• Title/Summary/Keyword: Public health administration

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Effect of taping method on ADL, range of motion, hand function & quality of life in post - stroke Patients for 5 weeks (테이핑요법이 재가 뇌졸중환자의 일상생활동작, 근관절각도, 손기능에 미치는 효과)

  • Kim, Keum-Soon;Seo, Hyun-Mi;Lee, Hae-Derk
    • The Korean Journal of Rehabilitation Nursing
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    • v.5 no.1
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    • pp.7-17
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    • 2002
  • The purpose of this study was to investigate the effect of taping therapy on activities of daily livings (ADL), hand function and range of motion in poststroke-hemiplegic patients. Sample were selected from 20 poststroke-hemiplegic patients at public health center in the period from September 5 to November 21, 2001. The research design was one group pretest-posttest design. The hemiplegia period of the participants was from one year to five years. The pretest and posttest included measuring activity of daily livings(ADL), instrumental activity of daily livings(IADL), hand function, range of motion, quality of life. In this research design, a treatment were to expose taping therapy who were received self-help management program. This self-help management program was composed of five sessions and each session had health education on stroke, diet, risk factor, ROM exercise and recreation. 20 patients were treated with kinesio taping(Nippon Sigmax Co., Ltd., Benefact(r), width 50mm). Tapes were applied to the Deltoid, Supraspinatus, Infraspinatus, Brachioradialis with paralyzed upper extremity. The taping therapy was performed once a week for 5 weeks. SPSS Win 8.0 was used for the data analysis. The results of this study were as follows: 1) The score of BADL was increased from 30.5 to 33.95 after program, and that was statistically significant(p=.019). 2) The score of IADL was increased from 11.6 to 12.75 after program, but that was statistically insignificant(p=.161). 3) The score of hand function was increased from 17 to 20.35 after program, and that was statistically significant(p=.026). 4) The shoulder's ROM(p=.000) and wrist's ROM(p= .004) were significantly increased. According to the results of this study, taping therapy is effective for improving ADL, hand function, ROM, quality of life. However, this study found no significant differences in IADL. Consequently, these findings showed that the taping therapy was effective in improvement of physical aspects(BADL, hand function, upper extremity's ROM) in poststroke-hemiplegic patients.

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The Effect of Social Supports, Psychological Behaviors, and Stress on the Depression Symptoms of College Students -Validation of Casual Model using Covariance Structure Analysis- (대학생의 사회적지지, 심리적 행동특성 및 스트레스가 우울수준에 미치는 영향 -공분산구조분석에 의한 인과모델의 검증-)

  • Park, Ui-Su;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.209-218
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    • 2017
  • This study examined the influence of social support (social support from family, social support from friends), psychological behavioral characteristics (self-esteem, interpersonal dependency, locus of control), and stress on the depression levels of college students. The study subjects were 546 college students in D city. The survey was conducted using a self-administered questionnaire in October 2015. As a result, the depression levels were significantly higher in the group showing lower family and friends' social support, self-esteem, and locus of control, while it was significantly higher in the group showing higher interpersonal dependency and stress. The depression levels of the subjects showed a negative correlation with family and friends' social support, self-esteem, and locus of control, but a positive correlation with interpersonal dependency and stress. Covariance structure analysis revealed an increase in the depression levels of college students when the awareness of the stress source was higher, and when the awareness of social support or psychological behavioral characteristics was lower. These results suggest that the depression levels of college students would be increased when the social support and psychological behavioral characteristics are low, and when stress is high. In particular, it was influenced much more by stress than other factors. Therefore, to decrease the depression levels of college students, it would be necessary to put efforts to understand their main stress sources and then reduce them.

