• Title/Summary/Keyword: Gender Classification

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Determinants of Amount of Service Use in Community-Based Long-term Care for Elders (노인장기요양보험 재가서비스 이용량 결정요인)

  • Lee, Taewha;Kim, Bok Nam
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.4
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    • pp.402-413
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    • 2012
  • Purpose: This study was done to explore factors related to amount of service use for elders with long-term care needs. Methods: A descriptive-correlation design was used. The sample included 259 elders and their primary caregivers who had cared for the elders for at least 6 months. Data on long-term care need assessment, service use and interviews with primary caregivers were analyzed. Results: There was no significant relationship between the sociodemographic characteristics and the amount of services use. Amount of service use differed significantly by Long-term care classification. The mean scores for class 1, 2 and 3 were 22.68, 21.47 and 17.87 days respectively. Primary caregiver relationship with the elders and the number of family-friend helpers were also significant. Multivariate regression analysis showed that gender, marital status, activities of daily living, cognitive impairment, and secondary caregiver support explained 17% of the total variance of service use among these elders (F=3.50, p<.001). Conclusion: The results of this study indicate that critical factors including secondary caregiver support and individual background, and other functional dependencies except for physical function should be considered in accurately predicting the amount of service use for community dwelling elders with long-term care needs.

A Classification of Sitting Strategies Based on Seating Pressure Distribution (운전석 체압분포 기반의 착좌전략 분류)

  • Choi, Younggeun;Park, Jangwoon;Lee, Baekhee;Jung, Kihyo;Sah, Sungjin;You, Heecheon
    • Journal of Korean Institute of Industrial Engineers
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    • v.39 no.2
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    • pp.105-108
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    • 2013
  • Drivers' sitting strategies are considered in car seat design. Existing research has identified representative sitting strategies by visual inspection of seating pressure measurements collected from a small sample size of drivers. The present study recruited 20 female and 20 male participants, measured seating pressure, and classified sitting strategies by cluster analysis. The participants' sitting postures were classified based on seating pressure distribution into mid-back and scapular, mid-back and lumbar, and lumbar sitting strategies for the upper body and hip concentrated, hip and mid-thigh concentrated, and hip and mid-thigh distributed sitting strategies for the lower body. The effects of gender and occupant package layout (OPL) on sitting strategy were nout found significant. The identified sitting strategies would be of use for the design and evaluation of an OPL and a seat.

Are PIK3CA Mutation and Amplification Associated with Clinicopathological Characteristics of Gastric Cancer?

  • Lee, Hyunsu;Hwang, Il-Seon;Choi, In-Jang;Kang, Yu-Na;Park, Keon-Uk;Lee, Jae-Ho
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4493-4496
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    • 2015
  • Alterations in mitochondrial DNA (mtDNA) have been studied in various cancers. However, the clinical value of mtDNA copy number (mtCN) alterations in gastric cancer (GC) is poorly understood. In the present study, we investigated whether alterations in mtCNs might be associated with clinicopathological parameters in GC cases. mtCN was measured in 109 patients with GC by real-time PCR. Then, correlations with clinicopathological characteristics were analyzed. mtCN was elevated in 64.2% of GC tissues compared with paired, adjacent, non-cancerous tissue. However, the observed alterations in mtCN were not associated with any clinicopathological characteristics, including age, gender, TN stage, Lauren classification, lymph node metastasis, and depth of invasion. Moreover, Kaplan-Meier survival curves revealed that mtCN was not significantly associated with the survival of GC patients. In this study, we demonstrated that mtCN was not a significant marker for predicting clinical characteristics or prognosis in GC.

The Perception of Elementary Students Regarding Sedimentary Rock (초등학생들의 퇴적암에 대한 인식 조사)

  • Kim, Deok-Ho;Hong, Seung-Ho
    • Journal of Korean Elementary Science Education
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    • v.33 no.2
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    • pp.258-272
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    • 2014
  • The purpose of this study is to investigate the perception on sedimentary rock in elementary science 'Earth and Space' domain for elementary school students. For this purpose, questionnaires on the sedimentary rock perception were developed. And the sedimentary rock perception was examined for random sampling of 5th and 6th grade 656 students. As a result, students chosen incorrect answers of the average 53.8% for questions of sedimentary rock perception. Over the average rate of incorrect answers in 18 questions were 10 questions (3 in the creation of sedimentary rock, 5 in the classification of sedimentary rock, 2 in the sedimentary layer). When the results were stratified by residence, grade and gender, there were significant differences in 8 questions between students in urban and rural areas, in 6 questions between 5th and 6th grade students, and in 3 questions between male and female students. The study that understanding of elementary students for sedimentary rock can be provided for form the master planning the teaching strategy to student's scientific concepts in elementary school. The results are also contributed to find an effective ways for modify misconceptions of sedimentary rock to the scientific concepts.

