• Asian Pacific Journal of Cancer Prevention
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• v.17 no.10
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• pp.4681-4688
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• 2016

Objective: Our aim was to estimate whether diabetes mellitus (DM) may be associated with an increased risk of colorectal cancer (CRC) mortality in Japan. Methods: The Japan Collaborative Cohort (JACC) Study is a nationwide prospective study, initiated in 1988, which involves 110,585 subjects (age range: from 40 to 79 years; 46,395 males and 64,190 females). Our present analysis population comprised 96,081 (40,510 men and 55,571 women) who provided details on DM history. The questionnaire also included age, sex, weight, height, family history of CRC, smoking, drinking and exercise habits, and education. Cox proportional-hazard regression was used to estimate the hazard ratio (HR). We used SPSS 21 software to analyze all data. Results: Among the participants with DM, we followed up for 71,174 person-years and 640. deaths from CRC were confirmed; and, among the non-diabetic participants, 785 CRC deaths were identified during 1,499,324 person-years. After adjusting for multivariate confounding factors, such as age, sex, body mass index (BMI), family history of colorectal cancer, smoking habit, drinking habit, physical activity (sports and walking) and education, DM was associated with an increased risk of CRC death (HR 1.4, 95% confidence interval [CI] 1.0-2.0). Diabetic women, but not diabetic men, experienced increased mortality from CRC (HR 1.7, 95% CI 1.0-3.0). Conclusion: The risk of CRC mortality is significantly increased in both sexes and women with diabetes, but no significant increase was seen for diabetic men among Japanese.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6523-6528
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• 2013

Background: Cigarette smoking is the largest single recognized cause of human cancers. In Western countries, many epidemiologists have reported risk factors for kidney cancer including smoking. However, little is known about the Japanese population. Materials and Methods: We evaluated the association of smoking with the risk of kidney cancer death in the Japan Collaborative Cohort (JACC) Study. Participants included 46,395 males and 64,190 females. The Cox proportional hazards model was used to determine age-and-sex adjusted relative risks. Results: A total of 62 males and 26 females died from kidney cancer during the follow-up of 707,136 and 1,025,703 person-years, respectively. Heavy smokers (Brinkman index >1200), fondness of fatty foods, hypertension, diabetes mellitus (DM), and obesity were suggested to increase the risk of renal cell carcinoma while walking was suggested to decrease the risk. Even after controlling for age, sex, alcohol drinking and DM, heavy smoking significantly increased the risk. Conclusions: The present study suggests that six factors including smoking may increase and/or reduce the risk of kidney cancer in the Japanese population. Because of the small number of outcomes, however, we did not evaluate these factors after adjusting for all possible confounding factors. Further studies may be needed to confirm the findings in this study.

• Korean Journal of Applied Biomechanics
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• v.26 no.2
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• pp.213-220
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• 2016

Objective: The purpose of this study was to investigate the effect of an 8-week ProBody massage program on body alignment and plantar pressure balance in middle-aged men with musculoskeletal diseases. Method: The subjects of this study were 20 middle-aged men with musculoskeletal diseases in B Metropolitan City who participated in an 8-week ProBody massage program conducted twice a week. Physical characteristics (height, weight, and body mass index), body alignment, and plantar pressure were assessed before and after the experiment. Results: The 20 middle-aged men with musculoskeletal diseases who underwent the ProBody massage program showed positive changes in physiological characteristics, body alignment, and plantar pressure balance. Conclusion: Consequently, the 8-week ProBody massage program was suggested to be effective for improving and preventing postural imbalance in middle-aged men with musculoskeletal diseases. The ProBody massage program could also be utilized to improve the body alignment and plantar pressure balance in middle-aged women with musculoskeletal diseases.

• Journal of Korean Academy of Nursing
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• v.37 no.4
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• pp.453-458
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• 2007

Purpose: The purpose of this study was to compare metabolic syndrome (MS) risk factor prevalence by obesity and age in middle-aged women. Method: Two hundred and fifty-one subjects were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adult Treatment Panel III)(ATP III), and obesity was determined by body mass $index(BMI){\geq}25kg/m^2$. Results: The mean blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. The prevalence of MS, hypertension, and impaired fasting glucose were significantly higher in the obese group than in the non-obese group. In the forties, blood pressure was significantly higher in the obese group than in the non-obese group. In the fifties, body fat, systolic blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. Conclusions: These results show that the nurse should focus on the obese fifty year old female patients for improvement of the MS risk factors.

• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.426-435
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• 2006

Purpose: The purpose of this study was to explore the predictors of cardiovascular risk factors among type 2 diabetic patients. Method: Data were collected from November, 2003 to June, 2004 using a physiological index and questionnaires. Patients(N=159) aged 40 and above were conveniently recruited from health care centers in B city. Data were analyzed with descriptive statistics, Pearson correlation and stepwise multiple regression using SPSS WIN 10.0 program. Results: The cardiovascular risk factors were negatively related with female gender, household monthly income, educational experience about diabetes, physical activity, self-care, self-efficacy and problem oriented coping, while positively related with the duration of diabetes, diabetic family history and depression. Self-care, diabetic family history, female gender, monthly household income, self-efficacy, affective-oriented coping and physical activity predicted 41.5% of the variance in cardiovascular risk factors of diabetic patients. Conclusion: According to the findings of this study, we concluded that cardiovascular risk factors of type 2 diabetic patients are related to the modifiable and non-modifiable variables. Self-care, self-efficacy, affective oriented coping, and physical activity were identified as modifiable variables. Intervention programs to increase those variables are warranted to reduce cardiovascular risk factors among type 2 diabetic patients.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.521-533
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• 2018

Purpose: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. Methods: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. Results: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. Conclusion: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.