Angiogenesis Markers in Breast Cancer - Potentially Useful Tools for Priority Setting of Anti-Angiogenic Agents

  • Keyhani, Elahe;Muhammadnejad, Ahad;Behjati, Farkhondeh;Sirati, Fereidoon;Khodadadi, Faranak;Karimlou, Masoud;Moghaddam, Fatemeh A.;Pazhoomand, Reza
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7651-7656
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    • 2013
  • Background: Breast cancer is the most common malignancy among women in both developed and developing countries. The burden is increasing in low-income and middle-income countries (LMCs) and threatens the public health of such societies. Introduction of expensive monoclonal antibodies to cancer treatment regimens poses a real challenge in the health systems of LMCs. Despite controversy of cost-effectiveness of bevacizumab in breast cancer, some studies indicate gain of patients from this drug. The present study aimed to propose a priority setting model for administration of anti-angiogenic agents in breast cancer via assessment of tumor angiogenesis by the microvessel density (MVD) method and associations with clinicopathological characteristics (including simultaneous mutations of TP53 and HER-2 genes). Materials and Methods: Age, axillary lymph nodes status, tumor size, stage and grade, estrogen and progesterone receptors status, HER-2/neu status (by immunohistochemistry and FISH test), TP53 mutation, Ki-67 (for proliferation assay) and CD34 (for angiogenesis assay) were assessed in 111 breast cancer patients. The molecular subtype of each tumor was also determined and correlations of simultaneous mutations of HER-2 and p53 genes with angiogenesis and other clinicopathological characteristics were evaluated. Results: There were significant associations between simultaneous mutations of HER-2 and p53 genes and all other parameters except tumor size. The degree of angiogenesis in the ERBB2 subtype was greater than the others. Younger patients showed a higher angiogenesis rate rather those older than 50 years. Conclusions: Our results demonstrated that patients with simultaneous mutations of HER-2 and p53 genes, those with ERBB2 molecular subtype and also younger women (often triple negative) seem more eligible for obtaining anti-angiogenic agents. These results suggest a model for priority setting of patients with breast cancer for treatment with anti-angiogenic drugs in LMCs.

Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults

  • Min, Chan-Yang;Noh, Hwa-Young;Kang, Yun-Sook;Sim, Hea-Jin;Baik, Hyun-Wook;Song, Won-O.;Yoon, Ji-Hyun;Park, Young-Hee;Joung, Hyo-Jee
    • Nutrition Research and Practice
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    • v.5 no.5
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    • pp.455-463
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    • 2011
  • The aim of the present study was to assess the effects of skipping breakfast on diet quality and metabolic disease risk factors in healthy Korean adults. Subjects included 415 employees (118 men, 297 women; 30-50 years old) of Jaesang Hospital in Korea and their acquaintances. Data collected from each subject included anthropometric measurements, 3-day dietary intake, blood pressure, and blood analyses. The subjects were classified into three groups based on the number of days they skipped breakfast: 'Regular breakfast eater', 'Often breakfast eater', or 'Rare breakfast eater'. Participants in the 'Rare breakfast eater' group consumed less rice, potatoes, kimchi, vegetables, fish and shellfish, milk and dairy products, and sweets than did participants in the other two groups (P for trend <0.05) and ate more cookies, cakes, and meat for dinner (P for trend <0.05). Participants in the 'Rare breakfast eater' group consumed less daily energy, fat, dietary fiber, calcium, and potassium than did participants in the other groups (P for trend <0.05). The percent energy from carbohydrates was lower and fat intake was higher in the 'Rare breakfast eater' group than in the other groups (P for trend <0.01). When diets were compared using the Acceptable Macronutrient Distribution Range for Koreans, 59.1% of subjects in the 'Rare breakfast eater' group consumed more energy from fat compared with the other two groups (P <0.005). According to the Estimated Average Requirements for Koreans, intake of selected nutrients was lower in the 'Rare breakfast eater' group than in the other two groups (P <0.05). The risk of elevated serum triglycerides was decreased in the 'Rare breakfast eater' group (OR, 0.3 [0.1-1.0], P for trend=0.0232). We conclude that eating breakfast regularly enhances diet quality, but may increase the risk of elevated serum triglycerides.

