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Falls among Community Dwelling Elderly People: Prevalence and Associated Factors (일부 농촌지역 노인들의 낙상발생과 관련된 요인)

  • Cho, Young-Chae;Yoon, Hyun-Suk
    • Journal of agricultural medicine and community health
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    • v.29 no.2
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    • pp.223-235
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    • 2004
  • Objectives: This study was to evaluate the actual condition of falls among community-dwelling elderly people and its related factors to prepare for the establishment of comprehensive prevention programs of senior population. Methods: The study subjects included 460 home residents over 65 years in a district of Chungnam Province and interviews were given to all of them, asking about experiences of falls and their related factors. The analysis of study results came to the following conclusions. Results: The rate of falls among total subjects was 35.5%. With the percentage by age and sex, over 70's and female were significantly higher than male(p=0.000) and under 69 (p=0.008). The groups with poor visual acuity and hearing ability had higher rate of falls than the normal groups based on their health status. In terms of place they experienced falls, out-door occurrence accounted for 53.4% of total falls, which was higher 46.6% of in-door. By season when falls are experienced, "winter" showed the greatest rate, and by time of the day, evening had the highest rate. By causes of falls, "Slippery ground"accounted for 30.5% and "Tumbled over" 23.5% of total falls, respectively, showing the major role of environmental causes for falls. For individual factors, "Irritability" and "Carelessness" occupied 11.3%, 10.8% of total falls, respectively. The Odds Ratios for falls in women was 2.19 times higher than in men, and those in 70's are 2.01 times higher than in 60's, and those with abnormal BMI was 3.68 times higher than in normal groups, and those with perceived symptoms was 1.94 times higher than those without. Conclusions: It is suggested that more consideration should be directed toward taking comprehensive and systematic prevention measures ranging from setting-up the injury-protective environments to allowing senior citizens to have competence in ADL activity as well as proper general health conditions, considering the higher rate of falls for elderly persons in a rural part of this country than that of western countries and the greater proportion of falls which can be ascribed to environmental factors.

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The Effect of Metabolic Syndrome Management Program in a Public Health Center (일개 보건소 대사증후군 관리프로그램의 효과분석)

  • Seo, Jae-Ryoung;Bae, Sang-Soo
    • Journal of agricultural medicine and community health
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    • v.36 no.4
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    • pp.264-279
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    • 2011
  • Objectives: The aims of this study were to evaluate the effect of a metabolic syndrome management program on participants enrolled in a public health center program in, Seoul, Korea for 6 months and to analyze the changes in their life habits and risk factors for treating their metabolic syndrome. Methods: Participants enrolled in a metabolic syndrome program at a public health center and answered questionnaires. Their waist circumference and, blood pressure were measured and their blood was tested. Based on the results, the participants were classified into 3 groups. Then, the center provided a metabolic syndrome management intervention program for the individual groups and analyzed the changes in participants' life habits and risk factors after 6 months. Results: After the intervention, the active group, showed improved physical activity, increased eating habits by 0.7 points, and decreased drinking and smoking; however, these results were not statistically significant. As for the Participants' overall health status, all groups positively changed a statistically significant result. In regard to the change in risk factors for metabolic syndrome in the active group, systolic and diastolic blood pressure and triglyceride levels were, statistically significantly decreased, meanwhile, an increase was found in HDL cholesterol level, waist measurement, and anteprandial glucose level; but the result were not statistically significant. Their review rate was 19.0%; 29.4% in the active group, 19.0% in motivating group A, and 14.5% in motivating group B. Conclusions: Participants showed changes in some life habits and risk factors, a result still far from the program's goal to improve residents' health status (improved living habits and variations in risk factors); thus, it is necessary to supplement this program for better performance.

