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Diet Quality in Elderly Patients with Type 2 Diabetes - Focused on Demographic Characteristics and Depression - (제2형 당뇨병 노인환자의 식사의 질 - 인구학적 특성 및 우울을 중심으로 -)

  • Min-jung, Nam
    • Journal of agricultural medicine and community health
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    • v.47 no.4
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    • pp.229-241
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    • 2022
  • Purpose: This study was attempted to identify the demographic characteristics, depression, and dietary quality of elderly patients with type 2 diabetes, and to identify the difference in food quality according to these variables. Methods: The subjects of the study were 216 elderly patients with type 2 diabetes over the age of 65 visiting elderly welfare centers and senior citizens' centers in G city and H districts. Data were collected from December 2020 to July 2021. The collected data were analyzed by descriptive statistics, t-test and one-way ANOVA using IBM SPSS Statistics 21 program. Results: There were significant differences in dietary quality according to the subject's gender, education level, residential area, spouse or not, family living together or not, subject of meal preparation, calorie requirement recognition or not, exercise practice for diabetes management or not, and depression. Depression and Fasting Blood Sugar management were important influencing factors on dietary quality, and Residence and Gender were also verified as influencing factors. Conclusions: The results of this study can be provided as basic data to establish a program to improve the quality of meals for diabetic elderly patients.

A Study on the Perception of Communication Between Doctors and Nurses in Advanced General Hospital (상급 종합병원 내 의사, 간호사 간 의사소통 인식에 대한 조사연구)

  • Yoo, Mi-Ja
    • Journal of Industrial Convergence
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    • v.20 no.1
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    • pp.77-86
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    • 2022
  • This study is a descriptive research study to understand the level of communication awareness between doctors and nurses, who are professional medical professionals, and the detailed areas and satisfaction of communication. Data were collected from 372 doctors and nurses at general hospitals located in C city from March to May 2021. The collected data were analyzed with descriptive statistics, mean and standard deviation, t-test, ANOVA, Scheffe test, and correlation analysis, using the SPSS/WIN 20.0 program. As a result, there was a difference in the awareness level of communication between doctor and nurse groups. Specifically, out of the detailed areas of communication recognized by doctors and nurses, there were statistically significant differences in openness(t=9.91), mutual understanding between occupations(t=5.25), and satisfaction(t=8.13) between the two groups. In addition, a positive correlation was found between the detailed areas and the communication satisfaction in both groups, showing that nurses have higher communication satisfaction with the higher openness(r=.72, p<.001), mutual understanding between occupations(r=.71, p<.001) and similarly, doctors also have higher communication satisfaction with the higher mutual understanding between occupations(r=.79, p<.001), timeliness(r=.73, p<.001). Therefore, these result suggest that it is necessary to develop a communication program that can effectively improve the weak areas such as mutual understanding between occupations and openness in nurses and doctors in order to ensure patient safety and provide quality medical care.

Effect of HPV Prevention Education on College Students Based on Planned Behavior Theory (계획된 행위이론에 근거한 대학생의 HPV예방교육 효과)

  • Lee, Sun-Young;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1722-1734
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    • 2021
  • The purpose of this study was that HPV prevention education based on the planned behavioral theory was designed to provide college students with HPV vaccine knowledge, cervical cancer knowledge, attitude toward HPV vaccination, subjective norms for HPV vaccination, perceived behavioral control for HPV vaccination, and HPV vaccination. This is an experimental study to confirm the effect on the intention to vaccinate and the behavior of HPV vaccination. The subjects were arbitrarily expressed as 32 subjects in the experimental group and 34 subjects in the control group. The collected data were analyzed by descriptive statistics, t-test, χ2-test, Fisher's exact test and repeated Measures ANOVA. As a result, the experimental group participating in HPV prevention education was compared to the control group who did not participate in HPV vaccine knowledge (t=5.66, p<.001), cervical cancer knowledge (t=4.13, p<.001), attitude (t=2.24, p=) .032 ), subjective norm (t=2.83, p=.008), perceived behavioral control (t=2.65, p=.013), and intention (t=3.91, p<.001) were significantly different. After 4 weeks of HPV prevention education intervention, there was a significant difference in the interaction between group and time course of HPV vaccination intention (F=6.95, p=.002). Therefore, it was confirmed that HPV prevention education is an educational program that can be applied to college students.

