• Journal of agricultural medicine and community health
• /
• v.32 no.1
• /
• pp.13-26
• /
• 2007

Objectives: This study was conducted to investigate the association between health risk factors and mortality in Juam cohort. Methods: The subjects were 1,447 males and 1,889 females who had been followed up for 68.5 months to 1 January 2001. Whether they were alive or not was confirmed by the mortality data of the National Statistical Office. A total of 289 persons among them died during the follow-up period. The Cox's proportional hazard regression model was used for survival analysis. Results: Age, type of medical insurance, self cognitive health level, habit of alcohol drinking, smoking, exercise and BMI level were included in Cox's proportional hazard model by gender. The hazard ratio of age was 1.07(95% CI: 1.05-1.10) in men, 1.09(95% CI: 1.06-1.12) in women. The hazard ratio of medical aid(lower socioeconomic state) was 1.43(95% CI 1.02-2.19) in women. The hazard ratios of current alcohol drinking and current smoking were respectively 1.69(95% CI: 1.01-2.98), 1.52(95% CI: 1.02-2.28) in women. The hazard ratio of underweight was 1.56(95% CI 1.08-2.47) in men. The hazard ratios of underweight, normoweight, overweight, and obesity were respectively 1.63(95% CI: 1.02-2.67), 1.0(referent), 0.62(95% CI: 0.32-1.63), 1.27(95% CI: 0.65-3.06), which supported the U-shaped relationship between body mass index and mortality among the men over 65. Conclusions: The health risk factors increasing mortality were age, underweight in male, age, lower socioeconomic state, current alcohol drinking, current smoking in female. To evaluate long-term association between health risk factors and mortality, further studies need to be carried out.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.5
• /
• pp.2549-2554
• /
• 2016

Background: Early detection remains the cornerstone of breast cancer control in terms of outcome and survival. Thus far the only breast cancer screening method proven effective is mammography. The awareness of female health care workers (HCW) about breast cancer prevention is of vital importance, as their beliefs and behavior may have a major impact on other women. This study was designed to assess mammography screening uptake among female healthcare workers at primary healthcare centers, and to identify the primary motivators and barriers that affect uptake results. Materials and Methods: A cross sectional study design was used to assess mammography screening by 299 female healthcare workers who completed a self-administered questionnaire that assessed demographics, screening uptake, motivators and barriers. Results: The mean age was 46 years (within age of risk). The majority (95.1%) demonstrated adequate knowledge about breast cancer and mammography screening and 50% of the participants reported having at least one mammogram; however only 21% of them had regularly scheduled mammograms. The most frequent reported motivator was the perceived benefit that early detection of breast cancer is important for its management (89.6%), followed by the belief that mammography can detect breast cancer before its symptoms appear (84.4%). On the other hand, the most frequent barrier reported was being busy (46.7%), followed by the lack of perceived susceptibility (41.5%). Conclusions: Mammography screening was found to be sub-optimal in a population of HCW's with 50 % stating that they received a mammogram at least once, and a minority reported regular screening. There is a pressing need for educational programs aimed at removing the barriers that limit compliance with recommendations for mammography screening, and to emphasize the importance of early detection in breast cancer treatment. Ensuring the availability and accessibility of screening services, particularly for healthcare workers within their work settings are other important factors that would improve the acceptance and compliance for mammography screening programs.

• Journal of Food Hygiene and Safety
• /
• v.26 no.3
• /
• pp.222-226
• /
• 2011

Salmonellosis is a major bacterial zoonosis that causes self-limited enteritis to fatal infection in animals and food-borne infection and typhoid fever in humans. Multidrug-resistant strains of Salmonella spp. has increased over the last several decades and recently causes more serious problems in public health. The present study was investigated bacteriocidal effects of sodium chlorate, sodium azide, sodium cyanide, and sodium salts mixture containing sodium chlorate, sodium azide, and sodium cyanide on infection with S. typhimurium in macrophage RAW 264.7 cells, and antibacterial effects of sodium salts mixture for murine salmonellosis. In infection assay of S. typhimurium in RAW 264.7 cells, bacterial survival rates within macrophage in all treated groups was significantly reduced comparing to that of the control group with the passage of incubation time. Administration of sodium salts mixture showed a therapeutic effect for S. typhimurium infected ICR mice. The mortality of mice treated with sodium salts mixture was 70% until 12 days, while that of control mice was 100% until 9 days after S. typhimurium infection. The results of this study strongly indicate that sodium salts mixture has a potency treatment for murine salmonellosis.