Needs Assessment for the Beneficiaries of Home-Based Cancer Patients Management Project (보건소 재가암환자관리사업 대상자의 서비스 요구도 분석)

  • Lee, Ju-Hyung;Park, Jung-Im;Kang, Ji-Hoon;Youm, Jung-Ho;Koh, Dai-Ha;Kwon, Keun-Sang
    • Journal of agricultural medicine and community health
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    • v.36 no.4
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    • pp.238-250
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    • 2011
  • Objectives: This study was performed to investigate the service needs of the beneficiaries who had enrolled in home-based management programs for cancer patients. Methods: From March to May 2009, 676 cancer patients who were registered in home-based cancer patient management programs were selected as subjects for this study. The data were collected using a questionnaire along with a face-to-face interview performed by officers in charge of the home-based care programs of 47 regional health centers. Fifteen patients were excluded due to incomplete data, leaving 661 subjects who were ultimately enrolled in the study. Results: The mean age of subjects was $64.0{\pm}2.5$ years, and males comprised 45.1% (298/661) of the sample. The results of factor analysis for service needs showed that there were five main categories and Cronbach's alpha ranged from 0.593 to 0.890 for each factor. The service needs categories in order of importance were social support, information and education, psychological problems, physical symptoms and household chores. The service needs scores were significantly different when subjects were stratified by age, habitation, religion and disease classification. When we divided the subjects into complete remission, under treatment and terminally ill groups, the needs scores of the terminally ill patient group were significantly higher than those of the other groups (p<0.001). Conclusions: Service provision based on patient and beneficiary needs could be an effective intervention to reduce the economic burden of cancer management and to improve the quality of life of cancer patients receiving home-based care. Therefore, it is recommended that individual cancer patient care programs be developed and administered according to patient age, habitation and disease severity.

CHARACTERISTICS OF DETAINED DELINQUENT ADOLESCENTS AND VARIABLES RELATED TO THE REPEATED CRIME DURING 6 MONTHS AFTER RELEASE (구속된 비행 청소년들의 특성 및 석방 후 6개월간 재범여부와 관련된 변인)

  • Kim, Won-Sik;Koh, Seung-Hee;Koo, Yong-Jin;Kim, Hong-Chang;Suh, Dong-Hyuck;Chung, Sun-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.201-211
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    • 1999
  • Objectives:This study investigated the characteristics of detained delinquent adolescents and variables related to the repeated crime during 6 months after release. Methods:The socio-demographic and crime-related characteristics of 73 detained adolescents were evaluated by semi-structured interviews and police records, and the psychological characteristics of them measured by the MMPI. We also compared the characteristics between subjects with and without repeated crime during 6 months after release. Results:1) Most of detained adolescents had families with low socioeconomic status(77%) and broken families(48%). Sixty-six percent of them were dropped out of school. The most frequent crime pattern was theft(49%), and with accomplice(77%). Seventy-five percent of total subjects had the records of previous conviction. Of the previous convictions, seventy-eight percent was same with the present crimes. 2) Subjects with repeated crime during 6 months after release were younger and had higher T-score on Pa scale of MMPI than the subjects without repeated crime. More adolescents with repeated crime had broken families than those without repeated crime. They also showed the crime-related characteristics of higher percent of theft among crime patterns, higher incidence of previous conviction, younger age of the first crime, and shorter crime-free duration from the last to present crime. Conclusion:These results of present study suggest that the development and the persistence of adolescent delinquency would be resulted from interaction of factors of individual, family, school, and community. By the comparison between subjects with and without repeated crime, it was found that familial dysfunction, younger age at first crime, presence of previous conviction might be the risk factors for repeated delinquency. To prevent repeated crime of delinquent adolescents more effectively, early therapeutic intervention and the development of programs to help adaptation in school and community would be essential.

