• 한국지역사회생활과학회지
• /
• 제16권2호
• /
• pp.75-91
• /
• 2005

The purpose of this study was to examine the relationship between parenting stress, social support and the social development of preschool children in rural areas. The subject included 114 preschool children, along with their mothers, selected from kindergartens and day care centers in rural areas. The instruments included the parenting stress index, social support inventory and the social maturity scale. The statistics used from this data were t-test, one-way ANOYA(Scheffe test), correlation analysis and multiple regression analysis. This study showed that maternal parenting stress was influenced significantly by the related variables; gender of child, birth order of child, age of mother, educational attainment of mother, family income, religion, family type. And also, social support was influenced significantly by the above variables. The child's social development was influenced significantly by the variables that related child and the family. Correlation analysis indicated that parenting stress and social development of the child were relatively negative high correlation coefficients. And social support and social development of the child were relatively positive high correlation coefficients. The important factors on predicting social development of the child were found to be birth order of child, age of mother, educational attainment of mother, family income, religion, family type, daily stress, stress of difficult child, stress of parent-child dysfunctional interaction, educational distress, husband support, and other support. Especially stress of difficult child and husband support were important variables that predicted the social development of the preschool children.

• 임상간호연구
• /
• 제24권2호
• /
• pp.255-262
• /
• 2018

Purpose: This study aimed to identify the view of life and death among ICU nurses and to analyze the problems related to end-of-life care in the current ICUs. Methods: A descriptive study design was used. The participants were 975 nurses working in the intensive care units of 16 general hospitals. Using a descriptive survey design, data were collected from August to December in 2016 and were analyzed using descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression analysis. Results: As a result of a correlation analysis of the data, Death perception had a significant positive correlation with EOL of nursing attitudes(r=.100, p=.002), and negative correlation with EOL stress care(r=-.221, p=<.001). The regression model explained for individual characteristics in the model, age(${\beta}=.126$, p<.001) and death perception(${\beta}=.182$, p<.001), Satisfaction of the EOL care(${\beta}=.173$, p<.001), Healing training needs on the EOL(${\beta}=-.144$, p<.001) were the most influential factors for EOL stress. Conclusion: Results reveal that ICU nurses have a moderate level of EOL stress, and that individual, age, death perception, Satisfaction of the EOL care, Healing traning needs on the EOL relevant in ICU nurses' EOL stress. Programs or interventions to reduce EOL stress and to should be developed taking into account these multidimensional factors.

• Annals of Geriatric Medicine and Research
• /
• 제22권4호
• /
• pp.194-199
• /
• 2018

Background: The aim of this study was to examine the correlation between the number of remaining natural teeth (NRT) and the appendicular skeletal muscle mass index (SMI) in older adults. Methods: This study was based on data from the 2008-2010 Korea National Health and Nutritional Examination Surveys. The participants were 2,378 older participants (984 men and 1,394 women) aged over 65 years. Survey dentists conducted oral health examinations, and ASM was measured using dual-energy X-ray absorptiometry. Results: The participants with $NRT{\geq}20$ had more ASM and SMI than those with NRT<20 in both sexes. SMI was correlated with NRT in men (r=0.018, p<0.001) and in women (r=-0.007, p<0.001). The positive correlation between the NRT and SMI remained significant in men even after adjusting for age, marital status, income, smoking, drinking, physical activity, protein intake, energy intake, calcium intake, body mass index, fasting blood glucose level, medications, and prostheses (${\beta}=0.011$, p=0.001). In women, the correlation disappeared after adjustment for smoking, alcohol, physical activity, protein intake, energy intake, calcium intake, marital status, income, fasting basal glucose, medication administration, and prostheses. Conclusion: This study showed a correlation between NRT and SMI in those ${\geq}65$ years of age in Korea. The relationship persisted in men, but not in women, even after adjusting for confounders.

• Clinical and Experimental Pediatrics
• /
• 제62권9호
• /
• pp.353-359
• /
• 2019

Background: Researchers have shown that eosinophil peroxidase (EPO) is a relatively accurate marker of eosinophilia and eosinophil activity. However, its use as a marker of eosinophilic inflammation in nasal secretions is limited because the diagnostic cutoff values of EPO for use as a one-time test for allergic diseases such as allergic rhinitis have not been established. Purpose: To identify the correlation between nasal eosinophil count and EPO in children and adolescents with rhinitis. Methods: We recruited patients <18 years of age with rhinitis for more than 2 weeks or more than 2 episodes a year whose nasal eosinophil and EPO were measured at a single allergy clinic. The eosinophil percentage was calculated by dividing the eosinophil count by the number of total cells under light microscopy at ${\times}1,000$ magnification. EPO and protein were measured from nasal secretions. We retrospectively analyzed the correlation between nasal eosinophils and protein-corrected EPO (EPO/protein) value. Results: Of the 67 patients enrolled, 41 were male (61.2%); the mean age was $8.2{\pm}4.0years$. The median nasal eosinophil count was 1 and percentage was 1%. The median protein-corrected EPO value was $12.5ng/{\mu}g$ (range, $0-31ng/{\mu}g$). There was a statistically significant correlation between eosinophil count and percentage (P<0.001). However, the eosinophil percentage and EPO did not correlate. The eosinophil count and EPO had a statistically significant correlation (P=0.01). The EPO cutoff value examined for nasal eosinophil counts of 2, 5, 10, and 20 was $17.57ng/{\mu}g$ regardless of the reference count. The largest area under the curve value was obtained when the receiver operating characteristic curve was drawn using the eosinophil count of 2. Conclusion: Nasal eosinophil count was significantly associated with protein-corrected EPO.

