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Educational Intervention Based on the Health Belief Model to Modify Risk Factors of Cardiovascular Disease in Police Officers in Iran: A Quasi-experimental Study

  • Saffari, Mohsen;Sanaeinasab, Hormoz;Jafarzadeh, Hassan;Sepandi, Mojtaba;O'Garo, Keisha-Gaye N.;Koenig, Harold G.;Pakpour, Amir H.
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.4
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    • pp.275-284
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    • 2020
  • Objectives: Police officers may be at a greater risk for cardiovascular disease (CVD) than the general population due to their highstress occupation. This study evaluated how an educational program based on the health belief model (HBM) may protect police officers from developing CVD. Methods: In this single-group experimental study, 58 police officers in Iran participated in a 5-week intervention based on HBM principles. Outcomes included changes in scores on an HBM scale, time spent on moderate to vigorous physical activity (International Physical Activity Questionnaire), body mass index (BMI), blood lipid profile, blood glucose, and blood pressure. The intervention consisted of 5 HBM-based educational sessions. Follow-up was conducted at 3 months post-intervention. The paired t-test was used to examine differences between baseline and follow-up scores. Results: All aspects of the HBM scale improved between baseline and follow-up (p<0.05), except the cues to action subscale. Self-efficacy and preventive behaviors improved the most. BMI decreased from 26.7±2.9 kg/㎡ at baseline to 25.8±2.4 kg/㎡ at follow-up. All components of the lipid profile, including triglycerides, cholesterol, high-density lipoprotein, and low-density lipoprotein, showed significant improvements post-intervention. Blood glucose and blood pressure also decreased, but not significantly. Nearly 25% of participants who were not physically active at baseline increased their physical activity above or beyond the healthy threshold. Conclusions: A relatively brief educational intervention based on HBM principles led to a significant improvement in CVD risk factors among police officers. Further research is needed to corroborate the effectiveness of this intervention.

Needs for Pediatric Palliative Care among Parents of Children with Complex Chronic Conditions (복합만성질환을 가진 자녀를 둔 부모의 소아청소년 완화의료 요구도)

  • Yun, Hyeseon;Hwang, Ae Ran;Kim, Sanghee;Choi, Eun Kyoung
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.527-536
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    • 2018
  • Purpose: The purpose of this study was to investigate the needs for pediatric palliative care (PPC) among parents of children with complex chronic conditions (CCCs) and to investigate differences in the needs for PPC according to their general characteristics. Methods: A cross-sectional survey was conducted between March 28 and May 18, 2018. Parents (N=96) who had a child under 18 years with a CCC were recruited. Data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA. Results: The overall average need for PPC was $3.58{\pm}0.33$ out of 4.00. In terms of care for the subjects' children, the highest need was physical care, followed by psychosocial and spiritual care. In the sub-dimensions, preservation of physical function received the highest score. Of the items, the highest need was for seizure control. In terms of care for the subjects themselves, the highest need was for psychosocial care, followed by bereavement and spiritual care. In the sub-dimensions, communication received the highest score. Of the items, the highest need was for smooth communication with medical staff. Differences in needs for PPC according to participants' general characteristics were not statistically significant. Conclusion: Medical staff should provide PPC according to the priorities of parents' perceived needs.

Effect of Zeolite as a Ameliolator for Sandy Paddy (사질답토양(砂質沓土壤)에 대(對)한 객토자원(客土資源)으로서의 Zeolite 시용효과(施用效果)에 관(關)한 연구(硏究))

  • Ahn, Sang-Bae;Cho, Seong-Jin;Kang, Jang-Soo
    • Korean Journal of Soil Science and Fertilizer
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    • v.17 no.4
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    • pp.381-388
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    • 1984
  • Addition of heavy textured red earth is being recommended to improve the texture and nutirent retention capacity of sandy soil in Korea. However, farmers are not favorable to this description because of high transportation cost and hard working. To solve this pending problem a field experiment was carried out to investigate the possibility of application of Zeolite as a foreign earth material to improve the physical and chemical characteristics of sandy soil. The experiment results suggested that Zeolite mixed with the basal N fertilizer would be substituted for other foreign earth materials in aspects of rice yield and nitrogen uptake of rice shoot. On the other hand, ammonium adsorption characteristics of soil and amendments were studied.