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NEW ANTIDEPRESSANTS IN CHILD AND ADOLESCENT PSYCHIATRY (소아청소년정신과영역의 새로운 항우울제)

  • Lee, Soo-Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.12-25
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    • 2003
  • Objectives:As increasing number of new antidepressants have been being introduced in clinical practice, pharmacological understanding has been broadened. These changes mandate new information and theories to be incorporated into the treatment process of children with depressive disorders. In light of newly coming knowledge, this review intended to recapitulate the characteristics of new antidepressants and to consider the pivotal issues to develope guidelines for the treatment of depression in childhood and adolescence. Methods:Searching the Pub-Med online database for the articles with the key words of 'new', 'antidepressants' and 'children' ninety-seven headings of review articles were obtained. The author selected the articles of pertinent subjects in terms of either treatment guideline or psychopharmacology of new antidepressants. When required, articles about the clinical effectiveness of individual antidepressants were separatedly searched. In addition, the safety information of new antidepressants was acquired by browsing the official sites of the United States Food and Drugs Administration and Department of Health and Human Services. Results:1) For the clinical course, treatment phase, and treatment outcome, the reviews or treatment guidelines adopted the information from adult treatment guidelines. 2) Systematic and critical reviews unambiguously concluded that selective serotonin reuptake inhibitors(SSRIs) excelled tricyclic antidepressants( TCAs) for both efficacy and side effect profiles, and were recommend for the first-line choice for the treatment of children with depressive disorders. 3) New antidepressants generally lacked treatment experiences and randomized controlled clinical trials. 4) SSRIs and other new antidepressants, when used together, might result in pharmacokinetic and/or pharmacodynamic drug-to-drug interaction. 5) The difference of the clinical effectiveness of antidepressants between children and adults should be addressed from developmental aspects, which required further evidence. Conclusion:Treatment guidelines for the pharmacological treatment of childhood and adolescence depression could be constructed on the basis of clinical trial findings and practical experiences. Treatment guidelines are to best serve as the frame of reference for a clinician to make reasonable decisions for a particular therapeutic situation. In order to fulfill this role, guidelines should be updated as soon as new research data become available.

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Influence of Nutrient Supply on Growth, Mineral Nutrients and Carbohydrates in Cucumber (Cucumis sativus L.) (무기영양액 농도 차이가 오이 생육, 무기성분 흡수 및 탄수화물 합성에 미치는 영향)

  • Sung, Jwa-Kyung;Park, Sung-Yong;Lee, Su-Yeon;Lee, Ye-Jin;Lee, Ju-Young;Jang, Byong-Choon;Goh, Hyun-Gwan;Ok, Yong-Sik;Kim, Tae-Wan;Song, Beom-Heon
    • Korean Journal of Soil Science and Fertilizer
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    • v.43 no.1
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    • pp.83-89
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    • 2010
  • We investigated the growth of cucumber plants, the uptake and use of mineral nutrients, such as $NO_3$-N, $NH_4$-N, $K^+$, $Ca^{+}^{+}$, $Mg^{+}^{+}$ and $Na^+$, absorbed from media solution, and the synthesis and distribution of soluble sugars under nutrient-deficient condition. Difference in plant growth revealed after 20 days of treatment. Nitrate uptake in nutrient-deficient condition was significantly reduced compared with nutrient-normal treatment, and its distribution was primarily in petioles, stem, roots and less in leaves. In contrast, ammonium content was markedly predominated in fast growing organs, and it was significantly different in growing leaves, expanded leaves, and roots under similar growth conditions. $K^+$, lack by deficient nutrient condition, was found in growing leaves. The $Ca^{+}^{+}$ content did not show significant difference between treatments and a substantial portion of $Ca^{+}^{+}$ remained in petioles. The $Mg^{+}^{+}$ content was significantly higher in the leaves of nutrient-normal condition compared with nutrient-deficient condition while significantly lower in stem and roots. The behavior of $Na^+$ in plant was similar to $K^+$ although its content was relatively little. The highest $CO_2$ assimilation was observed in fully expanded leaves of nutrient-normal condition, which was 1.7 times higher compared with nutrient-deficient condition. The instantaneous water use efficiency (A/E) and the A/gsratio, which is an index of leaf intrinsic water use efficiency for individual leaves, was 1.2 and 1.1 times higher, respectively. The total soluble sugar (TSS) contents were highest in leaves followed by petioles, stems and roots, and in younger leaves. The growing leaves contained about 7,200 mg $kg^{-1}$ of TSS in nutrient-normal condition whereas the TSS contents in nutrient-deficient condition were not significantly different between leaves. The $Mg^{+}^{+}$ and $NH_4$- N were positively correlated with the TSS whereas $NO_3$ - N was negatively correlated.