A Study on the Length of Stay In Hospital Before and After Operation (수술전.후 재원일수에 관한 조사연구)

  • Kim Mi-Young;Park Kyung-Sook;Kim Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.245-265
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    • 1997
  • The purpose of this study was to promote the effectiveness in managing disease or injury, by examining the length of stay in hospital according to characteristics concerned before and after operation, and by serving as a basis for reducing that length. As a result of investigating the length of stay in hospital according to inpatient's personal characteristics, clinical features and other characteristics concerned, the following characteristics appeared significant. The characteristics that showed a significant difference about the length of stay in hospital before and after operation were the age and the fact whether one was married or not among inpatient's personal characteristics. The significant ones among clinical features were the route to be taken to hospital, the form of insurance, the experience of re-hospitalization, whether another disease coexisted, the experiment of changing department, whether a diagnosis was determined by consultation, whether an intensive care unit was used, whether re-operation was performed, the total number of case of the experience of re-hospitalization, inpatient who were again sent to hospital under the same diagnosis was not included in the investigation, which was pointed out as a limit in this study. The significant ones among other characteristics concerned were the date and season when the patients were taken to hospital and the doctor in attendance. The doctor in attendance appeared to give a significant impact on the length of stay in hospital before operation, but no significant difference was noted in the mean among the doctors in attendance. And those characteristics were not found regularly among the selected departments. As stated above, one way to reduce the length of stay In hospital was to diminish the length of stay in hospital before operation. The term of hospitalization before operation shall be reduced by grasping the factors that affected that length before operation and by conducting examination as many as possible in the out-patient department. Also, the efforts should be put on that length after operation. The management of hospital seemed to be successfully carried out if those factors affected that length were effectively controlled.

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Health Care Behaviors according to Ages in Farmers (농업인의 연령대별 건강관리 행태에 관한 연구)

  • Lee, Kyung-Suk;Kim, Hyo-Cher;Kim, Kyung-Ran;Song, Eun-Young;Rho, Sang-Chul;Oh, Gyung-Jae;Park, Ki-Soo
    • Proceedings of the Korean Society of Community Living Science Conference
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    • 2009.09a
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    • pp.82-82
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    • 2009
  • 농작업 활동시 건강유해요인 증가에 따라 농부증 및 농업인의 직업성 질환 유병률은 증가하는 실정이므로, 장기추적연구를 통한 실태분석 및 원인구명이 필요한 실정이다. 그 일환으로 본 연구에서는 농업인의 건강수준 평가를 위한 건강검진 항목 선정 및 측정방법 표준화, 농업인 건강 및 농작업 관련 행태조사를 위한 설문지를 개발하여 농업인 건강 및 작업수준을 평가하고자 하였다. 본 연구는 국내 농업인의 성별 연령대별 건강관리행태를 조사하기 위하여 2006년 5월부터 4개월간 18개 지역 남자농업인 550명(44.6%)과 여자농업인 683명(55.4%) 총 1,233명을 대상으로 직접면접조사를 실시하였다. 연령대는 50세이하, 51~60세, 61~70세, 71세 이상 4그룹으로 나누어 조사하였다. 주요 연구결과는 다음과 같다. 1. 농업인의 체지량지수(BMI)는 남성의 경우 연령대가 높아질수록 점차 낮아지는 경향을(p<.001), 여성의 경우는 다른 그룹에 비해 70세 이상 그룹이 가장 낮게 나타났다(p<.05). 2. 대상 농업인들의 주작물을 조사한 결과 시설작목과 특용작물의 경우 남성은 50대, 여성은 40대 그룹이 가장 많은 것을 제외하고 대부분의 작목은 60대 그룹이 가장 많았다. 3. 지난 1년간 의료기관 방문 횟수와 의료비를 조사한 결과 남성(p<.001)과 여성(p<.001) 모두 연령대가 높을수록 점차 증가하는 것으로 조사되었다. 4. 규칙적인 운동시행여부를 조사한 결과 여성은 연령대와 운동여부간에 유의한 관련이 있는 것으로(p<.001), 남성은 유의한 상관이 없는 것으로 나타났다. 5. 농부증정도(농부증 없음. 의증. 양성)를 조사한 결과 남성(p<.01)과 여성(p<.001) 모두 연령대와 농부증간에는 유의한 상관이 있는 것으로 조사되었다. 이상의 결과들을 바탕으로 농작업 재해 실태 파악과 원인구명을 위한 작업개선방안 제시하고, 예방할 수 있는 대책을 수립함에 있어서 국내 농업인의 작업부담을 경감시키고 건강수준을 증대시키기 위한 방안들이 모색되어야 할 것이다.

