• Journal of Preventive Medicine and Public Health
• /
• v.38 no.3
• /
• pp.276-282
• /
• 2005

Objectives : To evaluate the predictive validity of three scoring systems; the acute physiology and chronic health evaluation(APACHE) III, simplified acute physiology score(SAPS) II, and mortality probability model(MPM) II systems in critically ill patients. Methods : A concurrent and retrospective study conducted by collecting data on consecutive patients admitted to the intensive care unit(ICU) including surgical, medical and coronary care unit between January 1, 2004, and March 31, 2004. Data were collected on 348 patients consecutively admitted to the ICU(aged 16 years or older, no transfer, ICU stay at least 8 hours). Three models were analyzed using logistic regression. Discrimination was assessed using receiver operating characteristic(ROC) curves, sensitivity, specificity, and correct classification rate. Calibration was assessed using the Lemeshow-Hosmer goodness of fit H-statistic. Results : For the APACHE III, SAPS II and MPM II systems, the area under the receiver operating characterist ic(ROC) curves were 0.981, 0.978, and 0.941 respectively. With a predicted risk of 0.5, the sensitivities for the APACHE III, SAPS II, and MPM II systems were 81.1, 79.2 and 71.7%, the specificities 98.3, 98.6, and 98.3%, and the correct classification rates 95.7, 95.7, and 94.3%, respectively. The SAPS II and APACHE III systems showed good calibrations(chi-squared H=2.5838 p=0.9577 for SAPS II, and chi-squared H=4.3761 p=0.8217 for APACHE III). Conclusions : The APACHE III and SAPS II systems have excellent powers of mortality prediction, and calibration, and can be useful tools for the quality assessment of intensive care units(ICUs).

• Journal of Korean Society of Occupational and Environmental Hygiene
• /
• v.24 no.2
• /
• pp.229-237
• /
• 2014

Objectives: This study intends to determine the current status of management of personal protective equipment fume hoods in university laboratories. Methods: A walk-through survey of 402 labs in Gyeongbuk Province and Daegu Metropolitan City were carried out between May 2009 and July 2010. Respectively, 348 and 54 laboratories were examined in Gyeongbuk Province and Daegu. Results: In size, labs serving over 15,000 student made up the majority with 276(66.4%). In terms of major, engineering labs were the highest in number with 100(24.9%). As to personal protective equipment, a gas mask and a dust mask were available in 17.8% and 14.3% of the labs, respectively, but 68.9% of labs were equipped with protective goggles. Meanwhile, only 12.7% of labs had separate protective equipment storage boxes. About 60% of the labs had installed a fume hood, of which the average capture velocity was 0.37 m/sec. Conclusions: For toxic substances, the labs are obliged to provide personal protective equipment in in accordance with the Occupational Safety and Health Act. In addition, the capture velocity of fume hoods must be in strict compliance in order to prevent occupational diseases due to toxic chemicals.

• Journal of The Korean Society of Integrative Medicine
• /
• v.7 no.4
• /
• pp.203-212
• /
• 2019

Purpose : The purpose of this study was to determine the correlation between the self-esteem of health science college students and their empathy for others. Methods : A survey was administered to 448 students from the five departments of health science (Occupational Therapy, Physical Therapy, Dental Hygienics, Nursing, and Medical Administration) at a college located in Busan, South Korea, between September 28 and November 2, 2017. To measure their self-esteem and empathy for others, the Self-esteem Scale and the Korean Empathy Quotient (K-EQ) Scale were used. Results : There were statistically significant differences in social skills as a sub-item of empathy skills based on age and department, as well as in emotion as a sub-item of empathy skills based on sex. Self-esteem and all the items of empathy showed meaningful differences based on monthly expenses, while self-esteem and cognition as a sub-item of empathy skills displayed significant differences based on source of monthly income. Noteworthy differences were also found in self-esteem and emotion as a sub-item of empathy skills based on satisfaction with current school life. Self-esteem and empathy skills were shown to have a positive correlation. Conclusion : According to the results of this study, self-esteem and empathy skills had a statistically significant correlation. Further research is needed to investigate how health science college students can improve their understanding of themselves and their empathy for others.