Community Analysis of Oribatid Mites (Acari : Oribatida) in the Process of Needle Leaf Decomposition in Korean Pine (Pinus koraiensis) Forest of Namsan and Kwangreung (남산과 광릉지역의 잣나무림에서 낙엽분해과정에 관련된 날개응애 군집분석)

  • 배윤환
    • The Korean Journal of Soil Zoology
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    • v.6 no.1_2
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    • pp.25-31
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    • 2001
  • Oribatid mite communities in the process of litter decomposition were analyzed In Korean pine (Pinus koraiensis) forests of Namsan and Kwangreung, which were supposed to be under different environmental selective pressures. Oribatid mites were collected bimonthly from the litter bags (mesh size 0.4 mm, 1.7 mm) which was set up in the forest floor of study sites. This study had been carried out from Jan., 1997 to Sept., 1998. Species abundance of Kwangreung (mesh size 1.7 mm) was significantly higher than that of Namsan (mesh size 1.7 mm), but total no. of species did not exceed 30 species in all study sites. Concerning body length, medium sized oribatid mites (0.3-0.7mm) were more abundant than small ( < 0.3 mm) and large ( > 0.7 mm) sized mites. In Kwangreung, species whose body lengths were 0.2 mm to 0.5 mm were major group. However, a little larger species than Kwangreung's major group were dominant in Namsan. Sorenson similarity index and cluster analysis suggested that there were qualitative and quantitative differences in species composition in Namsan and Kwangreung. More species were collected in May through September than the other sampling times, but the pattern was rather different between first year and second year. Newly immigrant species were high in May in the first year and many of them regained on next year. Diversity indices suggested that species diversity of Kwangreung was higher than that of Namsan. Nearly 70% of total individual abundance was occupied by several dominant species in Namsan and Kwangreung . In the litter bags of mesh size 1.7 mm, the most dominant species was Trichogalumna nipponica in Namsan and Kwangreung, but in the litter bags of mesh size 0.4 mm in Kwangreung it was Ramusella sengbuschi which is smaller than T. nipponica. And important species related to litter decomposition were selected as follows; T. nipponica, Epidamaeus coreanus, Scheloribates latipes, Ceratozetes japonicus, Ramusella sengbuschi, Eohypochthonius crassisetiger, and Cultroribula lata.

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The Analysis of Productivity of Oak Stand following to Site Quality and Crown Class (I) (입지(立地)와 수형급(樹型級)에 따른 참나무임분(林分)의 생산력(生産力) 분석(分析) (I))

  • Kim, Chi Moon;Kwon, Ki Won;Song, Ho Kyong;Moon, Heung Kyu;Park, Hong Joon
    • Korean Journal of Agricultural Science
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    • v.10 no.1
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    • pp.9-21
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    • 1983
  • The structures of oak stands were studied in relation to their productivity. Three plots classified by the site quality following to altitude, were selected on the oak stand located at Naryongri Eunsanmyun Buyeogun. The site qualities of the stand studied were generally estimated to be moderate in respect to some soil physical and chemical properties. Quercus variabilis was dominant species in the vegetation composition of the stand studied. The crown densities of the stand were varied from 65.4% in plot I to 78.2% in plot III and the parts, occupied with oak trees, ranged from 44.4% in plot I to 65.9% in plot III in the density. In the contrast to crown density, the growing stocks of oak trees ranged from $3.937m^3$ in plot I (73.4% of plot total) to $2.075m^3$ in plot III (84.3% of plot total). The occupied ratios, measured by crown class, exhibited dissimilarity between crown projection area and volume, and also the ratios brought into different patterns by plot. Highly significant correlations were proved between crown projection areas and volumes of individual oak trees by plot, but not proved in the relations by crown class. The cumulative growth, current annual increment and mean annual increment displayed various patterns by plot and by crown class in the heights, D. B. H. s and volumes of oak trees. The maximum values of current annual increment of height were generally recorded in 10 to 20 years, earlier than those of D. B. H. The mean annual increment of height, D. B. H. and volume maintained similar levels after about 10 years and fluctuated irregularly. The crown projection area and volume following to thinning decreased in the order of the thinning methods of grade A < grade B < crown thinning$90m^3/ha$ in about 40 years in the productivity of volume of the oak stand studied.