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Dose-Dependent Associations between Wine Drinking and Breast Cancer Risk - Meta-Analysis Findings

  • Chen, Jia-Yan;Zhu, Hong-Cheng;Guo, Qing;Shu, Zheng;Bao, Xu-Hui;Sun, Feng;Qin, Qin;Yang, Xi;Zhang, Chi;Cheng, Hong-Yan;Sun, Xin-Chen
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1221-1233
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    • 2016
  • Purpose: To investigate any potential association between wine and breast cancer risk. Materials and Methods: We quantitatively assessed associations by conducting a meta-analysis based on evidence from observational studies. In May 2014, we performed electronic searches in PubMed, EmBase and the Cochrane Library to identify studies examining the effect of wine drinking on breast cancer incidence. The relative risk (RR) or odds ratio (OR) were used to measure any such association. Results: The analysis was further stratified by confounding factors that could influence the results. A total of twenty-six studies (eight case-control and eighteen cohort studies) involving 21,149 cases were included in our meta-analysis. Our study demonstrated that wine drinking was associated with breast cancer risk. A 36% increase in breast cancer risk was observed across overall studies based on the highest versus lowest model, with a combined RR of 1.0059 (95%CI 0.97-1.05) in dose-response analysis. However, 5 g/d ethanol from wine seemed to have protective value from our non-linear model. Conclusions: Our findings indicate that wine drinking is associated with breast cancer risk in a dose-dependent manner. High consumption of wine contributes to breast cancer risk with protection exerted by low doses. Further investigations are needed for clarification.

Recognition on technical skills of temporary resin jacket of dental hygienist (치과위생사의 임시치관제작 기술 숙련에 대한 인식도)

  • Kim, Kyung-Won;Kim, Gwang-Hui
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.4
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    • pp.559-568
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    • 2009
  • Objectives : In order to manage to reformative tendency of the educational whole with change request of dental hygienics education which is diversificated and professionalized the manufacturing practice of a temporary resin jacket which is educated with from much dental hygiene is become accomplished, so far also the recognition which relates with the manufacturing practice of a temporary resin jacket of dental hygiene students there is not researched. The present research carried out the practice evaluation with the target of students of a dental hygiene department, who finished a manufacturing practice of a temporary resin jacket, analyzed and investigated the material, reported its result, and enforced a research. Methods : This research selected students of 6 dental hygiene departments located in the Daegu Gyeongbuk region, who have manufacturing experience of a temporary resin jacket, by a convenient sampling method, and then a questionnaire was executed by a self-administration method, and a total of 290 copies were statistically treated. The content of the questionnaire are composed of 2 questions on an attitude survey before and after manufacturing practice of a temporary resin jacket, 3 questions on an educator for practice of a temporary resin jacket, 7 questions on recognition of technical skills for manufacturing a temporary resin jacket, 9 questions on the practice content evaluation of manufacturing of a temporary resin jacket and recognition on manufacturing practice of a the temporary resin jacket. Results : 1. The average of recognition on technical skills for manufacturing a temporary resin jacket of a dental hygienist was 3.82 points, the average of evaluation on practice content of manufacturing a temporary resin jacket being 3.75 points, and the average of recognition on the practice of manufacturing a temporary resin jacket was 3.71 points. 2. Currently, as the educator for the practice of manufacturing a temporary resin jacket, dental hygienists were 188 persons(64.8%) and dental technicians was 102 persons(35.2%), and as educators they want in the future, dental hygienists were 97 persons(33.3%) and dental technicians was 193 persons(66.7%). Persons hoping reeducation for manufacturing a temporary resin jacket were 219 persons(85.9%). 3. There was a significant difference in consciousness of students before and after practice of manufacturing a temporary resin jacket(p<.001). 4. There was a significant difference in practice evaluation and practice recognition according to the educational subject(p<.001). 5. There was a significant reverse correlation in the educational subject, practice evaluation and practice recognition(p<0.01). Conclusions : The practice for manufacturing a temporary resin jacket in education of dental hygiene is necessary to improve job performance ability in more various and specialized dental treatment and to solve desire for improvement of professional technical skill ability of students, and accordingly. About study process of the future students observation investigation or student objective interview investigation etc. seeks a problem in the become research lead, the succeeding research which gropes the plan which is the possibility of solving the problem which discovered is thought will be necessary.