• 한국컴퓨터정보학회논문지
• /
• 제26권1호
• /
• pp.201-208
• /
• 2021

본 연구에서는 2009-2016 보건의료 빅데이터를 활용하여 신체 정보와 혈액 내 지질 농도의 연관성을 다변량 분석하여 주요 요소들 사이의 영향력 정도를 비교 분석함으로써, 한국인의 이상지질혈증 예측모델 개발을 위한 근거를 제시하고자 한다. 3,312,971 명의 건강검진정보 자료를 통해서 신체 정보(나이, 신장, 체중, 허리둘레) 항목과 혈액검사(총콜레스테롤, 중성지방, HDL 콜레스테롤, LDL 콜레스테롤) 항목 간의 다차원적 선형상관관계를 도출하고, 항목 간의 영향력을 정준변량(canonical variate)으로 분석하였다. 그 결과 허리둘레가 크고 체중이 많이 나가면 중성지방이 높아지고 HDL 콜레스테롤 수치가 낮아지는 다차원적 상관관계를 도출하였다. 또한, 나이, 체중, 허리둘레, HDL 콜레스테롤 항목은 그 영향력 정도가 성별에 따라 유의미한 차이를 보였다. 특히, 나이에 따른 영향력의 정도는 체중, 허리둘레, HDL 콜레스테롤 항목이 40-50 전후 여성에게서 뚜렷한 변화를 보였다. 보건의료 빅데이터를 정준상관분석 기법을 적용하여 분석한 다차원적 상관관계는 비침습적인 방법으로 간편하게 측정 가능한 신체정보를 바탕으로 건강 상태를 평가할 수 있는 예측모델을 개발하는 데 활용될 수 있을 것이다.

• 한국보건간호학회지
• /
• 제29권1호
• /
• pp.29-39
• /
• 2015

Purpose: The purpose of this study was to investigate the aging anxiety, factors of successful aging, and preparation for aging in early and late middle-aged people. Methods: The study subjects were 140 middle-aged people aged from 40 to 59. Data were collected using a self-administered questionnaire from August 16 to September 30, 2013. The collected data were analyzed with descriptive statistics, t-test, ${\chi}^2$-test and Pearson correlation coefficient using IBM SPSS 21.0 program. Results: Between early and late middle age, there were statistically significant differences in the subcategories of aging anxiety: fear of loss (t=2.93, p=.004), fear of old people (t=-2.33, p=.021), physical appearance (t=2.32, p=.022), and psychological concerns (t=2.04, p=.043). A statistically significant difference was found between two groups in one subscale of preparation for aging: physical preparation (t=-2.02, p=.045). In early midlife, significant associations were observed between preparation for aging and both aging anxiety (r=.56, p<.001) and factors of successful aging (r=.54, p<.001). In late midlife, preparation for aging and factors of successful aging showed positive correlation (r=.50, p<.001) Conclusion: Results of this study indicate that programs for successful transition to old age in middle-aged people should consider their aging anxiety level and preparation for aging at their stage of life.

• Journal of Preventive Medicine and Public Health
• /
• 제43권2호
• /
• pp.174-184
• /
• 2010

Objectives: This study shows the issues that should be considered when applying standardized rates using Community Health Survey(CHS) data. Methods: We analyzed 2008 CHS data. In order to obtain the reliability of standardized rates, we calculated z-score and rank correlation coefficients between direct standardized rate and indirect standardized rate for 31 major indices. Especially, we assessed the change of correlations according to population composition (age and sex), and characteristics of the index. We used Mantel-Haenszel chi-square to quantify the difference of population composition. Results: Among 31 major indices, 29 indices' z-score and rank correlation coefficients were over 0.9. However, regions with larger differences in population composition showed lower reliability. Low reliability was also observed for the indices specific to subgroups with small denominator such as 'permanent lesion from stroke', and the index with large regional variations in age-related differences such as 'obtaining health examinations'. Conclusions: Standardized rates may have low reliability, if comparison is made between areas with extremely large differences in population composition, or for indicies with large regional variations in age-related differences. Therefore, the special features of standardized rates should be considered when health state are compared among areas.