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Fundamental Studies for the Production of Korea Ginseng(Panax ginseng) (I) -Fundamental Study for the Production of the Good Quality Seedlings of Korea Ginseng- (우량인삼생산(優良人蔘生産)을 위(爲)한 육종생리학적(育種生理學的) 연구(硏究) (I) -우량묘삼생산(優良苗蔘生産)을 위(爲)한 기초연구(基礎硏究)-)

  • Choi, B.Y.;Park, J.S.;Kim, Y.R.;Kim, M.K.;Jo, J.S.;Kim, C.S.
    • Korean Journal of Agricultural Science
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    • v.2 no.1
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    • pp.125-130
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    • 1975
  • This investigation was carried out to define the cultivation state of Ginseng seedling and to study the growth of important characters by location and correlations between characters, the results obtained are summarized as follows; 1. Most of farmers culitvating ginseng seedling had not any special consideration for the improvement of soil, and they applied green manure only as basic fertilizer but they did not apply chemical fertilizer. 2. Any efforts on the improvement of ginseng seed were not found. Seed was harvested from 3 years old ginseng plant. Seedling density was 1.8 cm by 2 cm. 3. Growth of all characters showed significant differences among farms. Coefficients of variation among individual seedling plants was largest at root diameter and smallest at root length. 4. Gromth of all characters without root diameter by planted location under the shadow was poor at front row, however root diameter was shortest at back row. 5. Significant high correlatons were rocognized between root diameter and stem diameter, between leaf blade and stem diameter and between leaf blade and leaf length, but stem length were not correlated with any characters. It is noticable that negative correlations were found between stem length and root diameter, between stem length and root length and between stem length and stem diameter.

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Revisiting the cause of unemployment problem in Korea's labor market: The job seeker's interests-based topic analysis (취업준비생 토픽 분석을 통한 취업난 원인의 재탐색)

  • Kim, Jung-Su;Lee, Suk-Jun
    • Management & Information Systems Review
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    • v.35 no.1
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    • pp.85-116
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    • 2016
  • The present study aims to explore the causes of employment difficulty on the basis of job applicant's interest from P-E (person-environment) fit perspective. Our approach relied on a textual analytic method to reveal insights from their situational interests in a job search during the change of labor market. Thus, to investigate the type of major interests and psychological responses, user-generated texts in a social community were collected for analysis between January 1, 2013 through December 31, 2015 by crawling the online-community in regard to job seeking and sharing information and opinions. The results of topic analysis indicated user's primary interests were divided into four types: perception of vocation expectation, employment pre-preparation behaviors, perception of labor market, and job-seeking stress. Specially, job applicants put mainly concerns of monetary reward and a form of employment, rather than their work values or career exploration, thus youth job applicants expressed their psychological responses using contextualized language (e.g., slang, vulgarisms) for projecting their unstable state under uncertainty in response to environmental changes. Additionally, they have perceived activities in the restricted preparation (e.g., certification, English exam) as determinant factors for success in employment and suffered form job-seeking stress. On the basis of these findings, current unemployment matters are totally attributed to the absence of pursing the value of vocation and job in individuals, organizations, and society. Concretely, job seekers are preoccupied with occupational prestige in social aspect and have undecided vocational value. On the other hand, most companies have no perception of the importance of human resources and have overlooked the needs for proper work environment development in respect of stimulating individual motivation. The attempt in this study to reinterpret the effect of environment as for classifying job applicant's interests in reference to linguistic and psychological theories not only helps conduct a more comprehensive meaning for understanding social matters, but guides new directions for future research on job applicant's psychological factors (e.g., attitudes, motivation) using topic analysis.

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