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Clinical Characteristics and Risk Factors of Acute Kidney Injury in Patients with Glyphosate Poisoning (글리포세이트 중독 환자에서 급성 신손상 발생의 임상 양상과 위험 인자)

  • Park, Hyung Hun;Choi, Kyu Ill;Lee, Je Won;Park, Jung Min;Park, Jinwook;Noh, Sang Moon;Cho, Jaekyung;Lee, Daero;Cho, Jae Chul;Park, Dong Chan;Kim, Yang Hun;Lee, Joo Hwan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.18 no.2
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    • pp.110-115
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    • 2020
  • Purpose: Acute kidney injury (AKI) in patients with glyphosate poisoning has a poor prognosis. This study aimed to predict the risk factors for AKI in patients with glyphosate poisoning at the emergency department (ED). Methods: Clinical data on glyphosate poisoning patients at ED who were older than 18 years were collected retrospectively between January 2013 and December 2019. The clinical characteristics and clinical outcomes of the AKI group in patients with glyphosate poisoning were compared with the non-AKI (NAKI) group. Results: Of 63 glyphosate poisoning patients, AKI was observed in 15 (23.8%). The AKI patients group showed the following: old age (p=0.038), low systolic blood pressure (p=0.021), large amount of ingestion (p=0.026), delayed hospital visits (p=0.009), high white blood cells (WBC) (p<0.001), high neutrophil counts (p<0.001), high neutrophil-lymphocyte (LN) ratios (p<0.001), high serum potassium (p=0.005), low arterial blood pH (p=0.015), and low pO2 (p=0.021), low bicarbonate (p=0.009), and high Poisoning Severity Score (PSS) (p<0.001). AKI patients required hemodialysis, ventilator care (p<0.001, p=0.002), and inotropics (p<0.001). They also showed more intensive care unit admission (p<0.001), longer hospitalization (p<0.001), and high mortality (p<0.001). Logistic multivariate regression analysis showed that high WBCs (OR, 1.223) and increased LN ratios (OR, 1.414) were independently associated with the occurrence of AKI. Conclusion: In patients with glyphosate poisoning at ED, high WBCs and increased LN ratios can help predict the occurrence of AKI.

The Effects of Myofascial Release Therapy on Blood Velocity of Cranial Arteryin Tension-Type Headache Subjects (긴장형 두통환자에서의 근막이완술이 뇌혈류 속도에 미치는 영향)

  • Seo, Hyun-Kyu;Han, Jong-Man;Lee, Dong-Ho
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.8 no.2
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    • pp.5-17
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    • 2002
  • The aim of study carried out to determine the effects of myofascial release on the cranial arteries velocity from November 11, 2001 to March 29, 2002 the objects were 10 patients who having the tension-type headache at H-hospital This research compared with measure the mean flow velocity middle cerebral artery, posterior cerebral artery, vertebral cerebral artery. Result obtain were as follows; 1. Middle cerebral artery blood velocity between pre treatment and after treatment for 10days experiment was significantly increased 9.76cm/s(p<0.05)in right, 4.88cm/s(p<0.05)in left. 2. Posterior cerebral artery blood velocity between pre treatment and after treatment experiment was difference 6.35cm/s(p<0.01)in right, 5.14cm/s(p<0.01)in left, between pre treatment and after treatment for 5days experiment was 11.48cm/s(p<0.01)in right, 10.74cm/s(p<0.01)in left, between pre treatment and treatment for 10days experiment was 12.92cm/s(p<0.001) in right, 12.68cm/s(p<0.001) in left. 3. Vertebral artery blood velocity between pre treatment and post treatment experiment was difference 4.48cm/s(p<0.05)in right, 6.10cm/s(p<0.05) in left, between pre treatment and after treatment for 5days experiment was 12.50cm/s(p<0.001)in right, 14.40cm/s(p<0.001)in left, between pre treatment and after treatment for 10days experiment was 14.70cm/s(p<0.001)in right, 13.90cm/s(p<0.001)in left.

