• Title/Summary/Keyword: Multi-objectives

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The Effects of "Healthy Life Plan" Program on the Management of Obesity for Korean Adults: A Pilot Study (비만 성인 대상 체중관리 프로그램 "Healthy Life Plan"의 시범운용 효과)

  • Park, Jiyoun;Kim, Hyekyeong;Cho, Seon;Cho, Han-Ik
    • Korean Journal of Health Education and Promotion
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    • v.29 no.5
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    • pp.89-101
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    • 2012
  • Objectives: This study aims to evaluate the effectiveness of a lifestyle intervention on the improvement of obesity, health behaviors and behavioral determinants among Korean adults. Methods: Obese adults aged 30 to 59 years (n=76) were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a 3-month multi-component lifestyle intervention, while the CG received minimal information on obesity. The program consisted of health counseling, health education booklet and health diary. Health examination and self-administered survey were conducted before and after the intervention to determine the effectiveness of the program. Results: After the intervention. health indices of the IG were significantly improved in weight(p=.003), waist circumference(p=.011), % body fat(p=.021), and total abdominal fat area(p=.041). The reduction of waist circumstance among IG participants was better than that of those in the CG(p=.017). The IG demonstrated significant improvements in dietary behaviors(p=.013), periodic measurement of waist circumstance(p=.005), pros of weight control(p<.001) and awareness of one's current biomarkers(p=.038) better than the CG did. The proportion of normalized participants in waist circumference was 21.1% in the IG and 8.7% in the CG(p=.017). Conclusions: Lifestyle intervention program can improve the obese status and health behaviors in adults.

Association between smoking cessation and metabolic syndrome in Korean Men: Korean National Health and Nutrition Examination Survey 2013-2014 (한국 남성의 금연과 대사증후군과의 관련성: 2013-2014년 국민건강영양조사 활용)

  • Kwak, Jin-Hee;Hong, Na-Young;Ha, Hee Sung;Lee, Won-Chul
    • Korean Journal of Health Education and Promotion
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    • v.33 no.5
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    • pp.59-70
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    • 2016
  • Objectives: This study aimed to investigate the association between smoking cessation and metabolic syndrome components in Korean male and to clarify how long metabolic syndrome and its components remains after smoking cessation. Methods: A total of 4,408 participants from the Korean National Health and Nutrition Examination Surveys were included in this cross-sectional study. Smoking status was categorized into three groups, current-smoker, ex-smoker and non-smoker. Also smoking cessation period was categorized into three groups, less than 5 years, 5 years to 15 years and more than 15 years. Results: Smoking cessation were associated with prevalence of metabolic syndrome and its components. The multi-variate adjusted odds ratio for the prevalence of metabolic syndrome was 1.68(1.22-2.31) for smoker, 1.04(0.74-1.46) for ex-smoker, as compare with non-smoker; adjusted odds ratio for the prevalence of hypertriglyceride 2.17(1.77-2.66) for smoker, 1.27(1.02-1.59) for ex-smoker and high waist circumference 1.36(0.98-1.88) for smoker, 1.07(0.78-1.48) for ex-smoker, as compare with non-smoker. Conclusions: Smoking cessation in Korean male reduced odds ratio for the prevalence of metabolic syndrome and its 4 components except for hypertension.

Chuna Manual Therapy for Stroke: A Systematic Review and Meta-analysis (뇌졸중의 추나요법에 대한 체계적 문헌 고찰)

  • Kim, Mi-Kyung;Han, Chang-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.15-28
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    • 2019
  • Objectives : This study aimed to systematically and comprehensively review controlled clinical trials on the effectiveness and safety of Chuna Manual Therapy for stroke. Methods : By October 7, 2019, three core databases and three domestic databases were searched. Seven major academic journals on the related field were also hand-searched. Methodological quality of the included studies was evaluated using the Cochrane risk of bias tool. Meta-analysis was conducted and the quality of its evidence was assessed using the GRADE methodology. Results : Five articles met the eligibility criteria. The results of most of included studies were in favor of Chuna Manual Therapy. No study described any adverse events during or after the clinical trials. Meta-analysis of three eligible studies showed that the pre- and post-treatment scores on the Modified Barthel Index (mean difference 8.00, 95% confidence interval 0.26 to 15.74) and Berg Balance Scale (mean difference 3.57, 95% confidence interval 0.64 to 6.51) of the Chuna-treated group were significantly different, but only marginally higher than those of the non-treatment group. Thus, the level of evidence gathered from these studies was assessed to be low. Conclusions : Based on current available evidence, any confirmative conclusions cannot be made on the effectiveness and safety of Chuna Manual Therapy for stroke because of the small sample size, low methodological quality, presence of statistical heterogeneity, and missing safety information. More rigorously designed large-scale multi-center studies are needed to establish more specific and credible evidence to support or oppose the use of Chuna Manual Therapy for stroke.

