender of victim and victim resistance), and characteristics of perpetrator (age of perpetrator, gender of perpetrator and the relationship of the perpetrator to the child). The other group of factors focused on in research reflects individuals background variables that affect personal interpretations of the abuse situation. These factors include professional affiliation of the respondent and various other. demographics (e.g., gender of respondents, age, education, marital status, parental status, number of children, the length of experience, etc.), along with respondents own child sexual victimization experiences. Based on theses findings vignette studies have allowed researchers to learn how individuals vary their perceptions of various situational aspects of child sexual abuse situations, and how background characteristics of the respondents as observers may influence these perceptions.

• Journal of Preventive Medicine and Public Health
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• v.34 no.2
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• pp.109-118
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• 2001

The purpose of this review is to discuss the debate concerning the interpretation of epidemiologic studies on particles and health effects. Study of the 1952 air pollution disaster in London established that very high levels of particulate-based smog can cause dramatic increases in daily mortality. However, recent epidemiologic studies have reported statistically significant health effects and mortality due to low levels of air pollution. The statistical significance does not prove causation in observational studies; therefore it is necessary to evaluate these associations. There are arguments for and against each of the numerous studies using Hill's criteria, however the body of accepted evidence supports the causal association. In particular, a high level of consistency in the estimated effect of PM10 has been observed across studies worldwide. The mechanism of the relationship between air pollution and health effects is not obvious. The mechanism of particle-induced injury may involve the production of an inflammatory response by the particulate. The harvesting and the threshold effect are also major concerns regarding the health effects of air pollution. However, current epidemiologic findings indicate that linear models lacking a threshold are appropriate for assessing the effect of particulate air pollution on daily mortality even at current levels.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.286-296
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• 2016

The purpose of this study aimed to find the effect of self-esteem and communication competence on clinical practice stress of the Korean nursing students. A total of 198 nursing students participated in this study. Data collection was conducted through the use of questionnaires constructed to include the Rosenberg Self-esteem Scale, Global Interpersonal Communication Competence, and the Clinical Competence Scale. As a result, self-esteem, communication competence, and clinical practice stress of the Korean nursing students were found to be(Self-esteem: $3.4{\pm}0.57$; Communication competence: $3.5{\pm}0.42$; Clinical practice stress: $3.6{\pm}0.58$). Also, the nursing students with female(85.4%), experience of simulation on clinical training(72.2%) were found to have significantly higher clinical practice stress. Moreover, there were significant correlations between self-esteem and undesirable role model(r=.156, p=.029), communication competence and clinical practice stress(r=-.329, p<.001). The factors affecting clinical practice stress were communication competence, gender, satisfaction of clinical practice, and experience of simulation on clinical training. They amounted to 27.8% in clinical practice stress. The results indicate a need to develop effective teaching methods and learning strategies to decrease clinical practice stress of the nursing students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.8
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• pp.4999-5008
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• 2014

This study was conducted to identify the factors related to the cancer preventive behaviors of middle aged women. The data was collected from October $1^{st}$ 2012 to February $10^{th}$ 2013 from 114 middle aged women in four churches in B city. As a result, there were significant differences in the cancer preventive behaviors according to cancer preventive education, concerns about cancer information and the utilization of cancer information. The cancer preventive behaviors were weakly related to the internal health locus of the control, chance health locus of the control and self-esteem. In addition, there was moderate correlation between the cancer preventive behaviors and the external health locus of the control. Meaningful variables that explain the cancer preventive behaviors were the external health locus of the control, self-esteem, cancer preventive education in that order. The total explanation power was 25.3% and the external health locus of the control has most explanation power. In conclusion, it is necessary to develop nursing intervention and health education for middle aged women to raise the internal health locus of the control and self-esteem, and encourage attending cancer preventive education to improve the preventive behaviors against cancer.

• Journal of Digital Convergence
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• v.12 no.10
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• pp.445-453
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• 2014

The purpose of this study was to examine the necessity of oral health education to analyze the knowledge and status of oral health according to smoking in some college students. The subjects in this study were 217 selected college students, on whom a survey was conducted from September 3 to September 7, 2013. The data were analyzed using SPSS 19.0(SPSS 19.0 K for window, SPSS Inc USA). The findings of the study were as follows: First, concerning toothbrushing frequency, the smokers brushed their teeth twice, and the nonsmokers did that three times(p<0.05). The male students did toothbrushing twice, and the female students did that three times(p<0.05). As to scaling experience, the female students got their teeth cleaned more often(p<0.05). Second, the nonsmokers who had received oral health education outnumbered the smokers who had(p<0.01). In regard to the necessity of smoking-related oral health education, both of the smokers and the nonsmokers replied it was necessary(p<0.05). Third, as for the level of oral health knowledge, the nonsmokers were more aware than the smokers that the use of oral hygiene supplies had an effect on the prevention of dental caries(p<0.05). Given the findings of the study, the smoking-related oral health education and the development of programs that are intended for college students seems necessary.