• Journal of muscle and joint health
• /
• v.25 no.2
• /
• pp.92-103
• /
• 2018

Purpose: This study aimed to identify factors affecting the quality of life of the elderly people with chronic musculoskeletal pain. Methods: The data were collected from 307 older adults aged 65 years or older with chronic musculoskeletal pain, who visited senior welfare centers in two cities. We used self-rated questionnaires including NRS for pain, WHOQOL-BREF for quality of life, Pain Response Inventory for coping responses to pain, and MSPSS for social support. Stepwise multiple regression analysis were performed using SPSS/WIN 23.0 to identify factors affecting the study subjects' quality of life. Results: The regression model explained 43% of quality of life, which was statistically significant (F=34.11, p<.001). Educational level of high school (${\beta}=.13$, p=.006), pain (${\beta}=-.13$, p=.013), restriction of function (${\beta}=-.13$, p=.028), accommodative pain coping (${\beta}=.24$, p<.001), family support (${\beta}=.18$, p<.001), colleague's support (${\beta}=.25$, p<.001), and perceived health status (${\beta}=.25$, p<.001) were identified as influential factors on subjects' quality of life. Conclusion: Developing integrative interventions is necessary to improve accommodative pain coping skills and to engage family and colleague in support for positive perception of older adults' health status and management of symptoms.

• The Korean Journal of Food & Health Convergence
• /
• v.6 no.4
• /
• pp.17-19
• /
• 2020

HIV/AIDS disease still remain a global pandemic and it's management has undergone series of treatment changes and improvement although there is still no permanent cure.Dolutegravir belongs to a group of HIV drugs called integrase inhibitors. Integrase inhibitors block an HIV enzyme called integrase. By blocking integrase, integrase inhibitors prevent HIV from multiplying and can reduce the amount of HIV in the body.Dolutegravir combination based regimen has turned out to be very effective (antiviral) with negligible rare side effects on clients. This drug (Dolutegravir based regimen) combination has successfully increased the appetite for food of all the clients, unlike others and has shown to reduce viral load in the most shortest period ever. It can be deduced that development of resistant mutant virus will be reduced if not eliminated with dolutogravir based regimen.The role of Continuous adherence counseling has shown to improve clients treatment management. It is important to note that the availability of food has direct effect on the economic status or financial weight on the client. Hence the progress that is increase in body mass index (BMI) is a direct impact of the availability of food for the clients.

• The Korean Journal of Emergency Medical Services
• /
• v.26 no.1
• /
• pp.57-70
• /
• 2022

Purpose: The purpose of this study was to investigate the effect of coronavirus disease-19 (COVID-19) knowledge, anxiety, and psychosocial well-being on the infection prevention behavior of college students in health care. Methods: This study is a descriptive survey research. A total of 301 college students at four health care departments in three regions were surveyed using a structured questionnaire from February 10 to February 16, 2022. The collected data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA. Pearson correlation coefficients and multiple regression analyses were done using SPSS ver. 18.0. Results: Knowledge on COVID-19 was significantly dependent on a family history of chronic disease (p=.049). Anxiety was significantly dependent on test of COVID-19 (p=.040). Gender (p=.049), perceived physical and mental health status (p=.000), and chronic disease (p=.000) had significant effects on infection prevention behavior. When the level of anxiety was higher, the infection prevention behavior was also higher (p=.000) and the psychosocial well-being was improved (p=.017). Stepwise multiple regression analysis revealed that anxiety significantly improved the infection prevention behavior (𝛽=.396, p<.001) and psychosocial well-being (𝛽=-.139, p=.008), which accounts for 18.5% (F=22.444, p<.001) of the variance. Conclusion: In order to prevent infectious diseases such as COVID-19 and its spread, measures to prevent infection and improve the psychosocial well-being should also be sought.

