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A Study on the Circadian Blood Pressure Rhythm of Diabetic Patients (당뇨병 환자의 혈압 일주기 리듬에 관한 조사연구)

  • 김화순;서화숙
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.741-749
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    • 2000
  • This study was performed to investigate the relationship between reversed circadian blood pressure and risk factors of peripheral vascular disease in non-insulin-dependent diabetes mellitus (NIDDM) subjects. The subjects in this study were 18 NIDDM patients who were hospitalized in a medical unit of an university medical center located in Incheon, Korea, between November, 1998 and March, 1999. Blood pressure was measured with a mercury sphygmomanometer by 2 trained examiners every 2 hours during 24 hours. NIDDM subjects were divided into a dipper group and non-dipper group. Dippers are defined as those who show a mean nighttime blood pressure(BP) drop of more than 10% compared with daytime BP. Non-dippers are defined as those who show a mean nighttime BP drop of less than 10%, or an elevation in BP compared with daytime BP. Daytime BP included values obtained between 6 a.m. and 10 p.m. Night time BP included values obtained between 10 p.m. and 6 a.m. Data was analyzed by SPSS/PC package. Chi-square( $^2$) test was used for the comparison of sex between The dipper group and non-dipper group. Mann-Whitney test was used for comparisons of values of the risk factors of peripheral vascular disease and the frequency of complications of diabetes between the dipper group and non-dipper group. The results are as follows. There were no significant differences in daytime systolic, diastolic, and mean blood pressures between the dipper group and non-dipper group. However, night time systolic, diastolic, and mean blood pressures in the non-dipper group were significantly nigher than those in the dipper group (p=.021). There were no differences in sex, age, body, weight, duration of diabetes, serum lipid levels, BUN and HbA1c between the two groups. On the contrary, 87.5% of non-dipper group subjects showed having hypertension, 30% of dipper group subjects showed having hypertension and this difference was statistically significant (p=.018). All of the non-dipper group subjects (N=8) showed having at least one diabetic complication. However, 40% of the dipper group subjects (N=10) showed having no diabetic complication at all and this difference was also statistically significant (p=.049). There were no significant differences in frequency of nephropathy, neuropathy and retinopathy between the dipper group and non-dipper group.

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The Relationships among Anger Expression, Interpersonal Relationship, and Depression in Nursing Students (간호대학생의 분노표현 대인관계 및 우울 간의 관계)

  • Byun, Hye-Sun;Kim, Kyung-Hae;Lee, Da-Gyeom
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.91-99
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    • 2020
  • This study investigated the relationships of anger expression, interpersonal relationship, and depression in nursing students. The study participants were 209 nursing students recruited from two colleges. The data were collected from questionnaires gathered between December 1st and December 20th, 2016. Data were analyzed by applying descriptive analysis, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analysis, using the SPSS/WIN 19.0 program. Significant correlations were observed for anger expression, interpersonal relationship, and depression in the nursing students. The total explanation of depression was determined to be 39.0%. The anger-in explaining (β=0.506, p=0.000), anger-control explaining (β= -0.342, p=0.000), and interpersonal relationship (β= -0.286, p=0.000) were significant factors of depression. The results of this study indicate a requirement for strategies to decrease trait anger-in, and promote anger-control and interpersonal relationship among nursing students.

Study of Food Intakes and Eating Patterns among Preschool Children in Daegu Area - Assessment of Dietary Pattern and Dietary Diversity - (대구지역 유아들의 식사 및 식생활 형태 조사 - 식품 섭취패턴 및 식사다양성 평가 -)

  • Seo, Ju-Young;Lee, In-Sook;Choi, Bong-Soon
    • Korean Journal of Community Nutrition
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    • v.14 no.5
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    • pp.521-530
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    • 2009
  • This study was conducted to assess dietary pattern and dietary diversity of preschool children by investigating their food consumption. To accomplish this, dietary intake survey (24 hour-recall food diary) was administered to 508 children aged between 4 to 6 years old from 4 kindergartens in the Daegu area (415 were completed). By using CAN pro 3.0 for professionals, the dietary patterns and dietary diversity scores of each food group were examined by age and sex. Data were analyzed with SPSS 12.0, and $\chi^2$, t-test and Anova test, and Duncan's multiple range test used for verifying significance. For 4~5-year-old group, boys had significantly more fruit and meats than girls (p < 0.05), but girls had more dairy food than boys with no significance. For 6-year-old group, boys had significantly more foods, milk and dairy foods than girls (p<0.05), and also boys had more vegetables and fruit than girls with no significance. For DDS (Dietary Diversity Score), the score of 6-year-old group was significantly higher than that of younger children (p < 0.05) and the older the age was, the higher the score was. Dietary Pattern (GMVFD) was verified by 8 types, and the ratio of taking all five food groups (GMVFD = 11111) of the 6-year-old group was 48.8%. Children with older ages had more various foods than younger ones (p < 0.05). In addition, the ratio of taking less than the minimal intake of dairy foods of girls (48.1%) was higher than that of boys (41.3%). As results, unbalanced diet, overeating and not eating unbalanced diet were revealed as the problematic dietary habits among preschool children, and those habits may change positively with knowledge on nutrition grow on. Therefore, nutritional characteristics and importance of preschool children should be taught to parents and caregivers, and it must be practical and ready to use in cooking for these children to healthy dietary habits.