• The Journal of the Korea Contents Association
• /
• v.14 no.11
• /
• pp.695-701
• /
• 2014

The Police force and other public sector organizations do not like non-ethical evaluation of their members and disclosure of evaluation results. However, it is essential for survival and growth of the organization to identify, measure and resolve accurately the non-ethical behaviors of their members. In this study, the dimensions of police officers' unethical behavior were categorized as negligence, personal use, dishonesty, and misconduct of police officers, and the level of those dimensions were measured. After that, the differences due to the individual and work environmental characteristics were explored. The result showed that the level of non-ethical behavior was lowerer than the average. And the differences was statistically significant according to gender, rank of organization, deployed department of the work, and the period of work duration. This implied the necessities of education of police ethics, ethical atmosphere, and establishment of ethical system per differences in individual and work environmental characteristics. Also, considering the fact that the low level of ethical behavior did not lead to ethical action in actual and the inherent problem in research method how frankly the respondents answered the negative self-evaluation, continuous interest in non-ethical behavior and further systemic research are needed in a dimension of personnel management.

• Strategy21
• /
• s.42
• /
• pp.318-346
• /
• 2017

Currently, security environmental instability is getting worse than ever in the East Asia including to Republic of Korea(ROK). Unlike several conventional issues such as maritime dispute -sometimes with islands- and competitions for getting natural resources, contemporary security dilemma issues followed by arms races among states deepens the power gap between strong and weak state within the region. It is notable that the arms races is the East Asia are mainly focused on naval power. As navy is the very possible force that influences neighboring states, submarine power is usually valued for its nature of stealth, mobile and aggression. Moreover, the submarine power is believed to be one of the highest valued weapon system since it shows actual effectiveness for influencing the other states while avoiding direct military conflicts compared to surface power. As a result, all states within the region are accelerating for getting such power these days. Japan, Most of all, is one of the leading state that aims to ensure self-survival and enlarge military influences under the US-Japan alliance by decisively supporting its power to the American containment strategy against China. In this regard, such movement surely sill influence on ROK both directly and indirectly as we sue the common field, the sea. Though, it has lots of restrictions for us to confront them with military forces as such confrontations within US-led alliances is not desirable upon considering current China and nK threats. As a result, ROK needs to limit the realm of alliance within the region while maintaining ROK-US alliance for getting national interests with both legal and justice superiority against Japan. This paper, as a result, is focused on suggesting the way to utilize submarines as a mean of naval power for both current security environments and the rising maritime threats in the East Asia. I concluded to participate ROK submarines in US-led military strategy against China by dispatching them into the East-China Sea and the North-East area of the Korean peninsula to protect both national interests and justice at the same tome. It should be one of the preemptive measure for confronting with neighboring states by utilizing strategic benefits of submarines while strengthening ROK-US alliances upon participating American Containment Strategy against China.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.21
• /
• pp.9301-9305
• /
• 2014

Background: Pain is one of the most terrifying symptoms for cancer patients. Although most patients with cancer pain need opioids, complete relief of pain is hard to achieve. This study investigated the factors influencing persistent pain-free survival (PPFS) and opioid efficiency. Materials and Methods: A prospective study was conducted on 100 patients with cancer pain, hospitalized at the medical oncology clinic of Akdeniz University. Patient records were collected including patient demographics, the disease, treatment characteristics, and details of opioid usage. Pain intensity was measured using a patient self-reported visual analogue scale (VAS). The area under the curve (AUC) reflecting the pain load was calculated from daily VAS tables. PPFS, the primary measure of opioid efficacy, was described as the duration for which a patient reported a greater than or equal to two-point decline in their VAS for pain. Predictors of opioid efficacy were analysed using a multivariate analysis. Results: In the multivariate analysis, PPFS was associated with the AUC for pain (Exp (B)=0.39 (0.23-0.67), P=0.001), the cumulative opioid dosage used during hospitalisation (Exp (B)=1.00(0.99-1.00), P=0.003) and changes in the opioid dosage (Exp (B)=1.01 (1.00-1.01), P=0.016). The change in VAS score over the standard dosage of opioids was strongly associated with current cancer treatment (chemotherapy vs. others) (${\beta}=-0.31$, T=-2.81, P=0.007) and the VAS for pain at the time of hospitalisation (${\beta}=-0.34$, T=-3.07, P= 0.003). Conclusions: The pain load, opioid dosage, concurrent usage of chemotherapy and initial pain intensity correlate with the benefit received from opioids in cancer patients.