Incidence and Management of Toxicity Associated with L-Asparaginase in the Treatment of ALL and NK/T-Cell Lymphoma: an Observational Study

  • Yeang, Shu Hui;Chan, Alexandre;Tan, Chuen Wen;Lim, Soon Thye;Ng, HengJoo
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3155-3160
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    • 2016
  • Background: L-asparaginase (ASNase) is commonly used in the treatment of acute lymphoblastic leukemia (ALL) and natural killer (NK)/T-cell lymphoma. This study was designed to describe the incidence of toxicity associated with ASNase in Asian adults. Secondary objectives were to investigate the management and impact of toxicity on subsequent ASNase use, and to compare the actual management against current recommendations. Materials and Methods: In this retrospective, multi-center, observational study, Asian patients ${\geq}18$ years old who received ${\geq}1$ dose of the native E. coli ASNase from 2008 to 2013 were included. Patients were excluded if they did not receive ASNase. Endpoints of this study were development of specific toxicities, whether ASNase was discontinued or re-challenged, and developmentg of recurrent toxicity. All data analyses were performed using SPSS version 20.0. Results: A total of 56 patients were analyzed. Mean (${\pm}SD$) age was 36.2 (${\pm}15.2$) years old, with 62.5% being males, 55.4% with ALL and 28.6% with NK/T-cell lymphoma. Hypersensitivity (12.5%) was associated with the highest incidence of toxicity (6 out of 7 patients had Grade 3 and 4 toxicity), followed by 10.7% for hepatic transaminitis, 3.6% for non-CNS thrombosis and 1.8% each for hyperbilirubinemia and pancreatitis. Hypersensitivity recurred in the 3 patients who were re-challenged with E. coli ASNase. Conclusions: ASNase is associated with a wide range of toxicities, with hypersensitivity being the most commonly observed among Asian adult patients.

Multiagent Enabled Modeling and Implementation of SCM (멀티에이전트 기반 SCM 모델링 및 구현)

  • Kim Tae Woon;Yang Seong Min;Seo Dae Hee
    • The Journal of Information Systems
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    • v.12 no.2
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    • pp.57-72
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    • 2003
  • The purpose of this paper is to propose the modeling of multiagent based SCM and implement the prototype in the Internet environment. SCM process follows the supply chain operations reference (SCOR) model which has been suggested by Supply Chain Counsil. SCOR model has been positioned to become the industry standard for describing and improving operational process in SCM. Five basic processes, plan, source, matte, deliver and return are defined in the SCOR model, through which a company establishes its supply chain competitive objectives. A supply chain is a world wide network of suppliers, factories, warehouses, distribution centers and retailers through which raw materials are acquired, transformed or manufactured and delivered to customers by autonomous or semiautonomous process. With the pressure from the higher standard of customer compliance, a frequent model change, product complexity and globalization, the combination of supply chain process with an advanced infrastructure in terms of multiagent systems have been highly required. Since SCM is fundamentally concerned with coherence among multiple decision makers, a multiagent framework based on explicit communication between constituent agents such as suppliers, manufacturers, and distributors is a natural choice. Multiagent framework is defined to perform different activities within a supply chain. Dynamic and changing functions of supply chain can be dealt with multi-agent by cooperating with other agents. In the areas of inventory management, remote diagnostics, communications with field workers, order fulfillment including tracking and monitoring, stock visibility, real-time shop floor data collection, asset tracking and warehousing, customer-centric supply chain can be applied and implemented utilizing multiagent. In this paper, for the order processing event between the buyer and seller relationship, multiagent were defined corresponding to the SCOR process. A prototype system was developed and implemented on the actual TCP/IP environment for the purchase order processing event. The implementation result assures that multiagent based SCM enhances the speed, visibility, proactiveness and responsiveness of activities in the supply chain.