The Effects of Mental Health Guardian Program on Awareness of Rights, Empowerment, and Resilience of People with Mental Disabilities (정신건강지킴이 프로그램이 정신장애인의 권리인식, 임파워먼트, 회복력에 미치는 효과)

  • Kang, Gwang-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.203-211
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    • 2020
  • This study is a similar experimental study using parallax design before and after the non-equality control group conducted to investigate the effects of the Mental health guardian program for mentally disabled people on the awareness of rights, empowerment, and resilience of mentally disabled people. The mentally handicapped persons who participated in the mental health guardian program were significantly higher in the awareness of the rights of the handicapped compared to the mentally handicapped persons who did not participate. In terms of empowerment, there was no significant difference between the two groups. In terms of resilience, the experimental group significantly increased compared to the control group. Among the sub-areas of resilience, excluding spirituality, difficulty overcoming, self-competence, learning and self-financing, basic functions, overall life satisfaction, new potential, advocacy and fullness all significantly increased. It has been shown to be effective in increasing the resilience of the disabled. In this study, the reason why mental health guardian program is effective for awareness of rights and resilience is not a one-way education, but a participatory curriculum in which a person with mental disabilities who participated in the education finds and corrects the wrong news and creates a card news again. It seems to be because it did. As a result of this study, it seems that the mental health guardian program has contributed to enhancing the recognition of the rights of the mentally impaired and enhancing resilience.

Diverse Mechanisms of Relaxin's Action in the Regulation of Smooth Muscles and Extracellular Matrix of Vasculature and Fibrosis (혈관과 섬유증의 평활근 및 세포외기질 조절에 대한 릴랙신의 다양한 작용기전)

  • Min, Gyesik
    • Journal of Life Science
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    • v.32 no.2
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    • pp.175-188
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    • 2022
  • Relaxin has been demonstrated to have regulatory functions on both the smooth muscle and extracellular matrix (ECM) of blood vessels and fibrotic organs. The diverse mechanisms by which relaxin acts on small resistance arteries and fibrotic organs, including the bladder, are reviewed here. Relaxin induces vasodilation by inhibiting the contractility of vascular smooth muscles and by increasing the passive compliance of vessel walls through the reduction of ECM components, such as collagen. The primary cellular mechanism whereby relaxin induces arterial vasodilation is mediated by the endothelium-dependent production of nitric oxide (NO) through the activation of RXFP1/PI3K, Akt phosphorylation, and eNOS. In addition, relaxin triggers different alternative pathways to enhance the vasodilation of renal and mesenteric arteries. In small renal arteries, relaxin stimulates the activation of the endothelial MMPs and EtB receptors and the production of VEGF and PlGF to inhibit myogenic contractility and collagen deposition, thereby bringing about vasodilation. Conversely, in small mesenteric arteries, relaxin augments bradykinin (BK)-evoked relaxation in a time-dependent manner. Whereas the rapid enhancement of the BK-mediated relaxation is dependent on IKCa channels and subsequent EDH induction, the sustained relaxation due to BK depends on COX activation and PGI2. The anti-fibrotic effects of relaxin are mediated by inhibiting the invasion of inflammatory immune cells, the endothelial-to-mesenchymal transition (EndMT), and the differentiation and activation of myofibroblasts. Relaxin also activates the NOS/NO/cGMP/PKG-1 pathways in myofibroblasts to suppress the TGF-β1-induced activation of ERK1/2 and Smad2/3 signaling and deposition of ECM collagen.