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Oral Health and Eating Habit Attributes Relating to the Maxillary Anterior Teeth Color by Using the ShadeEye NCC (ShadeEye NCC를 이용한 상악전치부 색조와 구강보건 및 식습관 관련 특성 비교)

  • Yoon, Young-Suk
    • Journal of dental hygiene science
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    • v.12 no.4
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    • pp.348-358
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    • 2012
  • This study aims to prepare the basic data of the teeth color by measuring analyze mode using the color of the maxillary anterior teeth (maxillary central incisor, lateral incisor, canine) of the college students in their twenties as the dental colorimeter. The maxillary anterior teeth of the subjects of study as 467 students (male 89, female 378) were measured from 14 November to 2 December, 2011, so the color of total 1,401 teeth was examined, and oral health and eating habit attributes were researched. The survey results were as follows. 1. The color of maxillary anterior teeth was changed from maxillary central incisor to maxillary canine, brightness ($L^*$) was decreased $76.79{\pm}4.86$ to $69.72{\pm}4.62$, red chroma ($a^*$) was increased $2.02{\pm}2.00$ to $4.10{\pm}2.60$, yellow chroma ($b^*$) was increased $15.51{\pm}3.42$ to $20.10{\pm}3.46$. 2. Brightness ($L^*$) was different according to sex (p< 0.001), major (p<0.001), grade (p<0.001), smoking (p<0.001), oral health education (p<0.01), daily brushing frequency (p<0.001), brushing method (p<0.05), oral hygiene devices (p<0.001), and red chroma ($a^*$) to major (p<0.001), daily brushing frequency (p<0.05), brushing time after meals (p<0.01), oral hygiene devices (p<0.01), and yellow chroma ($b^*$) to brushing time after meals (p<0.01), subjective tooth color (p<0.001). 3. Brightness ($L^*$) of eating habit attributes was different according to coke, candy ($R^2=0.053$, p<0.05). In conclusion, this study demonstrates that the color of maxillary anterior teeth has differences in brightness ($L^*$), red chroma ($a^*$), yellow chroma ($b^*$) from each tooth, also these showed various tendency according to the oral health and eating habit attributes.

Determinants of Depression in Indonesian Youth: Findings From a Community-based Survey

  • Suryaputri, Indri Yunita;Mubasyiroh, Rofingatul;Idaiani, Sri;Indrawati, Lely
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.1
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    • pp.88-97
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    • 2022
  • Objectives: This study investigated the determinants of depression in adolescents and young adults. Methods: The present study analyzed data from the 2018 Indonesia Basic Health Survey (Riset Kesehatan Dasar; RISKESDAS). The study subjects were adolescents (15-17 years old) and young adults (18-24 years old). In total, 64 179 subjects were included. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between youths' characteristics, risky behavior, chronic disease, parents' health, and youths' depression. Results: The prevalence of depression was 5.1% in adolescents and 5.6% in young adults. The risk factors for depression in adolescents were being women (adjusted odds ratio [aOR], 3.53; 95% confidence interval [CI], 2.89 to 4.30; p<0.001), an ex-smoker (aOR, 2.99; 95% CI, 2.10 to 4.25; p<0.001), or a current smoker (aOR, 2.60; 95% CI, 1.97 to 3.44; p<0.001); consuming alcohol (aOR, 2.00; 95% CI, 1.33 to 3.01; p=0.001), having a chronic disease (aOR, 2.64; 95% CI, 1.41 to 4.96; p=0.002); maternal depression (aOR, 2.47; 95% CI, 1.97 to 3.09; p<0.001); and paternal depression (aOR, 2.63; 95% CI, 1.98 to 3.50; p<0.001). In young adults, the risk factors were being women (aOR, 2.23; 95% CI, 1.82 to 2.75; p<0.001) or an ex-smoker (aOR, 2.47; 95% CI, 1.67 to 3.67; p<0.001), consuming alcohol (aOR, 2.42; 95% CI, 1.89 to 3.09; p<0.001), maternal depression (aOR, 3.12; 95% CI, 2.54 to 3.84; p<0.001), and paternal depression (aOR, 2.80; 95% CI, 2.17 to 3.63; p<0.001). Conclusions: Being women, smoking, drinking alcohol, having a chronic disease, and having a parent with depression were crucial factors associated with youth depression. Mental health screening, prevention, and treatment should involve collaboration among primary healthcare, schools, universities, professionals, and families.