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The cross-sectional relationship between dietary calcium intake and metabolic syndrome among men and women aged 40 or older in rural areas of Korea

  • Shin, Song Kyoung;Kim, Mi Kyung;Lee, Young-Hoon;Shin, Dong Hoon;Shin, Min-Ho;Chun, Byung-Yeol;Choi, Bo Youl
    • Nutrition Research and Practice
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    • v.9 no.3
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    • pp.328-335
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    • 2015
  • BACKGROUND/OBJECTIVES: Studies conducted in Western populations have suggested that dietary calcium may protect against metabolic abnormalities, but there is little evidence of this effect in Asians, who have relatively low calcium intake. We evaluated the cross-sectional relationship between dietary calcium and metabolic syndrome among Korean men and women aged 40 years and over. SUBJECTS/METHODS: A total of 6,375 subjects aged 40 years and over and were recruited between January 2005 and February 2010 from the baseline study of the Multi-Rural Communities Cohort Study in Rural Communities (MRCohort). A food frequency questionnaire was used to collect dietary information. Metabolic syndrome was defined using the modified criteria published in the Third Report of the National Cholesterol Education Program Adult Treatment Panel. RESULTS: Calcium intake was related inversely to metabolic syndrome in women (P-value = 0.0091), but not in men (P = 0.1842). Among metabolic components, high waist circumference (WC) (P = 0.0426) and high blood glucose (P = 0.0027) in women and hypertriglyceridemia (P = 0.0017) in men were inversely correlated with calcium intake. Excluding those who used calcium or multinutrient supplements did not attenuate the relationship between dietary calcium and metabolic abnormalities. CONCLUSION: Dietary calcium intake from foods may be inversely related to metabolic syndrome, WC, and blood glucose among women in rural areas of Korea.

The Development of Planning Model for a Sustainable Housing Estate (지속가능한 주거단지 계획모형 개발)

  • 박원규
    • Journal of the Korean Institute of Landscape Architecture
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    • v.30 no.5
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    • pp.39-54
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    • 2002
  • There have been endeavors for sustainable development all over the world after the Rio World Summit and the idea of sustainable development has become common paradigm. Now, Korea has come to a situation where we need to apply the concept of sustainable development inevitably. Especially housing estate development must be preliminary change for sustainable development. Therefore, the objectives of this study were to establish sustainable planning element system of housing estate, and to propose a sustainable planning model compatible with the Korean situation. The scope of this study focused on typical multi-family housing estates in Korea and the environmental sustainable planning model. The model was developed from the evaluation of the important level and extra costs of planning elements for sustainable development of housing estate. The important level of planning principles and elements was analyzed by conducting a survey to experts. As the results of this study, four planning section ('land use and transport', 'pollution and waste', 'energy', and 'natural resource') and twelve planning items were identified. Twenty-one planning principles and fifty-five planning elements were found. Synthetically, the sustainable planning element system is composed of four planning sections, twelve planning items, twenty-one planning principles, and fifty-five planning elements. Based on survey to experts, $\ulcorner$The short-term strategic model$\lrcorner$ was developed for the social implosion of sustainable development, which is composed of ten basic elements, eighteen necessary elements, twelve optional elements, and seven arbitrary elements. $\ulcorner$The long-term future model$\lrcorner$was developed for application to from 10 to 15 years later. It is composed of fifteen basic elements, thirty-three necessary elements, and seven optional elements. The planning model proposed by this study can be used as a prototype for the development of a sustainable housing estate and can provide a practical tool for developers and planners who are not familiar with the concept of sustainable development.