Effect of COVID-19 vaccinations on deaths of the COVID-19 cases in some elderly long-term care facilities, Gwangju (광주광역시 요양시설 코로나19 집단 발생 사례에서 코로나19 백신 접종에 의한 사망 예방 효과)

  • Ryu, So Yeon;Cho, Jun Hwi;Lee, Ran;Park, So Yeong;Jung, Daun;Bae, So Hyun;Ko, HwaPyeong
    • Journal of agricultural medicine and community health
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    • v.47 no.2
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    • pp.109-120
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    • 2022
  • Objectives: The purpose of this study was to identify the effectiveness of COVID-19 vaccinations on deaths of the COVID-19 cases in some elderly long-term care facilities (LTCF) in Gwangju Metropolitan City. Methods: The study subjects were 659 COVID-19 cases in residents of 7 elderly LTCF, Gwangju, from 21 Dec. 2021 to 28 Jan. 2022. The used variables were confirmed dates for COVID-19, demographic characteristics, co-morbidities, presentation of symptoms, death and vaccination related characteristics including type of vaccine, doses and dates. Vaccination status were classified as not vaccinated, partially and fully vaccinated. The associations of vaccination status and deaths of COVID-19 cases were tested by chi-square test and multiple logistic regression analysis. Results: The rates of not vaccinated, partially vaccinated and fully vaccinated were 19.4%, 10.2% and 70.4%, respectively. The mortality rate of the cases was 6.4%. The death rate by vaccination status was 16.4% in not vaccinated, 15.4% in partially vaccinated and 2.6% in fully vaccinated, showing a statistically significant difference. The adjusted odds ratios (ORs) (95% confidence intervals, CIs) of death compared to fully vaccinated were 7.64 (3.87-16.34) in non-vaccinated, and 6.97 (3.44-14.14) in partially vaccinated. Conclusions: COVID-19 vaccination seems to work effectively in preventing deaths of COVID-19 cases of elderly LTCF residents. This finding support that fully vaccinations in high risk group such as elderly LTCF residents is very important for one of strategies of COVID-19 management.

Factors Influencing the Online Learning Behaviors of Middle School Students in South Korea (한국 중학생의 온라인 학습 행동에 영향을 미치는 요인)

  • Na, Kyoungsik;Jeong, Yongsun
    • Journal of Korean Library and Information Science Society
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    • v.53 no.3
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    • pp.263-285
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    • 2022
  • This study presented the factor analysis on constructing the new factors affecting the middle school students' online learning behaviors from the questionnaires employed among middle school students. A total of 204 students participated and the data were collected in South Korea. The sample of middle school ninth-grade students was selected and used through purposive sampling. Findings from the factor analysis provided evidence for the eight-factor solution for the 35-items accounting for 66.15% of the shared variance. A wide range of factors has been considered to identify students' online learning behaviors. The appropriate experience and use of e-learning in the middle school period is also important as it will be a critical stepstone for future education. This research provides information that has been taken into account for advancing online learning to enhance the quality of e-learning systems for middle school students. The study results provided eight new factors affecting the middle school students' online learning behaviors; that is 1) communication using social media as a learning tool, 2) intention to share information using ICT, 3) addiction of technology, 4) adoption of technology, 5) seeking information using ICT, 6) use of social media learning, 7) information search using ICT, and 8) immersion of technology. This study confirmed that middle school students prefer communication using social media as a learning tool, and value intention to share information using ICT for the most part. The data obtained based on factor analysis can highlight the online learning behaviors towards a mixture of social media learning and ICT to ensure a new educational platform for the future of e-learning. This research expects to be useful for both middle schools of online learning to better understand students' online learning behaviors and design online learning environments and information professionals to better assist students who particularly need digital literacy.