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Molecular Characterization and Expression Analysis of Interferon Regulatory Factor 8 (IRF8) in the Black Rockfish Sebastes schlegelii (조피볼락(Sebastes schlegelii) Interferon Regulatory Factor 8 (IRF8)의 분자유전학적 특성 및 발현 분석)

  • Yang, Hyerim;Kwon, Hyukjae;Lee, Seongdo;Bathige, S.D.N.K;Kim, Myoung-Jin;Lee, Jehee
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.50 no.3
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    • pp.302-310
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    • 2017
  • Interferon regulatory factor 8 (IRF8) is essential for the development of B and T cells, as well as for the activity of dendritic cells and macrophages. We performed molecular characterization of IRF8 from rock fish, Sebastes schlegelii (Ss), and investigated the spatial and temporal profile of mRNA expression after challenge with lipopolysaccharide (LPS), polyinosinic:polycytidylic acid (poly I:C), or Streptococcus iniae. The full-length cDNA sequence of SsIRF8 was 1,657 bp, containing an ORF of 1,266 bp. The gene had a predicted molecular mass of 47.7 kDa and an isoelectric point of 5.99. The amino acid sequence coded by this gene showed the highest degree of identity (90.8%) and similarity (96.2%) with IRF8 from Oplegnathus fasciatus. The SsIRF8 mRNA was expressed ubiquitously, at varying levels, with the highest level of expression observed in the spleen. To confirm the role of SsIRF8 in mediating the immune response, we measured SsIRF8 mRNA expression in the splenic tissue at different time points after injection with LPS, poly I:C, or S. iniae. The qRT-PCR results showed that SsIRF8 mRNA expression in the poly I:C-injected group was highly upregulated 6 hr after exposure (P<0.05). Expression of SsIRF8 mRNA in the S. iniae-injected group peaked at 24 hr. These results suggest that SsIRF8 might be important in regulating the strength of the rockfish immune response to immunostimulatory agents.

High Temperature Creep Characteristics Evaluation for Degraded Heat Resistance Steel of Power Plant by Mini-Specimen (미소시험편에 의한 재질열화된 내열강의 고온 크리프 특성 평가)

  • Lyu, Dae-Young;Baek, Seung-Se;Yu, Hyo-Sun
    • Korean Journal of Materials Research
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    • v.13 no.7
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    • pp.429-435
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    • 2003
  • In this study the new creep test using miniaturized specimen(10${\times}$10${\times}$0.5 ㎣) was performed to evaluate the creep characteristics for degraded materials of 2.25Cr-1Mo steel. For this creep test, the artificially aged materials for 330 hrs and 1820hrs at $630^{\circ}C$ were used. The test temperatures applied for the creep deformation of miniaturized specimens was X$630^{\circ}C$ and the applied loads were between 45 kg∼80 kg. After creep test, macro- and microscopic observation were conducted by the scanning electron microscope(SEM). The creep curves depended definitely on applied load and microstructure and showed the three stages of creep behavior like uniaxial tensile creep curves. The load exponents of virgin, 330 hrs and 1820 hrs materials based on creep rate showed 14.8, 9.5 and 8.3 at $550^{\circ}C$ respectively, The 1820 hrs material showed the lowest load exponent and this behavior was also observed in the case of load exponent based on creep rupture time. In contrast to virgin material which exhibited fined dimple fractography, a lot of carbides like net structure and voids were observed on the fractography of degraded materials.