• Journal of Nutrition and Health
• /
• 제29권1호
• /
• pp.59-69
• /
• 1996

Effects of dietary calcium(Ca), protein, and phosphorus(P) intake on bone mineral density (BMD) were investigated in 129 Korean premenopausal women(age 31-54 years) without diagnosed disease. BMD was measured at the spine(vertebrae L2-4) and femur(neck, Ward's triangle and trochanter). By stepwise multiple regression analysis it was shown that protein, Ca, and P intakes affected most significantly on BMD at the vertebrae L2-4, protein and P intakes affected most significantly on BMD at the femoral neck and Ward's triangle, and body mass index(BMI) affected most significantly on BMD at the trochanteric region. When ate-matched BMD % at the vertebrae L2-4 and all femoral sites was grouped by three levels(<90%, 90-99%, >=100%), only at the vertebrae L2-4>=100% and 90-99% groups had higher Ca intakes than <90% groups. When Ca, protein and P intakes of the recommended level for Korean(RDA) were grouped by three levels (Ca or P ; <=650mg/d, 650-750mg/d, >=750mg/d, Protein ; <=55g/d, 55-60g/d, >=65g/d), only at the vertebrae L2-4>55g/d of protein intake had higher age-matched BMD % than <=55g/d intake, >=750mg/d of Ca and P intakes, age-matched BMD % than <=650mg/d. In RDA range of Ca, protein, and P intakes, age-matched BMD % of the vertebrae L2-4 and all femoral sites was greater than 90%. Correlation between Ca intake and vertebral BMD was examined closer. There was more significant linear correlation between vertebral BMD and Ca intake below 800mg/d(r=0.346, p<0.0001)than above(r=0.376, p<0.019), implying a threshold effect and vertebral BMD was better expressed as a function of the logarithm of calcium intake(r=0.3881, p<0.0001). These results suggest that Ca, protein, and P intakes greater than RDA help to maintain proper BMD in middle-aged prementopausal women. Especially dietary Ca have important role in increasing the vertebral BMD and 800mg/d of Ca intake is optimum amount.

• Childhood Kidney Diseases
• /
• 제10권2호
• /
• pp.132-141
• /
• 2006

Purpose : This study was aimed to determine the predictive risk factors for the treatment response and relapse rate in children diagnosed with idiopathic nephrotic syndrome. Methods : We analyzed the medical records of children who were diagnosed and treated for childhood idiopathic nephrotic syndrome from November 1991 to May 2005. Variables selected in this study were age at onset, sex, laboratory data, concomitant bacterial infections, days to remission, and interval to first relapse. Results : There were 46 males and 11 females, giving a male:female ratio of 4.2:1. The age($mean{\pm}SD$) of patients was $5.8{\pm}4.1$ years old. Of all patients who were initially given corticosteroids, complete remission(CR) was observed in 54(94.7%). Of the 54 patients who showed CR with initial treatment, 40(70.2%) showed CR within 2 weeks and 14(24.6%) showed CR after 2 weeks. The levels of serum IgG were lower in the latter group who showed CR after 2 weeks(P=0.036). Of the 54 patients who showed CR with initial treatment, 47(82.5%) relapsed. Of these patients, 35.1% were frequent relapsers and 43.9% were infrequent relapsers. There was no significant correlation between the frequency of relapse and the following variables : sex, days to remission, and laboratory data. However, age at onset and interval to first relapse had a negative correlation with the frequency of relapse(Pearson's coefficient=-0.337, -0.433, P<0.012, P<0.01). Conclusion : The age at onset and the interval to first relapse were found to be predictive clinical parameters for the relapse rate, while the levels of serum IgG at initial presentation were a predictive laboratory factor for treatment response in childhood idiopathic nephrotic syndrome.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권18호
• /
• pp.8451-8454
• /
• 2016

Background: Gallbladder cancer (GBC) is a rare but highly invasive malignancy characterized by poor survival. In a national cancer survey, the age-standardized incidence rate of GBC was highest in Jeju Island among the 15 provinces in South Korea. The aim of this descriptive epidemiological study was to suggest the modifiable risk factors for this rare malignant disease in Jeju Island by performing an age-sex-matched case-control study. Materials and Methods: The case group included patients diagnosed with GBC at the Department of Internal Medicine of Cheju Halla General Hospital, Jeju, South Korea, within the 5-year study period. The control group consisted of age-sex-matched subjects selected from among the participants of the health promotion center at the same institute and in the same period. We compared 78 case-control pairs in terms of clinical variables such as histories of hypertension, diabetes, vascular occlusive disorders, alcohol and smoking consumption, obesity, and combined polypoid lesions of the gallbladder (PLG) or gallstone diseases (GSDs). Results: Among the relevant risk factors, alcohol consumption, parity ${\geq}2$, PLG, and GSDs were significant risk factors in the univariate analysis. PLG (p < 0.01; OR, 51.1; 95% confidence interval [CI], 2.98-875.3) and GSD (p < 0.01; OR, 54.9; 95% CI, 3.00-1001.8) were associated risk factors of GBC in the multivariate analysis with the conditional logistic regression model. However, we failed to find any correlation between obesity and GBC. We also found a negative correlation between alcohol consumption history and GBC in the multivariate analysis (p < 0.01; OR, 0.06; 95% CI, 0.01-0.31). Conclusions: These results suggest that combined PLG and GSDs are strongly associated with the GBC in Jeju Island and mild to moderate alcohol consumption may negatively correlate with GBC risk.