Purpose : This study aimed to present normative data and cut-off points for older Korean adults completing the Montreal Cognitive Assessment - Korean (MoCA-K), which is used as a screening test for mild cognitive impairment in Korea. Methods : A total of 195 healthy adults ≥60 years were recruited. All participants completed the MoCA-K and the Korean - Mini-Mental State Examination (MMSE-K) to assess their cognitive function. Participants were divided into six groups based on their age: 60-64 years, 65~69 years, 70~74 years, 75~79 years, 80~84 years, and 85~89 years. Results : The results revealed that MoCA-K score decreased significantly with age (mean score ± standard deviation [SD]; 27.63±2.80 in subjects aged 60~64 years; 27.00±2.39 in subjects aged 65~69 years; 24.94±2.96 in subjects aged 70~74 years; 24.74±3.37 in subjects aged 75~79 years; 22.59±4.72 in subjects aged 80~84 years; and 18.83±5.38 in subjects aged 85~89 years; p<.001). Additionally, MoCA-K score also increased significantly with educational level (mean score±standard deviation [SD]; 19.95±4.78 in no formal education group; 24.95±2.22 in elementary school graduated group; 26.35±2.72 in middle school graduated group; 28.32±1.36 in high school graduated group; and 28.50±1.51 in more than college graduated group; p<.001). The optimal cut-off points were 24/25 for 60~69 years old group, 21/22 for 70~79 years old group, 17/18 for 80~84 years old group, and 13/14 for 85~89 years old group. The optimal cut-off points were 15/16 for individuals who were illiterate, 22/23 for individuals with 6 years of education, 22/24 for individuals with 9 years of education, and 26/27 for individuals with 12 or more years of education. Conclusions : This study presents normative data and cut-off points for the MoCA-K in older Korean adults. This data will facilitate more accurate detection and follow-up of the risk of mild cognitive impairment in this population, taking into consideration age and education. Future studies are required that should focus on the cut-off score on the level of education according to age.
Resistance to paraquat (1,1'-dimethyl-4,4'-bipyridilium ion) has developed in 12 species of 8 genera to which paraquat has been applied 6 to 10 times per year for 5 or more years. In recent years, tolerance to paraquat has been found in Rehmannia glutinosa (Gaertn.) Liboch. ex Fisch. & Mey. which has never been applied with any herbicides involving paraquat. In this review, we differentiate the terms, resistance and tolerance, on the basis of the paraquat-exposure history. Five hypotheses have been evaluated in several species as potential mechanisms of paraquat resistance and/or tolerance. In a species, the mode of action may be due to 1) reduced quantities of paraquat absorbed through the leaf surface, 2) detoxification of paraquat caused by the enhanced paraquat-metabolic activity, 3) rapid sequestration reducing level of paraquat at the site of action in chloroplast, 4) alteration of site of action in photosystem I resulting in interruption of electron transport to paraquat, and 5) rapid enzymatic detoxification of superoxide and other toxic forms of oxygen.
The role of animal agriculture for the quality of human life has always been emphasized during 20th century and it is expected to be even more important in terms of food supplies and in providing additional functions in the future. The world human population has almost tripled during a period of half century. The world population of animals has increased 2~3 times (6 times for chicken) during the last 60 years, and the total amount of livestock products has increased 5~6 times (more than 10 times in pork) with higher annual growth rate (9%) in developing countries. Increased personal income certainly encouraged demand for animal products over grains and lower animal production costs resulted from scientific and technological advances. Similarly the production of total grains has more than doubled owing to the advances in agricultural science during the later part of the 20th century. The average life span of world people in 1950s was only 46 years, which will be increased to almost 66 years in the year 2000. Present date clearly indicate that the life span of people is proportional to their income (GNP) and/or animal protein intake. Animals can provide other resources than foods. The increase of human population indicates that the number of animals as well as per capita consumption of animal products will be increased in the 21st century. The other resources we get from animals are drafts, packing, riding, hunting and herding. Guiding the blind, protection and companionship are also examples of what we can expect from animals. In the very near future, animals will become major donors of organs, skin and producers of drugs or special functional foods. It may be concluded that animals are very closely associated and related to the quality of human life, and they are expected to remain the same way in the 21st century.
Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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제61권12호
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pp.681-685
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2018
Background and Objectives This study was performed to evaluate the long-term effect of adenotonsillectomy on childhood growth by examining preoperative growth status and presenting symptoms. Subjects and Method One hundred and four patients who underwent adenotonsillectomy from January to December 2009 were enrolled in this study. Clinical data were collected from medical record reviews and through the administered questionnaire. We investigated symptoms and growth changes during 5 years following the surgery. Results The mean age of patients was $6.0{\pm}1.94$ years (range, 3-10), with the male to female ratio of 62:42. Pre-operative symptoms were significantly improved after the surgery. The mean pre-operative height and weight percentiles were $53.6{\pm}27.4$ and $59.6{\pm}29.2$ at initial evaluation, and $67.1{\pm}26.4$ and $59.6{\pm}28.6$ at 5 years post adenotonsillectomy (p<0.001, p=0.989), respectively. An increase in height percentile was more prominent in patients whose pre-operative height percentile was less than 50 compared to those with a percentile of 50 or more (p<0.001). Weight percentile was significantly increased in those with the pre-operative weight percentile of less than 50 and decreased in patients with a percentile of 50 or more. Conclusion Adenotonsillectomy has a positive effect on height growth in children with adenotonsillar hypertrophy, especially in patients whose height percentile is less than 50. Weight gain also can be expected in preoperative low-weight children.
Objective: To analyze osteoporosis treatment patterns and teriparatide prescription-associated factors in Korea by using a national health insurance claims database. Methods: We utilized the Health Insurance Review & Assessment Service National Patients Sample claims database to identify patients (aged ≥50 years) with at least one osteoporosis claim (International Classification of Disease 10th revision code: M80, M81, M82) and at least one prescription for osteoporosis medication (antiresorptive agents: bisphosphonates, selective estrogen receptor modulators, denosumab, and calcitonin; bone-forming agent: teriparatide) in 2018. Demographic characteristics and healthcare utilization patterns were analyzed. Factors associated with teriparatide prescriptions were assessed using a multivariate logistic regression model. Results: Records showed that 44,815 patients were prescribed osteoporosis medications in 2018; the percentage of patients prescribed each treatment was as follows: 86.6% bisphosphonates, 13.9% selective estrogen receptor modulators, 3.1% calcitonin, 2.1% denosumab, and 0.7% teriparatide. A greater proportion of patients prescribed teriparatide were ≥75 years (53.4% vs. 33.8%) and had fractures (63.9% vs. 12.8%) compared to the same for antiresorptives (p<0.001). Patients prescribed teriparatide had higher Charlson comorbidity index values (1.2±1.3 vs. 0.9±1.2) and were more frequently hospitalized (0.8±1.3 vs. 0.1±0.5) than those prescribed antiresorptives (p<0.001). Elderly patients (≥75 years old; adjusted OR=1.66; 95% CI 1.16-2.38) and those with fractures (adjusted OR=6.23; 95% CI 4.76-8.14) were more likely to be prescribed teriparatide than antiresorptives. Conclusion: Patients prescribed teriparatide were older and more likely to have severe osteoporosis than those prescribed antiresorptives.
Purpose: The purpose of this study was to identify Happiness index according to job satisfaction and interpersonal problems of dental hygienists in some regions Methods: The subjects of this study were dental hygienists working in dental hospitals in Busan and Gyeongnam. from 1 July 2021 to 30 August 2021 a number of total 198. The structured questionnaire was surveyed and analyzed by self- entry. The collected data were analyzed using an IBM SPSS ver. 20.0. Results: The interpersonal problem were higher in the group under 25 years of age, with, less than 1 year of experience and less than 2-4 year of experience. Happiness index were higher over than 31 year of age. the happiness index was higher in the age group 31 years or older, with more than 5 years of experience, more than 7 days of vacation, work intensity that was tolerable and difficult, and the group with an annual salary of 30 million won or more. the higher the job satisfaction, the lower the interpersonal problems, the happiness index of dental hygienists was high. Conclusions: In order to increase the happiness index of dental hygienists working at dental medical institutions, it is necessary to develop a program that can form amicable interpersonal relationships in the workplace of dental hygienists with little experience. In addition, increase the job satisfaction of dental hygienists, it is necessary to adjust the intensity of work to fit the individual's abilities and aptitudes, and to develop a work system so that dental hygienists can increase their pride in their profession by signing a reasonable salary.