Relationship among Hardiness, Social Support and Burnout of Nurses Working in Emergency Department (응급실 간호사의 강인성, 사회적지지 및 소진간의 관계)

  • Park, Mi-Kyung
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.397-405
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    • 2017
  • This study was to identify hardiness, social support, burnout which might influence burnout in emergency department nurses. Data were collected by self-reporting questionnaires from 115 nurses in 8 emergency department. Data analysis was done with SPSS/Win 21.0 program. Burnout showed significantly negative correlations with hardiness(r=-.390, p<.001), social support(r=-.400, p<.001) and hardiness showed significantly positive correlations with social support(r=.351, p<.001). As results, key factor was hardiness, social support, that continuing to work in emergency department, were significant predictors and accounted for 30.6%. Based on these results, burnout showed statistically significant differences depending on hardiness, social support and wanted department state. It is needed to develop a program in order to improve hardiness and social support of emergency department nurses.

A Status and Associated Factors of Mental Health on Girls' High School Students (여고생의 정신건강 실태와 관련요인)

  • Lee, Young-Eun;Choi, Eun-Joung
    • The Journal of Korean Society for School & Community Health Education
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    • v.11 no.2
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    • pp.103-114
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    • 2010
  • Purpose: The aim of this study was to describe the status and associated factors of mental health on girls' high school students. Methods: The participants were 446 academic girls' high school students and 240 vocational girls' high school students of the 1st graders in Busan. The data were collected from April 28, 2009 to May 30, 2009. Survey was developed in the form of self-report five-point likert scale(1-5) using Lees Instrument of mental health(1986) that revised from Derogatis et al's Symptom Check List-90(1976). The higher score of this scale means worse status of mental health. Result: The score of mental health of subjects was low and the mean was $1.69{\pm}.50.$ The depression mean was the highest among mental health sub-variables. The mental health of the vocational girls' high school students was worse than the academics. As for subjects in mental health by their various characteristics, there are significant by school type(p<0.001), economic status(p<0.001), father's job(p<0.001), parent's marrital status(p<0.001), cognitive health status(p<0.001), record(p<0.05), character(p<0.001), satisfaction of life(p<0.001), needs for help on mental health(p<0.001). Conclusion: The intervention program needs to improve mental health of vocational high school girls' students as well as academic high school girls' students, and need to establish depression relieving nursing intervention program for girls' high school students.

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Effects of Sexual Knowledge and Consciousness on Sexuality Course on University Students (성관련 강좌가 대학생들의 성지식에 미치는 효과)

  • Kim, Young-Seon;Son, Su-Gyeong
    • Journal of the Korean Society of School Health
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    • v.18 no.1
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    • pp.83-93
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    • 2005
  • Purpose: The purpose of this study was to confirm the effects of lectures on sexuality and investigate changes in students' sexual knowledge and consciousness. Method: The subjects in this study were 50 students at K University in Busan, and the research period was from the $8^{th}$ of March to the $7^{th}$ of June 2004. This study was designed to be one-group pretest-posttest. Data were analyzed by frequencies, percentages, means, standard deviations, paired t-test and $x^2$-test using the SPSS 10.0 program. Results: 1. The score of sexual knowledge increased from 14.48 before the education to 15.70 after and the difference was statistically significant (t=3.926, p<.001). 2. Significant differences of sexual consciousness were observed in 'the extent of sexual behavior' ($x^2$=12.584, p<.05), 'the meaning of intercourse' ($x^2$=46.014, p<.001), 'the self attitude of premarital purity' ($x^2$=84.686, p<.001), 'the premarital intercourse' ($x^2$=75.323, p<.001), 'the definition of purity' ($x^2$=23.770, p<.001), 'the general premarital purity attitude' ($x^2$=32.305, p<.001), 'the conception of love, sex and marriage' ($x^2$=38.452, p<.001) and 'the premarital sex experiences' ($x^2$=50.210, p<.001). Conclusions: This study showed that a sexuality course has effects on increasing sexual knowledge and changing the consciousness in university students.