• Journal of Hospice and Palliative Care
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• v.5 no.1
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• pp.24-30
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• 2002

Background : Pain is one of the most feared consequences of cancer. $65{\sim}85%$ of cancer patients experienced severe pain, and sometimes high dose morphine is used to these patients. But many doctors still have 'opioid-phobia' and hesitate to use high dose morphine. We investigated the morphine therapy in terminal cancer patients during the last 1 week to death, and found any differences according to the morphine dosage. Methods : 93 patients admitted to National Health Insurance Corporation Ilsan Hospital, department of family medicine for hospice care between September 2000 and the end of October 2001 and lived more than 1 week entered in the study. We investigated the demographic data, laboratory tests and sufficient dosage of morphine for pain control. According to the calculated dosage by OME(oral morphine equivalent), patients were divided into low dosage group (${\leq}150mg/day$) and high dosage group (>150 mg/day). The chi-squared test were used to evaluate the influence of age, gender, tumor sites, metastasis and adverse effects of morphine. Results : Mean age was $65.0{\pm}13.1year$ in low dosage group and $59.9{\pm}11.6year$ in high dosage group. 32 men (50.0%) and 32 women (50.0%) were included in low dosage group and 15 men (51.7%) and 14 women (48.3%) in high dosage group. Stomach was the most frequent tumor site and lung was the next. Metastasis were found 58 (90.6%) in low dosage group and 28 (96.6%) in high dosage group. In other palliative radiotherapy and adverse effects, there were no differences in both group. Conclusion : During the last 1 week to death in cancer patients, there were no difference according to the morphine dosage. So we don't have to have 'opioid-phobia' in treating the terminal cancer patients.

• Journal of agricultural medicine and community health
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• v.27 no.1
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• pp.51-64
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• 2002

This study was aimed to provide the basic data for the development of effective educational program by reflecting the opinions of the visiting health service workers. The subjects were 144 visiting health service workers in Gwangju and Jeollanam-do area who responded the mail questionnaire. The data were collected from June to July, 2001 using questionnaire composed of the education need, knowledge by subjective appraisal, and experience of education. The major findings of this study were as follows: 1. The number of respondents who received at least one education within recent three years were 43(29.9%) at the central level, 57(39.6%) at the provincial level and 53(36.8%) at the district level. The satisfaction with education was higher at the central level than at the provincial and district level. 2. Knowledges by subjective appraisal on the 'chronic degenerative diseases management' and 'health promotion' was relatively high. while that of 'rehabilitation' was low. 3. The knowledge by subjective appraisal of visiting health service was related with experience of education and license status. The knowledge was higher in registered nurses than in nurse aids. The curricula related to increased level of knowledge of visting health service workers were 'elderly health care', 'rehabilitation' and 'psychiatric-mental health nursing' educations at the central level 'continuing education for the community health practioners' and 'psychiatric-mental health education' at the provincial level and 'elderly health care', 'rehabilitation' 'psychiatric-mental health' and 'acute diseases control' educations at the district level. 4. The respondents preferred elderly health management as the contents of education, officer group education as the method of education, province(30.4%) as the main body of education, exercise and practice as the form of education, 2-3 times per year as the frequency of education, and 3-5days as the period of education. The findings of this study could suggest that future education program should be planned to increae the knowledge level of visiting health service workers by reflecting their educational need.

• Journal of agricultural medicine and community health
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• v.30 no.2
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• pp.241-249
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• 2005

Herein, two patients of acute toxic hepatitis occurred to persons had eaten Aplysia kurodai and their eggs. The authors report 2 patients of acute toxic hepatitis with reviews of the clinical features. One patient had gathered Aplysia kurodai and it's eggs from Ulleungdo sea shore on May 17, 2003. He ate with boiling the eggs. This patient developed acute toxic hepatitis and symptoms of aplysianin poisoning, such as abdominal pain, nausea, vomiting and watery diarrhea about 10 and half hours after ingestion. The other patient had gathered Aplysia kurodai and its egg from Ulleungdo sea shore on 16 May 2004, which were consumed without boiling the eggs. This patient developed acute toxic hepatitis and symptoms of aplysianin poisoning, such as abdominal pain, nausea, vomiting and watery diarrhea, about 10 and half hours after ingestion. This patient complained of jaundice and pruritus, about 10 days after ingestion. The 2 patients all improved within 15~25 days with conservative treatment. This is the first significant report of acute toxic hepatitis caused by aplysianin poisoning following the consumption of Aplysia kurodai and their eggs in Korea. The clinical features, management and preventive counterplan of acute toxic hepatitis caused by aplysianin poisoning are also presented.