Association with oral symptom experiences by level of subjective stress recognition in the Korean adolescents (우리나라 청소년의 주관적 스트레스의 인지수준에 따른 구강증상경험과의 관련성)

  • Han, Yeo-Jung;Kim, Han-Soo;Ryu, So-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.3
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    • pp.465-478
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    • 2017
  • Objectives: The purpose of this study was to investigate the relationship between the level of subjective stress recognition and oral symptom experiences including toothache, gum diseases, and oral soft tissue diseases in the Korean adolescents. Methods: The subjects were 68,043 adolescents recruited using a web-based survey, National Korean Youth Risk Behavior in 2015 by the Korean Center for Disease Control. For statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to determine the factors associated with general characteristics, health behaviors, oral health behaviors, and level of subjective stress recognition. Finally, to investigate the relationship between the level of subjective stress recognition and oral symptom experiences, logistic regression analysis was performed. Results: Toothache related subjective stress recognition level was significantly higher in the moderate group with the score of 1.59 (95% CI; 1.49-1.68), and was greater in the high group with 2.38 (95% CI; 2.24-2.53) compared to the low group. Gum disease related subjective stress recognition level was significantly higher in the moderate group with 1.41 (95% CI; 1.32-1.51), and was greater in the high group with 1.99 (95% CI; 1.86-2.13). Oral soft tissue disease related subjective stress recognition level was significantly higher in the moderate group with 1.59 (95% CI; 1.45-1.74), and was greater in the high group with 2.55 (95% CI; 2.33-2.79). Bad breath related subjective stress recognition level was significantly higher in the moderate group with 1.48 (95% CI; 1.39-1.57), and was greater in the high group with 2.10 (95% CI; 1.97-2.25). Conclusions: Higher subjective stress recognition level was found to affect the oral symptoms experienced. Therefore, the stress management plan should be prepared through the cause identification of the main stress in the adolescents. Practical and systematic education is needed for oral health management in the schools.

Study on the Effect of Smart Learning applied at a Radiationtherapy Subject on Self Directed Learning, Self Learning Efficacy, Learning Satisfaction of College Students (방사선과 학생의 스마트 학습법 적용이 자기 주도적 학습능력, 학업적 자기 효능감, 학습 만족도에 미치는 영향)

  • Shim, Jae-Goo;Kim, Yon-Min;Park, Soo-Jin
    • Journal of radiological science and technology
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    • v.39 no.4
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    • pp.661-667
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    • 2016
  • The purpose of this was to study and analyze smart learning the self directed learning, self efficacy, learning satisfaction about department of radiology in a college. For this study total students 102 in 3 classes were surveyed at the end of semester. The research data was analyzed using SPSS also self directed learning, self learning efficacy, learning satisfaction analyzed t-test, ANOVA and Pearson's correlation coefficient results were followings. First, Men is more higher than women in a self learning efficacy, self directed learning, learning satisfaction. Second, in a learning satisfaction smart learning ever heard in a first time group more satisfaction. Third, during the smart learning classes a students appeared a positive response. As a results, learning satisfaction will increase a learning when learners need a ability of self control planning and learning motivation by themselves in voluntarily and actively. Suggest to change a paradigm in a radiology classes so we have to improve a teaching skills this solution recommend is two way communication. In conclusion, smart learning applied for classes of college is meaningful as a new teaching, which can be change gradually learning satisfaction by teaching methods.