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Acute Oral Toxicity and Skin Irritation Studies on Lamia-Kill$^{(R)}$ Composed of Benzalkonium Chloride and Citric Acid (염화벤지코늄과 구연산을 주성분으로 하는 살균 소독제 라미아-킬에 대한 급성경구독성 및 피부자극성 시험에 관한 연구)

  • Cha, Chun-Nam;Lee, Yeo-Eun;Son, Song-Ee;Yoo, Chang-Yeol;Park, Eun-Kee;Choi, Hyun-Ju;Kim, Suk;Lee, Hu-Jang
    • Journal of Food Hygiene and Safety
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    • v.26 no.4
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    • pp.377-382
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    • 2011
  • This test was performed to evaluate the acute oral toxicity and skin irritation of Lamia-Kill$^{(R)}$, disinfectant, containing 20% benzalkonium chloride and 10% citric acid. In acute oral toxicity, Lamia-Kill$^{(R)}$ was orally administered at dose levels of 2,000, 1,000, 500, 250 and 0 mg/kg body weight. After single oral administration to both sexes of SD rats, the rats were observed for 14 days. In primary skin irritation test, New Zealand white rabbits were dermally treated with Lamia-Kill$^{(R)}$ for 24 hr and observed for 3 days. All rats treated with Lamia-Kill$^{(R)}$ were induced no toxic signs in mortalities, clinical findings, body weights and gross findings. Also, the disinfectant did not induce any adverse reactions such as erythema and edema on intact skin sites for the most part rabbits, but on abraded skin sites, some rabbits showed very slight erythema on 24 hr after topical application. With the results of this study, Lamia-Kill$^{(R)}$ have no effect on acute toxicity and side effect in SD rats and was classified as a practically non-irritating material based on the score 0.50 of primary irritation index.

A Convergence Study on Violence, Discrimination and Suicidal Ideation among Person with Disabilities (장애인의 폭력 및 차별경험과 자살생각에 관한 융합연구)

  • Kim, Seokhwan;Lee, Hyunjoo;Kim, Ji hyun
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.347-353
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    • 2018
  • The purpose of this study is to investigate the relevance of discrimination and violence experienced by persons with disabilities to suicidal ideation of persons with disabilities. The study data used the 2014 national survey of the disabled persons and 6,332 people were included in the analysis. Suicidal ideation was defined as whether or not suicide was actually attempted in the last year. The reference group was a group without suicidal ideation and logistic regression analysis of violence discrimination and experience was performed. The study found that 18.5%(n=1.171) of people with disabilities had suicidal ideation. The risk of suicidal ideation was higher when there was language violence and mental violence because of being disabled. When adolescents experienced sexual harassment, sexual abuse, and sexual violence, the risk of suicide was 16.7(CI=4.22-66.18) times higher. The risk of suicidal ideation was 5.8(CI=2.34-14.6) times higher for those who did not know the violent offenders and 4.08(CI=2.05-8.12) times higher for coping strategies that ignored or tolerated violence. The risk of suicidal ideation was 1.60(CI=1.24-2.08) times higher in the case of discrimination experienced at the time of marriage and it was 2.73(CI=4.22-66.18) times higher when they had always felt the discrimination due to disability. The suicidal ideation that comes from experiences of violent experience and discrimination can appear as actual suicide. Therefore, it is necessary to support the suicide prevention program at the community level, along with the care and consideration of the family and society of the disabled for the well-being of the disabled.