Factors Influencing Depression in low-income Elderly living at home based on ICF model (ICF 모델에 근거한 저소득 재가노인의 우울에 영향을 미치는 요인에 대한 연구)

  • Han, Suk Jung;Kim, Hyo Sun
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.333-346
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    • 2014
  • Purpose: This study was conducted in order to identify factors that influence depression for low-income elderly who live at home from the International Classification of Functioning model (ICF). Methods: The subjects were 205 elderly people living at home in two public health centers located in metropolitan cities. Subjects were divided according to their depression scores, which were measured using the GDS-short form, including normal, risk, and depression groups. Each variable was consistent with factors of the ICF model, including health condition, individual factors, environmental factors, body function, activities, and participation. Data were collected using structured questionnaires. ANOVA, $x^2$, Pearson's correlation coefficient, and Multinomial logistic regression with IBM SPSS 21.0 were used for analysis of the data. Results: Statistically significant differences were observed among normal, risk, and depression groups regarding personal factors. Gender, education level, numbers of diseases, perceived health, life satisfaction, and social support were identified as the variables that had a significant impact on depression of low-income elderly living at home. Conclusion: Results of this study indicate that there is a need for construction and implementation of strategies that strengthen life satisfaction and social support in order to lower depression of low-income elderly.

Analysis of Cardiovascular Medication Use in Dementia Patients (치매환자에서의 심혈관계 약물사용 분석)

  • Rhew, Kiyon
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.3
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    • pp.136-142
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    • 2017
  • Background: Dementia is one of important social and economic healthcare issues in the aging age. Therefore, it signifies to analyze the relationship between chronic disease or cardiovascular drug use and the incidence of dementia to establish a basis for increasing or preventing the risk of dementia. The purpose of this study was to investigate the correlation between the prevalence of chronic diseases and the use of cardiovascular drugs in patients diagnosed with dementia. Methods: In this study, we used data from sample of elderly patients from the Health Insurance Review and Assessment Service. We analyzed by logistic regression analysis with age, gender, and medication as covariates. KCD-7 was used to diagnosis of the disease, and drugs were analyzed using ATC codes and Korean standardized drug classification codes. Results: A total of 1,276,331 patients were analyzed in the sample of the elderly population, of which 532,075 (41.7%) were male and 744,256 (58.3%) were female. The patients have the higher risk of dementia in the older, women, and lower socioeconomically status. Cerebral infarction and ischemic heart disease increases risk of dementia. Patients taking statins, angiotensin converting enzyme inhibitor (ACEI) or angiotensin II receptor antagonists (ARB) showed low incidence of dementia. Conclusion: This study has been shown that ACEI, ARB, and statin drugs may associate with lower incidence of Alzheimer's and other dementia except vascular dementia.

Voice Quality of Dysarthric Speakers in Connected Speech (연결발화에서 마비말화자의 음질 특성)

  • Seo, Inhyo;Seong, Cheoljae
    • Phonetics and Speech Sciences
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    • v.5 no.4
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    • pp.33-41
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    • 2013
  • This study investigated the perceptual and cepstral/spectral characteristics of phonation and their relationships in dysarthria in connected speech. Twenty-two participants were divided into two groups; the eleven dysarthric speakers were paired with matching age and gender healthy control participants. A perceptual evaluation was performed by three speech pathologists using the GRBAS scale to measure the cepstrual/spectral characteristics of phonation between the two groups' connected speech. Correlations showed dysarthric speakers scored significantly worse (with a higher rating) with severities in G (overall dysphonia grade), B (breathiness), and S (strain), while the smoothed prominence of the cepstral peak (CPPs) was significantly lower. The CPPs were significantly correlated with the perceptual ratings, including G, B, and S. The utility of CPPs is supported by its high relationship with perceptually rated dysphonia severity in dysarthric speakers. The receiver operating characteristic (ROC) analysis showed that the threshold of 5.08 dB for the CPPs achieved a good classification for dysarthria, with 63.6% sensitivity and the perfect specificity (100%). Those results indicate the CPPs reliably distinguished between healthy controls and dysarthric speakers. However, the CPP frequency (CPP F0) and low-high spectral ratio (L/H ratio) were not significantly different between the two groups.