Changes in Facial palsy Patient's Quality of life based upon Oriental-Western Medicine Treatment (한양방 협진치료가 안면마비환자의 삶의 질 변화에 미친 영향)

  • Kim, Dong-Hyun;Jung, Dal-Lim;Cho, Chang-Gun;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.23 no.2
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    • pp.174-185
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    • 2010
  • Objective : In period of convalescence and aftereffect, facial palsy patients suffer from social and psychological problems, besides experiencing physical inconvenience. So Quality of life is important Evaluation in treatment or facial palsy. Nevertheless the aims of recent study were only trying to explain about objective symptoms. Therefore, Oriental-Western Medicine was performed, effectiveness of treatment were measured in Quality of life. Methods : Acute facial palsy patients who visiting whin 5days completed questionnaire about Quality of life, if he(or she) participated voluntarily. Questionnaire are comprised of general characteristics, Facial Disability Index(FDI), WHOQOL-BREF, VAS and House-Brackmann grade. Questionnaire used two times, the first medical examination and 4weeks later after starting Oriental-Western Medicine. The statistical analysis was performed by GraphPad Prism 4.0. T-test was used to verify effectiveness between the two groups. Results : 1. When we compared the first medical examination with 4weeks later, score of FDI-Physical function and FDI-Social/Well-bieng function increased but they were not valid statistically. 2. When we compared the first medical examination with 4weeks later, in WHOQOL-Brefoverall domain and physical domain, score increased. In WHOQOL-Bref-psychological, Social, Environment domain, score decreased. but, they were not valid statistically. 3. VAS, House-Brackmann grade decreased, but, they were not valid statistically. Conclusion : The number of subjects with facial palsy in our study(N=5) was too small, and the period of study(4 weeks) was short, too. For this reason, our data were not valid statistically. But Facial palsy Patient's Quality of life has risen.

Paralytic Peptide Binding Protein (PP-BP) Gene Expression During Egg Diapause and Its Multi-Gene Organization in the Silkworm Bombyx mori

  • Sirigineedi, Sasibhushan;Murthy, Geetha N.;Rao, Guruprasada;Ponnuvel, Kangayam M.
    • International Journal of Industrial Entomology and Biomaterials
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    • v.26 no.1
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    • pp.31-40
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    • 2013
  • Paralytic peptide binding proteins (PP-BP) are 30KP proteins that show similarity to ENF binding proteins. The ENF-BP act as active regulators of ENF peptides. ENF peptides are multifunctional insect cytokines. The comparison of gene expression in diapause induced and non-diapause eggs at different time intervals after oviposition showed an upregulation of PP at 18h as well as PP-BP at 12 and 18h after oviposition along with few other genes. The current study has been taken up to investigate the role of PP as well as PP-BP in diapause induction in polyvoltine silkworms and to study the multigene organization of PP-BP in the Bombyx mori genome. The tissue specific expression analysis revealed that, PP-BP is highly expressed in fat body followed by egg and brain while no expression was observed in midgut. The expression levels of PP and PP-BP in diapause and non-diapause eggs from 0h to 48h after oviposition, validated through realtime PCR revealed that PP is highly expressed at 18 and 24h while PP-BP expression is higher at 12 and 18h time intervals suggesting their possible role in diapause induction. The whole genome survey of the PP-BP paralogous sequences revealed a total of 46 B. mori PP-BP homologs that are classified into 3 categories viz., ENF-BP, Typical 30KPs and serine/threonine rich 30KPs. These paralogous sequences are distributed on chromosomes 7, 20, 22 and 24, all 30KP and S/T rich 30KP proteins are present in the same locus of chromosome 20.