• The Korean Journal of Food And Nutrition
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• v.17 no.4
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• pp.356-367
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• 2004

This study was performed to evaluate the effectiveness of a nutritional education program conducted by public health center in Jinju city for obese women. The subjects of this study consisted of 27 obese women(BMI $\geq$ 25) aged 35∼55 years in Jinju area, and the educational period was 6 weeks. We evaluated the anthropometric parameters and biochemical indices, dietary habits, dietary behaviors, nutritional attitude of obese women before and after the nutritional education. And also daily intake during the educational period were measured. Weight, obesity index, BMT, waist circumferences and hip circumferences of obese women were significantly decreased(p<0.001) after nutritional education, but changes of WHR, systolic blood pressure and diastolic blood pressure were not significant. There were no significant difference in total cholesterol, HDL-cholesterol, LDL-cholesterol, triglyceride, LDH and blood glucose level in serum before and after the nutritional education, but the indices tend to decrease after the nutritional education. There was significantly different change of dietary behaviors in 3 items among the dietary behavior after the nutritional education. Their dietary habit, dietary behavior and nutritional attitude scores were significantly improved after the nutritional education. Mean daily energy intakes was low compared with the RDA as 78.88%. The average carbohydrates, protein, fat ratio on the energy intakes was 63 : 17 : 20. The proportion of energy intake from snacks the was 12.91${\pm}$6.15%.

• Journal of the Korean Society of Physical Medicine
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• v.11 no.3
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• pp.81-88
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• 2016

PURPOSE: This study was aimed at investigating the types of gender roles and the relationship between gender roles and job satisfaction among neurological physical therapists. METHODS: The study subjects were 169 (male 74, female 95) neurological physical therapists working at general hospitals or rehabilitation centers in the Daejeon Metropolitan City area, South Korea. To identify job satisfaction scores, the subjects completed a questionnaire, and a vernier caliper was used by a trained examiner to measure the lengths of the subjects' index and ring fingers (i.e., digitus secundus manus and digitus annularis, respectively) to examine gender roles. The index to ring finger length ratio (i.e., 2D:4D ratio) was calculated using a personal computer. An independent t-test was performed to compare the finger length ratio and job satisfaction of male group with that of the female group and a correlation analysis was performed to examine job satisfaction by gender roles. RESULTS: Finger length ratio is lower in males than in females. However, there was no significant difference statistically (p>.05). Regarding job satisfaction by gender, males were more satisfied with their jobs than females (p<.05). However, there were no significant correlations between job satisfaction and gender roles (p>.05). CONCLUSION: It cannot be concluded that bias against gender roles is a contributing factor for neurological physical therapists being satisfied with their job, and thus bias against gender roles among neurological physical therapists should be removed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6317-6323
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• 2013

The aim of this study was to determine the association between the Body Mass Index (BMI), weight perception and depression-like symptoms in Korean middle school students. The data was obtained from the 2012 Korea Youth Risk Behavior Web-based Survey. The subjects were 37,297 students living in the community. Adjusting for covariates (sex, school year, home economics, city-type, school record, self-reported happiness, self-reported health status, suicidal thinking, smoking, alcohol consumption), the self-reported obesity (OR=1.14, 95% CI: 1.06-1.22) and self-reported underweight (OR=1.11, 95% CI: 1.03-1.20), compared to the self-reported healthy weight, were more likely to have depression-like symptoms. On the other hand, the BMI-based weight was not associated independently with depression-like symptoms. These findings suggest that weight perception is significantly associated with depression-like symptoms.

• Journal of Korean society of Dental Hygiene
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• v.12 no.4
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• pp.675-684
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• 2012

Objectives : The purpose of this study was to develop an instrument for Korean Scaling Fear (KSF)-1.1 in scaling patients. Methods : 402 sample size for scaling patients was studied in Daegu city in July and August of 2011. Mean and standard deviation was calculated in 3 dimensions(FWS: fear while scaling, DDH: distrust on dental hygienist, FAS: fear after scaling). Results : Age of 402 subjects was 36.5 years. In analyzing reliability for item-level, a range of correlation coefficient(${\alpha}$) on item-internal consistency(FWS, DDH, and FAS) was 0.58~0.88(${\alpha}$=0.90), 0.40~0.71(${\alpha}$=0.82), and 0.54~0.63(${\alpha}$=0.82), respectively. Floor(%) and ceiling(%) value on 3 dimensions were also 9.2% and 4.0%, 12.4% and 0.5%, and 17.7% and 1.2%, respectively, therefore, we found statistically high reliability for those(p<0.001). With explanatory factor analysis, this study could generate 3 dimensions(factor 1, eigenvalue 5.41, proportion 0.49; factor 2, eigenvalue 1.50, proportion 0.14; factor 3, eigenvalue 1.04, proportion 0.09) and 11 sub-scales. Also confirmatory factor analysis results showed that the KSF1.1 model was fitted very well in analysis of model fit($x^2$=112.94, df=41, p=0.000; goodness of fit index=0.95; adjusted goodness of fit index=0.92; root mean square residual=0.057). Conclusions : In conclusion, The findings of this study showed that developed reliable and valid instrument for measuring the KSF1.1 in the scaling patients.