Objectives: This study was conducted to provide basic data for developing a professionalism improvement program for dental hygienists in preparation for the 4th industrial revolution era. Methods: A survey was conducted in 216 dental hygienists from May 3 to June 14, 2021, and statistical processing was performed using frequency analysis, t-test, one-way ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: Communication competence were at higher levels for dental hospital workers (3.98) and university/graduate school (3.94); professionalism was at higher levels for dental hospital workers (3.64), university/graduate school (3.55), and 7 or more dental hygienists at workplace (3.53); self leadership was at higher levels for dental hospital workers (4.11), university/graduate school (4.04), and intermediary manager (4.00); job performance was at higher levels for 11 years or more (4.08), university/graduate school (4.04), intermediary manager (4.04), and 30-34 years of age (4.04). There was positive correlation among communication competence, professionalism, self-leadership, and job performance. Factors affecting job performance were self-leadership (β=0.461), communication competence (β=0.353), 30-34 years of age (β=0.141), and total experience of 8-10 years (β=-0.149). Conclusions: In the era of the 4th industrial revolution, it is necessary to develop a program to strengthen the professional competence of dental hygienists.
Purpose: This study aimed to identify the influence of knowledge of personal information protection law and nursing patient advocacy on practice of personal information protection among nurses. Methods: The subjects were 130 nurses who have worked for six months or more in the ward of the tertiary or general hospitals. Data were collected from February 20 to March 3, 2023. Results: Factors influencing practice of personal information protection were acting as an advocate (β=.32, p=.004), environmental and educational influences (β=.21, p=.040), knowledge of personal information protection law (β=.19, p=.013) and clinical experience for five years or more but less than ten years (β=.17, p=.036). The regression model showed an explanatory power of 34.0%. Conclusion: Acting as an advocate has the most effect on practice of personal information protection. To promote practice of personal information protection for nurses, it is necessary to provide education related to privacy protection and encourage nursing patient advocacy.
This study analyzed the change in tropical cyclone (TC) activity according to the fluctuation in July-to-September average North Pacific Oscillation index (NPOI) and its underlying large-scale environment during the last 37 years from 1977 to 2013. For this purpose, seven years with highest index NPOI value (positive NPOI phase) and another seven years with lowest NPOI index value (negative NPOI phase) among the 37 years were selected as sample after excluding the ENSO years. During the positive NPOI phase, TCs were created in the east of tropical and subtropical western North Pacific and moved to the west from the Philippines toward the southern region in China or toward far eastern sea of Japan. Meanwhile, during the negative NPOI phase, TCs tended to proceed to the north toward Korea or Japan passing East China Sea from the eastern sea of the Philippines. As a result, also in the TC recurvature, TCs in positive NPOI phase showed a tendency of recurving toward more eastern direction compared to TCs in negative NPOI phase. Hence, TC intensity was stronger in negative NPOI phase which allowed more time for obtaining energy from the ocean.
Jo, Heui-Sug;Kwon, Myung Soon;Jung, Su-Mi;Lee, Bo-Young
Asian Pacific Journal of Cancer Prevention
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제15권12호
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pp.4939-4944
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2014
The purpose of this study was through a survey of awareness of cancer and cancer screening of Korean community residents to identify the stereotypes of cancer and bases for development of improved screening programs for early detection. Subjects were residing in South Korea Gangwon-Province and were over 30 years and under 69 years old. The total was 2,700 persons which underwent structured telephone survey questionnaires considered with specific rates of gender, region, and age. For statistical analysis, PASW Statistics 17.0 WIN was utilized. Frequency analysis, the Chi-square (${\chi}^2$) test for univariate analysis, and logistic regression analysis were performed. The awareness of cancer and cancer screening in subjects differed by gender, region and age. For the idea of cancer, women thought about death less than men (OR: 0.73, p<0.001). On the other hand, women had negative thoughts - fear/terror/suffering/pain/pain - more than their male counterparts (OR: 2.04, p<0.001). Next, for the idea of cancer screening, women recognized fear/terror more than men (OR: 1.38, p<0.01). The higher age, the more tension/anxiety/worry/burden/irritated/pressure (OR: 1.43, p<0.01, OR: 2.15, p<0.001, OR: 2.49, p<0.001)). People may be reminded of fear and death for cancer and of fear, terror, tension and anxiety for cancer screening. To change vague fear and negative attitudes of cancer could increase the rate of cancer screening as well as help to improve the quality of life for community cancer survivors and facilitate return to normal social life. Therefore, it is necessary to provide promotion and education to improve the awareness of cancer and cancer screening.
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