Prevalence and Risk of Constipation among the Institutionalized Elderly (요양시설노인의 변비관리 실태와 변비 위험 정도)

  • Park, Ae-Ja;Lim, Nan-Young;Kim, Yoon-Shin;Song, Jung-Hee
    • Journal of East-West Nursing Research
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    • v.17 no.1
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    • pp.57-65
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    • 2011
  • Purpose: The purpose of this study was to determine actual state and risk of constipation in the institutionalized elderly. Methods: A descriptive design was used with convenience sampling of 365 institutionalized elderly. Data were collected using a structured questionnaire. Results: 1) The constipation rate was 29.3%, the elderly had irregular bowel habit was 73.7%. 2) The 25.2% of the elderly was administrated laxatives. 3) High risk of constipation was 1.1%, moderate risk was 15.1%, and mild risk was 44.2% respectively 4) Risk of constipation showed significantly differences according to age, admission periods and daily fluid intake. 5) State of mobility, long-term care classification, gender, digestants and type of diet were explained 63% of risk of constipation. Conclusion: The institutionalized elderly showed a tendency toward high risk of constipation. So, effective management and application of nonpharmacologic therapy for constipation in the institutionalized elderly was needed.

The Effects of Activity and Family Support on the Participation Restriction of Chronic Stroke Patients (만성 뇌졸중 환자의 참여제한에 활동과 가족지지가 미치는 영향)

  • Kim, Won-Ho
    • Physical Therapy Korea
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    • v.19 no.1
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    • pp.76-85
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    • 2012
  • The purpose of this study was to identify the factors determining the participation restriction of chronic stroke patients based on international classification of functioning, disability, and health (ICF) model. Sixty-eight stroke patients participated. The participants were assessed participation restriction using the Korean version of London handicap scale (K-LHS), modified Barthel index (K-MBI) to measure activities of daily living, Berg balance scale (K-BBS) to assess balance, and the center for epidemiologic studies depression (K-CES-D) to gauge depression. Also, 3 minutes walking test (3MWT), gait velocity, asymmetric posture, and family support were assessed. A stepwise multiple regression analysis was used to explore the factors determining participation restriction. There were no significant different in the K-LHS and K-MBI results by gender (p>.05). Correlations between the K-LHS and K-MBI (r=-.656), K-BBS (r=-.543), K-CES-D (r=.266), 3MWT (r=-.363), gait velocity (r=.348), and family support (r=-.389) were significant (p<.05). Also, the K-MBI and family support were the factors that determined participation restriction (p<.05) and that 40.2% of the variation in the K-LHS can be explained. Therefore, it is suggested that evaluation and intervention of patient's activity level and extent of family support is necessary to reduce participation restriction of chronic stroke patients.

Is Mitochondrial DNA Copy Number Associated with Clinical Characteristics and Prognosis in Gastric Cancer?

  • Lee, Hyunsu;Lee, Jae-Ho;Kim, Dong-Choon;Hwang, IlSeon;Kang, Yu-Na;Gwon, Gi-Jeong;Choi, In-Jang;Kim, Shin
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.87-90
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    • 2015
  • Alterations in mitochondrial DNA (mtDNA) have been studied in various cancers. However, the clinical value of mtDNA copy number (mtCN) alterations in gastric cancer (GC) is poorly understood. In the present study, we investigated whether alterations in mtCNs might be associated with clinicopathological parameters in GC cases. mtCN was measured in 109 patients with GC by quantitative real-time PCR. Then, correlations with clinicopathological characteristics were analyzed. mtCN was elevated in 64.2% of GC tissues compared with paired, adjacent, non-cancerous tissue. However, the observed alterations in mtCN were not associated with any clinicopathological characteristics, including age, gender, TN stage, Lauren classification, lymph node metastasis, and depth of invasion. Moreover, Kaplan-Meier survival curves revealed that mtCN was not significantly associated with the survival of GC patients. In this study, we demonstrated that mtCN was not a significant marker for predicting clinical characteristics or prognosis in GC.