Effect of BMI, Blood Parameters and Life Pattern on KOQOL in Health Checkup Examinees of College Students (대학생 건강검진 수검자의 BMI, 혈액인자, 생활습관이 비만관련 삶의 질에 미치는 영향)

  • Ahn, Min-Youn;Lee, Jung-Jae;Oh, Hyun Sook;Lim, Hyoung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.4
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    • pp.71-82
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    • 2014
  • Objectives The purpose of this study was to investigate the effect of BMI (body mass index), blood parameters and life pattern on KOQOL (Korean version of obesity-related quality-of-life scale) in Health checkup examinees of college students. Methods A group of 2992 test subjects took their medical examination. With their height and weight, we diagnosed obesity according to BMI. KOQOL was measured by survey conducted using self-report questionnaires, after excluding sexual life related question. We analysed relationship between KOQOL and BMI, blood parameters, life pattern using SPSS version 21.0. Results 1. There were significant differences in KOQOL according to BMI, gender, creatinine. 2. Female showed higher KOQOL than male. 3. Normal weight group showed lowest KOQOL in male, but underweight group showed lowest KOQOL in female. 4. Group who had more than 6 breakfast, lunch and dinner each in a week showed significantly lower KOQOL than that who didn't. Conclusions Obesity has significant influence on quality of life, so therefore there is a need for correct weight perception in weight control program, and KOQOL can be used in evaluating patients mental and social health.

An Evaluation of the Repetitive Tooth Bleaching with Nonthermal Atmospheric Pressure Plasma

  • Nam, Seoul Hee;Kim, Gyoo Cheon;Hong, Jin Woo
    • International Journal of Oral Biology
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    • v.41 no.4
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    • pp.243-251
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    • 2016
  • This study was undertaken to achieve a high bleaching efficacy with plasma, through longer application and reparative bleaching processes, by different shade evaluation methods. Extracted human teeth were divided into 6 groups (n=10). All teeth were treated in pairs. Low concentration of 15% carbamide peroxide (CP) was applied, with and without plasma, for 10, 20, and 30-min tooth bleaching, respectively. The bleaching procedure was repeated once daily for four days. The teeth were maintained in a moist environment provided by artificial saliva. The Vitapan Classical shade guide and Commission Internationale de L'Eclairage (CIELAB) color system were collectively used to measure the bleaching efficacy. Color evaluation was statistically analyzed using Student t-test and one-way analysis of variance (ANOVA) complemented by Tukey's test. Combining the plasma with 15% CP showed significantly greater color changes compared to bleaching without plasma (p<0.05). A high bleaching efficacy with plasma is proportional to the repetitive application and the treatment time. A 30-min application with plasma provided the best bleaching. Repetitive bleaching showed lower probability of color relapse of the bleached tooth. The color change by shade guide correlated with the changes in CIELAB color system. A value of 1 color change units (CCU) conversion factor for overall color change (${\Delta}E$) values comparisons was 3.724 values. The two measuring methods provide a more accurate correspondence of color change. The repetitive and longer application for tooth bleaching, combined with plasma, has a strong bleaching effect and produces whiter teeth.

A Case of Locally Advanced Well-Differentiated Fetal Adenocarcinoma of the Lung Treated with Concurrent Chemoradiation Therapy

  • Kyung, Chanhee;Kim, Sang Young;Lim, Beom Jin;Cha, Jung-Joon;Kim, Hyung Jung;Ahn, Chul Min;Park, Heejin;Cho, Eun Na;Chang, Yoon Soo
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.5
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    • pp.226-230
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    • 2013
  • Fetal adenocarcinoma is a rare adenocarcinoma subtype of pulmonary blastoma. A 48-year-old male patient is being referred to our hospital due to progressive dyspnea. A chest X-ray showed a lung mass of unknown origin that was obstructing the right main bronchus. After relieving the airway obstruction with stent insertion via bronchoscopy, a diagnosis of fetal adenocarcinoma is being confirmed through thoracoscopic biopsy. Due to the locally advanced state of the lung cancer, it seemed to be inoperable, and concurrent chemo-radiation therapy was being administered with docetaxel. The stent was removed after improvements in the airway obstruction followed by a lung mass shrinkage. Comparing to other contexts which describe fetal adenocarcinoma as lower grade malignancy with low-associated mortality, herein, we describe a case of locally-advanced fetal adenocarcinoma (T4N3M0). This is the first documented case being treated with concurrent chemoradiation therapy. The followed-up image studies represent a partial response and the patient is currently under further observations.