A Study on the Effects of Fatigue on Turnover Intention and Job Satisfaction in Private Police (사경찰(Private Police)의 피로도가 이직의도와 직무만족에 미치는 영향)

  • Lee, Hee-Sun
    • Korean Security Journal
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    • no.21
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    • pp.53-74
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    • 2009
  • The fatigue of the Private Security Guard, such as the increase of demanded conditions, are increasing by the change of environment of inside and outside of the Society. Private Security Guard unable to solve the problem of fatigue created by their tasks has high possibility of jeopardizing their associated and citizens as well as themselves. Furthermore, fatigue can also have not good effects on Organization in various aspects. Accordingly, the problem of Private Security Guard's fatigue has significant meanings especially on effectiveness of the Organization. So this study is performed to provide implications for Private Security Guard's life quality grows by grasping not only influence that fatigue has on job attitudes, and whole relation among fatigue, Turnover Intention and Job Satisfaction that are consequences of fatigue. The private security companies of their Turnover Intention and job satisfaction from the job to the significant influence of, Dae-Jun Chungnam Province and the 215 Private Security Guards working in 20 companies. This following the summary of this study in the relation between perceptions on fatigues and Turnover Intention and Job Satisfaction, perceptions on fatigues influences on Turnover Intention.

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A Study on the Improvement of Job Satisfaction of Private Security Guard (민간경비원의 직무만족도 개선방안에 관한 연구)

  • Kim, Joon-Ki;Lee, Sang-Yeol
    • Korean Security Journal
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    • no.54
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    • pp.127-148
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    • 2018
  • As the role and the importance of private security are emphasized in an independent way, as well as in a supportive way for police affairs, this study aims to figure out factors affecting job satisfaction of private security guards by investigating their job satisfaction. This study also suggests some solutions for improvement of their job satisfaction, such as enhancing task motivation and professionalism of private security guards. For the research were used SPSS(Statistical Package for the Social Science) WIN 24 programs. Frequency analysis, correlation analysis, multiple regression analysis and Crosstabulation analysis were performed as analytic methods. As a result of the study, the most fundamental factor in the job satisfaction of the private security guards was 'social recognition'. Social recognition forms when private security guards are trusted as professionals and the value of a job is enhanced. The policy recommendations to improve the job satisfaction of private security guards can be explained as follows. First, a government certification system should be established in an attempt to recruit professional private security guards. Second, in order to improve the work ability of private security guards, it is necessary to designate a special educational institution for a private security guards and provide systematic education. Third, the wage of private security guards should be readjusted to a realistic level. Fourth, it is necessary to secure substantial effect on the permission and the supervision of private security business. Finally, the business area based on public interest should be expanded.

The Prognostic Significance of Injury Severity Score and Height of Fall in Free Fall Patients (추락환자의 예후인자로서 외상지수와 추락높이의 의의)

  • Seo, Kyung-Su;Park, Soon-Tae;Ha, Woo-Song;Choi, Sang-Kyung;Hong, Soon-Chan;Lee, Young-Joon;Jung, Eun-Jung;Jeong, Chi-Young;Jeong, Sang-Ho;Ju, Young-Tae
    • Journal of Trauma and Injury
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    • v.22 no.1
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    • pp.12-17
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    • 2009
  • Purpose: In this study, the prognostic significance of the Injury Severity Score (ISS) and the height of fall in free-fall patients were investigated. Methods: The medical records of 179 victims of falls from a height who were brought alive to the Emergency Department of Gyeongsang National University Hospital between January 2003 and December 2007 were analyzed. The age, the sex of the patients, the rate of admission, the hospital stay, the site of injury, the severity of injury, the rate of surgery, the site of the fall and the presence of alcohol intoxication were evaluated by using a retrospective review of the medical records. Injury severity was measured by using the ISS. Patients were categorized into four subgroups according to the height from where they had fallen. The data were statistically analyzed with using SPSS ver. 10.0. Results: The admission rates for the subgroups with falls of less than 3 stories were significantly lower than those for the subgroups with higher heights of falls (70.7% vs. 100%, p<0.05). These two subgroups showed statistically significant differences in mean hospital stay ($17.11{\pm}24.88$ vs. $56.73{\pm}49.21$, p<0.05), rate of operation (30.6% vs. 53.8%, p<0.05), and mean ISS ($6.86{\pm}4.97$ vs. $13.96{\pm}9.14$, p<0.05). In the correlation analysis, the ISS and the mean hospital stay showed the highest correlation with correlation coefficient of 0.666. Conclusion: In this retrospective analysis of 179 free-fall patients, we evaluated the prognostic factors affecting the outcomes for the free-fall patients. The patients who had fallen from heights of 3 stories or higher showed statistically significant higher rates of admission, longer durations of hospital stay, higher ISSs, and higher operation rates. The most accurate factor in predicting the length of hospital stay was the ISS.