• Korean Journal of Social Welfare
• /
• v.61 no.4
• /
• pp.355-380
• /
• 2009

The purpose of this study is to explore the lived experience of aging of the poor elderly and to identify suitable welfare policies on their behalf. For this purpose, I selected 16 participants from the criterion sampling of the impoverished elderly and conducted in-depth interviews, after which the collected data was analyzed using the phenomenological approach of Cloaizzi(1978). As a result, 27 themes, 10 clusters of themes, and 4 categories were pinpointed. The 4 categories are 'Facing death,' 'Becoming despondent in heart and mind,' 'Living a hard life,' and 'Going with the flow of life.' By integrating the meanings of these findings, the essence of the lived experience of aging of the poor elderly was to be, 'Self-sufficiency despite receiving welfare benefits from the government.' The lived experience of aging of the poor elderly was revealed as not being entirely based around dependency but rather around strongly independent and positive life attitudes. But also found were difficulties due to lack of living expenses required for survival, deep death anxieties, and life attitudes in the context of Confucian culture. Based on the study results above, I presented welfare policies for the poor elderly as outlined: implementation of social activities in order to encourage independence and positivity among the poor elderly, actualization of payment that meets at least the minimum costs of living, consolidation of psychological-emotional assistance, implementation of death-related education programs, and the compilation of a welfare policy manual for the impoverished elderly.

• Journal of Korean Society of Forest Science
• /
• v.99 no.1
• /
• pp.153-162
• /
• 2010

Abies holophylla Maxim. is a shade tolerant species that has potential to be used for continuous cover forestry system. Stand structure and natural regeneration of A. holophylla stands in Yong-In area located in the central part of Korea was investigated to estimate the self sustainability of A. holophylla plantation. Species composition, diameter at breast height (DBH) and height distribution of trees larger than 2 cm DBH were measured in ten stands in three study sites of Jeongsu-ri, Daedae-ri, and Hodong. Species and coverage of shrub layer, and A. holophylla seedlings were also investigated. While A. holophylla in non-managed stands (Jengsuri and Daedae-ri study sites) had the importance value of 40% and showed continuous diameter and age distribution, A. holophylla in Hodong site had narrow bell-shaped DBH distribution mostly concentrating between 25-35 cm DBH classes, and single canopy structure. Abies holophylla stands in Hodong have experienced occasional thinning and selective cutting. The correlation coefficient between age-DBH was significant but low ($R^2$=0.2, P=0.03), and similar aged A. holophylla had diverse DBH values. Continuos DBH distribution and multi-canopy structure of A. holophylla stands in Jeongsu-ri site show that natural regeneration of A. holophylla has been continuously occurred in this area. Seedling density of A. holophylla was between 2000 and 33000/ha, however, the number of trees in 2-5 cm DBH class was only 40-150 trees/ha, implying that the survival rate of seedlings is not high. Continuous natural regeneration and 0.6 cm/year of diameter growth rate of A. holophylla indicate that this area could be an appropriate habitat for this species, and A. holophylla plantation in this region seem to persist suggesting the possibility of managing the stands for continuous cover forestry system as well as selective harvesting practices.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
• /
• v.2 no.4
• /
• pp.43-68
• /
• 2007

The purpose of this paper is to clarify the actual conditions of entrepreneurial school which was drawn from the new industry-academy cooperation paradigm, and to suggest a role model for educational program for entrepreneurial school, in order to increase its self-generating ability. According to survey of 5 entrepreneurial schools, most of curriculums did not show a user-based. This indicates that series of processes, such as analyzing user's(learner, local community, institution) request and setting up the goal are not being conducted professionally and systematically. Through this study, I would like to deliver the importance of new industry-academy cooperation paradigm of entrepreneurial schools and incite them to apply major principles of new industry-academy cooperation paradigm to their entrepreneurial education program, in order to enable continuous survival and development. This study has conducted research on the actual conditions of entrepreneurial school to examine whether the role model of entrepreneurial education program coincides with the paradigm of new industry-academy cooperation paradigm. Thus, this study has conducted two verifications as whole. First, through theoretical examination, this study has drawn out the major principles of new industry-academy cooperation paradigm and considered effective applying method for it. Second, this study has analyzed overseas' cases for development of entrepreneurial education program and proved the propriety of major principles. Through theory and case studies, the study presented a role models for each subjects and provided necessity for applying major principles to entrepreneurial school's research on the actual operating condition.

• Women's Health Nursing
• /
• v.5 no.1
• /
• pp.133-145
• /
• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.