The Effects of Empathy on Interpersonal Relationship through the Mediating Effect of Ego-resilience in Nursing Students (간호대학생의 공감능력이 자아탄력성의 매개효과를 통하여 대인관계 능력에 미치는 영향)

  • Oh, Ji Hyun;Hwang, Young Hui
    • Journal of Korean Biological Nursing Science
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    • v.20 no.3
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    • pp.196-203
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    • 2018
  • Purpose: The study was performed to investigate the effects of empathy on interpersonal relationships through the mediating effect of ego-resilience in nursing students. Methods: Data were collected from June 5 to 30, 2018 using a self-report questionnaire measuring empathy, interpersonal relationships and ego-resilience. The sample was 204 nursing college students. SPSS WIN 23.0 programs were used to analyze the data. Results: Ego-resilience was positively related to empathy (r= .37, p< .001) and interpersonal relationships (r= .36, p< .001) and empathy was positively related to interpersonal relationships (r= .37, p< .001). Regression analysis showed that ego-resilience was affected by empathy (${\beta}=0.37$, p< .001), interpersonal relationships were affected by empathy (${\beta}=0.37$, p< .001). Interpersonal relationships were affected by empathy (${\beta}=0.28$, p< .001) and ego-resilience (${\beta}=0.26$, p< .001). Therefore ego-resilience mediates between empathy and interpersonal relationships. Conclusion: It is necessary to develop an effective intervention program to improve nursing students' empathy and ego-resilience.

The correlation between cognition and depression of urban and rural elderly people (도시와 농촌 노인의 인지와 우울의 상관관계 연구)

  • Kim, Mijin;Han, Jinsook;Kwon, Myoungjin;Kim, Younghee
    • Journal of Digital Convergence
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    • v.11 no.2
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    • pp.341-346
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    • 2013
  • Objectives: This study was designed to provide basic data that would be helpful in planning mental health programs designed to help elderly people have a satisfying life as an elder by identifying the factors that affect cognition of urban and rural elderly people. Methods: Subjects included 160 elderly people on Daejeon and Geumsam. Structured questionnaires were used for data collection from march 2, 2011 to July 30, and descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and hierarchical regression analysis of SPSS 18.0 program were performed for data analysis. Results: A significant difference in cognition was observed between two groups(t=-2.232, p=.029). Cognition & depression didn't have correlation(urban area(r=.021, p=.860), rural area(r=.-131, p=.271)). Significant factors influencing cognition included education(t=4.069, p<.001) and age(t=-2.812, p=.001) in urban area and sex(t=-3.011, p<.001), age(t=-4.866, p<.001), education(t=3.525, p<.001) in rural area. These factors explained 26.1% and 57.2% of the variance. Conclusion: Findings of this study suggest the need for development of appropriate nursing strategies depending on the difference of the environment to increase cognitive function and to decrease the incidence of depression in elderly people.

The Effects of Nurses' Perceived Internal Marketing on Job Performance and Loyalty (간호사가 지각하는 병원 내부마케팅이 직무수행 및 충성도에 미치는 영향)

  • Kang, Cheon-Kook;Park, Myung-Bae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.146-155
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    • 2020
  • This study was conducted from December 26, 2018 to January 4, 2019 in order to analyze the effects of hospital internal marketing on job performance and loyalty based on nurses' perception. The participants were 250 nurses at general hospitals located in Gyeonggi-do. The results of this study are as follows: First, internal marketing in hospitals had a statistically significant effect on organizational and future vision, education and training systems, communication, organizational attributes, and job performance (F=29.118, p<.001). The training system, organizational and future vision, compensation and welfare system, and work management environment were found to have a statistically significant effect (F=38.671, p <.001) on loyalty, and the effect of job performance on loyalty was statistically significant (F=87.324, p<.001). Second, the relationship between hospital internal marketing based on nurses' perception and loyalty was found to have a statistically significant positive (+) effect on stage 1 job performance (p<.001) and a statistically significant positive effect on stage 2 loyalty (+) (P <.001). The third-level internal marketing regression coefficient was significant, and job performance was also significant (P <.001). Based on these results, there is a need for hospital management to strengthen internal marketing in order to increase performance level and loyalty among nurses.