Comparison of bond strengths of ceramic brackets bonded to zirconia surfaces using different zirconia primers and a universal adhesive

  • Lee, Ji-Yeon;Ahn, Jaechan;An, Sang In;Park, Jeong-won
    • Restorative Dentistry and Endodontics
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    • v.43 no.1
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    • pp.7.1-7.7
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    • 2018
  • Objectives: The aim of this study is to compare the shear bond strengths of ceramic brackets bonded to zirconia surfaces using different zirconia primers and universal adhesive. Materials and Methods: Fifty zirconia blocks ($15{\times}15{\times}10mm$, Zpex, Tosoh Corporation) were polished with 1,000 grit sand paper and air-abraded with $50{\mu}m$ $Al_2O_3$ for 10 seconds (40 psi). They were divided into 5 groups: control (CO), Metal/Zirconia primer (MZ, Ivoclar Vivadent), Z-PRIME Plus (ZP, Bisco), Zirconia Liner (ZL, Sun Medical), and Scotchbond Universal adhesive (SU, 3M ESPE). Transbond XT Primer (used for CO, MZ, ZP, and ZL) and Transbond XT Paste was used for bracket bonding (Gemini clear ceramic brackets, 3M Unitek). After 24 hours at $37^{\circ}C$ storage, specimens underwent 2,000 thermocycles, and then, shear bond strengths were measured (1 mm/min). An adhesive remnant index (ARI) score was calculated. The data were analyzed using one-way analysis of variance and the Bonferroni test (p = 0.05). Results: Surface treatment with primers resulted in increased shear bond strength. The SU group showed the highest shear bond strength followed by the ZP, ZL, MZ, and CO groups, in that order. The median ARI scores were as follows: CO = 0, MZ = 0, ZP = 0, ZL = 0, and SU = 3 (p < 0.05). Conclusions: Within this experiment, zirconia primer can increase the shear bond strength of bracket bonding. The highest shear bond strength is observed in SU group, even when no primer is used.

The association between oral health related quality of life(OHRQoL) and socio-economic position in the elderly in rural area of Gangwon province (강원도 일부 농촌지역 노인의 사회경제적 위치와 구강건강관련 삶의 질과의 연관성)

  • Lee, Min-Sun;Shin, Sun-Jung;Jung, Se-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.707-715
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    • 2011
  • Objectives : The objective of this study was to assess a level of oral health related quality of life(OHRQoL) for rural communities elderly and to determine the association between OHRQoL and socio-economic position. Methods : The study population was elderly(60+year-old) residents of PyeongChang county, Jeongseon county, Yeongwol county, Gangwon province. A total of 171 people were invited to participate. Oral health related quality of life was measured using the GOHAI. The data were analyzed with Mann-Whitney U test or Kruskal-Wallis test and to assess socio-economic inequalities in OHRQoL(GOHAI), we used multi-variable logistic regression models. We used models adjusting for age, sex, family status factors(Model I) and compared them to models additionally adjusting for stress level(Model II). Results : There were significant differences in lower score of GOHAI at lower age group and live alone group. And we found that lower SES was significantly associated with lower score of OHRQoL. Social gradient in the score of OHRQoL persisted when adjusted for age, sex, family status, stress level. Conclusions : We recommend that oral health promotion program should be developed after due consideration SES for rural communities elderly because OHRQoL of rural communities elderly was low and association between SES and OHRQoL for rural communities elderly.

The correlation between oral health factors and mental health factors in Korean adolescents (한국 청소년의 구강건강요인 및 정신건강요인의 관련성)

  • Chun, Ju-Yeon;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.4
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    • pp.669-680
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    • 2017
  • Objectives: The objective of this study was to investigate the correlation between demographic factors and oral health factors and mental health factors in Korean adolescents. Methods: The study was based on the 11th Korea Youth Risk Behavior Web-Based Survey (2015). The final participation rate in the survey was 96.7%. of a total of 70.362 adolescents (age, 12~18 years) who had participated in the survey, 68,043 adolescents were selected for analysis. Results:As a result of examining the stress awareness of adolescents and the experience of oral disease symptoms, it was found that the number of brushing times per day was less than 1 time (p<0.001), tingling and throbbing (p<0.001), gum pain & blood (p<0.001) and bad breath (p<0.001) were more stressed than those who had experience. On the other hand, the lack of experience in oral health education was more stressful (p<0.001). As a result of examining the factors influencing subjective happiness, it was found that the female, the lower the grade, the higher the academic performance and economic level, the less experience of oral disease in the last one year, The level of awareness was high. Conclusions: These results indicate that the demographic factors, mental health factors, and oral health factors of adolescents are correlated to one another. Therefore, when developing a program for promoting adolescent health or establishing a national business plan, it should be considered in a multi-faceted way.