• Journal of Preventive Medicine and Public Health
• /
• v.57 no.3
• /
• pp.260-268
• /
• 2024

Objectives: Regional disparities in cardiovascular care in Korea have led to uneven patient outcomes. Despite the growing need for and access to procedures, few studies have linked regional service availability to mortality rates. This study analyzed regional variation in the utilization of major cardiovascular procedures and their associations with short-term mortality to provide better evidence regarding the relationship between healthcare resource distribution and patient survival. Methods: A cross-sectional study was conducted using nationwide claims data for patients who underwent coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), stent insertion, or aortic aneurysm resection in 2022. Regional variation was assessed by the relevance index (RI). The associations between the regional RI and 30-day mortality were analyzed. Results: The RI was lowest for aortic aneurysm resection (mean, 26.2; standard deviation, 26.1), indicating the most uneven regional distribution among the surgical procedures. Patients undergoing this procedure in regions with higher RIs showed significantly lower 30-day mortality (adjusted odds ratio [aOR], 0.73; 95% confidence interval, 0.55 to 0.96; p=0.026) versus those with lower RIs. This suggests that cardiovascular surgery regional availability, as measured by RI, has an impact on mortality rates for certain complex surgical procedures. The RI was not associated with significant mortality differences for more widely available procedures like CABG (aOR, 0.96), PCI (aOR, 1.00), or stent insertion (aOR, 0.91). Conclusions: Significant regional variation and underutilization of cardiovascular surgery were found, with reduced access linked to worse mortality for complex procedures. Disparities should be addressed through collaboration among hospitals and policy efforts to improve outcomes.

• The Korean journal of internal medicine
• /
• v.39 no.4
• /
• pp.625-639
• /
• 2024

Background/Aims: Intensive care unit (ICU) quality is largely determined by the mortality rate. Therefore, we aimed to develop and validate a novel prognostic model for predicting mortality in Korean ICUs, using national insurance claims data. Methods: Data were obtained from the health insurance claims database maintained by the Health Insurance Review and Assessment Service of South Korea. From patients who underwent the third ICU adequacy evaluation, 42,489 cases were enrolled and randomly divided into the derivation and validation cohorts. Using the models derived from the derivation cohort, we analyzed whether they accurately predicted death in the validation cohort. The models were verified using data from one general and two tertiary hospitals. Results: Two severity correction models were created from the derivation cohort data, by applying variables selected through statistical analysis, through clinical consensus, and from performing multiple logistic regression analysis. Model 1 included six categorical variables (age, sex, Charlson comorbidity index, ventilator use, hemodialysis or continuous renal replacement therapy, and vasopressor use). Model 2 additionally included presence/absence of ICU specialists and nursing grades. In external validation, the performance of models 1 and 2 for predicting in-hospital and ICU mortality was not inferior to that of pre-existing scoring systems. Conclusions: The novel and simple models could predict in-hospital and ICU mortality and were not inferior compared to the pre-existing scoring systems.

• Journal of Ginseng Research
• /
• v.37 no.1
• /
• pp.30-36
• /
• 2013

The aim of this review was to assess the effectiveness of ginseng as a treatment option for managing menopause symptoms. We searched the literature using ll databases from their inception to 26 September 2012 and included all randomised clinical trials (RCTs) that compared any type of ginseng to a placebo controls in postmenopausal women. The methodological quality of all studies was assessed using a Cochrane risk of bias tool. Four RCTs met our inclusion criteria. Most RCTs had high risk of bias. One RCT showed that Korean red ginseng (KRG) significantly improved sexual arousal and global health compared with placebo. Another RCT reported the superiority of KRG over placebo for treating menopause symptoms on Kupperman's index and menopausal rating score. The third RCT failed to show a significant effect of KRG on hot flash frequency compared to placebo. The fourth RCT found beneficial effects of ginseng compared to placebo on depression and well-being. In conclusion, the evidence on ginseng as an effective treatment for managing menopause symptoms is limited. Most of the RCTs are burdened with a high risk of bias. Thus firm conclusions cannot be drawn. Rigorous studies seem warranted.

• Advances in Traditional Medicine
• /
• v.3 no.4
• /
• pp.212-216
• /
• 2003

This study assessed the effects of Qi therapy (QT) on premenstrual symptoms in women with premenstrual syndrome (PMS). Forty-six college women were randomly allocated to receive QT (QT group: n=23) or complete diary of PMS (control group: n=22, 1 was dropped out). The experimental group receives 12 minutes Qi therapy for 5 times (7, 4, 1 day before and 7, 14 day after menstruation), and control group relaxed in the same procedure with experimental group. We measured pain, depression and anxiety level with visual analogue scale (VAS) to investigate participants responses. There were significant reductions on pain, depression and anxiety in QT group compared with control. These findings suggest that Qi therapy may have a role in helping the women with PMS to cope with their pain, depression and anxiety symptoms.