The Influence Factors on the Stages of Change of Exercise in Middle Aged Men who Work based on the Transtheoretical Model (범이론적모형에 근거한 직장 중년남성의 운동행위변화단계에 미치는 영향요인)

  • Hyea-Kyung Lee
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.1-9
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    • 2022
  • The objective of this study was to analyze the factors affecting the stages of change of exercise in middle-aged men who work. 170 middle-aged men who work surveyed, 40 to 59 years old, is residing, Chung-Buk and Chung-Nam province, who understand the purpose of this study and agree to participate in this study. This study data is analyzed by using frequency, percentage, standard deviation, t-test, 𝑥2 test and Logistic regression analysis. The study show that the exercise self-efficacy(𝛽=.965, p=.003) and the perceived health status(𝛽=.805, p=.025) among middle aged men who work have an effect on the stages of change of exercise meaningfully. That is, the exercise self-efficacy of middle aged men who work who have exercise behavior is 2.6 times higher than middle aged men at work who don't have exercise behavior, and the perceived health status is 2.2 times higher. This study suggests that the development of better exercise practice for middle aged men who work should be aimed at promoting exercise self-efficacy and perceived health status, Based on this, it is necessary to find ways to operate exercise programs at the workplace and community level.

Antioxidative Effects of Parnassia palustris L. Extract on Ferrous Sulfate-Induced Cellular Injury of Cultured C6 Glioma Cells (파킨슨씨병 유발물질인 황산철로 손상된 배양 신경아교세포에 대한 물매화 추출물의 항산화 효과)

  • Young-Mi, Seo;Seung-Bum, Yang
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.4
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    • pp.298-306
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    • 2022
  • This study sought to evaluate the mechanism of cellular injury caused by ferrous sulfate (FeSO4) and the protective effects of Parnassia palustris L. (PP) extract against FeSO4-induced cytotoxicity of cultured C6 glioma cells. FeSO4 is known to cause neurotoxicity and induce Parkinson's disease. The antioxidative effects of PP, such as superoxide dismutase (SOD)-like and superoxide anion-radical (SAR)-scavenging activities, as well as effects on cell viability, were studied. FeSO4 significantly decreased cell viability in a dose-dependent manner and the XTT50 value, the concentration of FeSO4 which reduced the cell viability by half, was measured at 63.3 μM in these cultures. FeSO4 was estimated to be highly cytotoxic by the Borenfreund and Puerner toxicity criteria. Quercetin, an antioxidant, significantly improved cell viability, damaged by FeSO4-induced cytotoxicity. While evaluating the protective effects of the PP extract on FeSO4-induced cytotoxicity, it was observed that the extract significantly increased cell viability compared to the FeSO4-treated group. Also, the PP extract showed superoxide dismutase (SOD)-like and superoxide anion radical (SAR)-scavenging activities. Based on these findings, it can be concluded that FeSO4 induced oxidative stress-related cytotoxicity, and the PP extract effectively protected against this cytotoxicity via its antioxidative effects. In conclusion, natural antioxidant sources such as PP may be agents useful for preventing oxidative stress-related cytotoxicity induced by heavy metal compounds such as the FeSO4, a known Parkinsonism inducer.

Private Blockchain and Biometric Authentication-based Chronic Disease Management Telemedicine System for Smart Healthcare (스마트 헬스케어를 위한 프라이빗 블록체인과 생체인증기반의 만성질환관리 원격의료시스템)

  • Young-Ae Han;Hyeok Kang;Keun-Ho Lee
    • Journal of Internet of Things and Convergence
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    • v.9 no.1
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    • pp.33-39
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    • 2023
  • As the number of people with chronic diseases increases due to an aging society, it is urgent to prevent and manage their diseases. Although biometric authentication methods and Telemedicine Systems have been introduced to solve these problems, it is difficult to solve the security problem of medical information and personal authentication. Since smart healthcare includes personal medical information of subjects, the security of personal information is the most important field. Therefore, in this paper, we tried to propose a Telemedicine System using a smart wearable device ECG in the form of a wristband and face personal authentication in a private blockchain environment. This system targets various medical personnel and patients with chronic diseases in all regions, and uses a private blockchain that can increase data integrity and transparency, ECG and face authentication that are difficult to forge and alter and have high personal identification to provide a system with high security and reliability. composed. Through this, it is intended to contribute to increasing the efficiency of chronic disease management by focusing on disease prevention and health management for patients with chronic diseases at home.