The Effects of Needle Electrode Electrical Stimulation on Cellular Necrosis Blocking the Hippocampus after Induction of Ischemia (침전극저주파 자극이 해마의 세포사 차단에 미치는 영향)

  • Lee, Jung-Sook;Kim, Byung-Ki;Kim, Sung-Won;Kim, Ji-Sung;Kim, Dong-Il;Song, Chi-Won
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.2
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    • pp.111-120
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    • 2009
  • Objectives : This study was performed to investigate the effects of Needle Electrode Electrical Stimulation (NEES) on ischemia-induced cerebrovascular accidents. After obstruction and reperfusion of ${\ast}{\ast}$ arteries in white mice, the amounts of necrosis and inflammation related substances IL-6, Caspase-3, and PARP, C-fos were measured in neurons of the hippocampus. The following results were obtained. Methods : This study used 21 male specific pathogen free (SPF) SD (Sprague Dawley) rats, 8 weeks of age and approximately 300 g in weight, that were given at least 1 week to adapt to the lab environment Each exposed artery was completely occluded with non-absorbent suture thread and kept in that state for 5 minutes. The sutures were then removed to allow reperfusion of blood. Test group is control group for comparison with the common carotid artery occlusion models, a GI group that underwent common carotid artery occlusion, and a needle electrode electrical stimulation (NEES) group that underwent NEES after artery occlusion. The GI and NEES groups were given 12, 24, or 48 hours of reperfusion before NEES. NEES device (PG6, ITO, Japan, 9V, current, 2Hz) was used to stimulate the right and left acupoint ST36 of the SD rats for 30 minutes while they were sedated with 3% isoflurane. An immunohistochemistry test was done on the forebrains of the GI induced rats. All the data collected from this study was symbolized and analyzed using a statistics processing program (SPSS 12.0K/PC). The level of significance was set at ${\alpha}$=0.05 and a T-TEST analysis was used to find out the effects of treatment on each of the groups: the normal group, the CVA induced group, and the treatment after CVA induction group. Results : Both PARP and C-fos immuno-reactive cells, related to apoptosis, were greater in the GI groups than the NEES group. Caspase and IL-6 immuno-reactive cells, related to inflammation, were greater in the GI and NEES groups than the control group. Conclusions : This research was conducted to study the effects of NEES on CVA due to ischemia. Occlusion and reperfusion was performed on the common carotid arteries of white rats, after which amounts of substances related to neuron necrosis and inflammation - PARP, IL-6, Caspase-3, and C-fos - were measured in the Hippocampus

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Comparing Effects of Tai-Chi Self-help Program and Tai-Chi Exercise in Osteoarthritis Patients (골관절염 환자를 위한 타이치 운동그룹과 타이치 자조관리 그룹의 효과 비교분석)

  • Kang, Hyun-Sook;Kim, Jong-Im;Ryoo, Eon-Na;Bak, Won-Sook;Paik, Hoon-Jung;Song, Rha-Yun;Ahn, Yang-Heui;Lim, Nan-Young;Eom, Ok-Boon;Lee, In-Ok;Lee, Eun-Ok;Rhee, Seon-Ja;Cho, Kyung-Sook
    • Journal of muscle and joint health
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    • v.13 no.2
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    • pp.83-93
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    • 2006
  • Purpose: The purpose of the study was to compare the effects of Tai Chi self-help program and Tai Chi exercise in patients with osteoarthritis. Methods: quasi experimental design was utilized for the study to compare the effects after implementing tai chi self-help program and Tai Chi exercise for 6 weeks. The subjects of the study was osteoarthritis patients who visited to two Public Health Centers in Gyunggi-do from August to December, 2005. Total of 25 OA patients agreed to participate in the study, and 10 tai chi self-help program group and 9 Tai Chi exercise group were included for the final analysis after 6 weeks. Tai Chi self-help program was provided twice a week, 2 hours per session (one hour for tai chi exercise, one hour for self help program) for 6 weeks, and Tai Chi exercise group was provided once a week, 2 hours per session for 6 weeks. Outcome measures include flexibility, 6 m walking, and balance. Mann-Whitney U test of SPSS WIN 11.0 was utilized to compare the group differences. Results: The subjects of both program participants were not improved in their arm flexibility, and the difference was not significant. Tai chi self-help group improved more in their 6 m walking ability than Tai Chi exercise group, but the difference was not significant (F=.000, p>.05). Tai chi self-help group improved more in their balance than Tai Chi exercise group, but the difference was not significant (Rt: U=.24, p>.05; Lt: F=2.60, p>.05). Conclusion: The provision of both Tai Chi self-help program and Tai Chi exercise can lead improvement of 6 m walking, and balance, but the group difference was not significant. A rigorous research design should be further utilized to identify the potential benefits for this population.

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