• Korean Journal of Occupational Health Nursing
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• v.19 no.1
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• pp.60-69
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• 2010

Purpose: This study was to investigate and identify the factors that affect the hotel workers' health status. Method: The subjects of this study were 261 randomly selected servers from a hotel located in Seoul. For the statistical analysis of collected data, descriptive statistics, $X^2$-test, ANOVA and Tukey's multiple comparison(Tukey's post hoc), multiple regression were done with the SAS(Version, 9.01) program. Results: The health status scores were significantly different depending on the type of their occupation. The health status and the subordinate concepts such as social function, role limitation-physical and bodily pain scores were significantly different. The factors that affect health status of foods & beverages workers were emotional labor, physical environment, social support and self efficacy. In culinary, they were affected by job satisfaction and the experience of seeing a doctor. The workers in room-service were affected by experience of quitting. Conclusion: To improve health status of the hotel workers, the results of the study suggest that physical environment, emotional labor, self-efficacy and job satisfaction be enhanced. As the frequency of seeing the doctor affected their health status, further study is recommended and systematic health promotion program needs to be developed.

• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.177-188
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• 2010

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

• Journal of Families and Better Life
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• v.23 no.5 s.77
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• pp.161-170
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• 2005

The purpose of this study was to devise an Unconditional Self-Acceptance Development Program and examine the efficacy of the program on alleviating children's depression and improving psychological wellbeing. In order to test the efficacy of the developed program, Multidimensional Perfectionism Scale (MPS: Hewitt & Flett, 1991), Unconditional Self-Acceptance Questionnaire (USAQ; Chamberalain & Haaga, 2001), Children's Depression Inventory (CDI; Kovacs & Beck, 1977), and Psychological Well-Being Scale(PWBS: Seng Hee Lee, 1999) were used for pre- and post tests. The test results were analyzed using t-tests. Twelve elementary school students suffering from depression participated in eight sessions of the Unconditional Self-Acceptance Development Program, and then were compared with 13 children in the control group who did not receive the treatment. The result was as follows: the treatment group showed statistically significant improvement in unconditional self- acceptance, alleviated level of depression, and increased psychological wellbeing, in comparison with the control group. The findings of this study suggest that unconditional self-acceptance development program should be adopted as a new therapy program for children's depression and psychological wellbeing.

• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.446-456
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• 2006

Purpose: The purpose of this study is to provide basic data for nursing programs in order to reduce depression among middle aged adults by looking at gender differences. Method: A comparative descriptive design was used. Subjects were 315 adults from February. 15 to March. 2, 2005, using a structured questionnaire. The data was analyzed using $\chi^{2}$-test, Pearson correlation analysis and stepwise multiple regression. Results: $\chi^{2}$-test revealed significant gender differences in socio-demographic variables for career, drinking, smoking, and satisfaction with the spouse. The factors that influenced depression for men were stress, fatigue, job satisfaction and self-efficacy. For women, those factors were stress, family support, coping skills, and well-being. Conclusions: The results show that gender differences existed in terms of depressions, in terms of factors influencing depression. As a result, when middle aged adults are provided nursing programs, gender differences should be considered. To decrease the depression of men, nursing interventions are needed to decrease their stress and fatigue, and to improve their job satisfaction and self- efficacy. To decrease the depression of women, it is also needed to decrease their stress, to elevate their family support and coping skills, and to support them so that their well-being is perceived good.

• Clinical and Experimental Reproductive Medicine
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• v.49 no.2
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• pp.76-86
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• 2022

Ovarian cystectomy is the preferred technique for the surgical management of ovarian endometrioma. However, other techniques such as ablation or sclerotherapy are also commonly used. The aim of this review is to summarize information regarding the efficacy of ablation and sclerotherapy compared to cystectomy in terms of ovarian reserve, the recurrence rate, and the pregnancy rate. Several studies comparing ablation versus cystectomy or sclerotherapy versus cystectomy in terms of the serum anti-Müllerian hormone (AMH) decrement, endometrioma recurrence, or the pregnancy rate were identified and summarized. Both ablation and cystectomy have a negative impact on ovarian reserve, but ablation results in a smaller serum AMH decrement than cystectomy. Nonetheless, the recurrence rate is higher after ablation than after cystectomy. More studies are needed to demonstrate whether the pregnancy rate is different according to whether patients undergo ablation or cystectomy. The evidence remains inconclusive regarding whether sclerotherapy is better than cystectomy in terms of ovarian reserve. The recurrence rates appear to be similar between sclerotherapy and cystectomy. There is not yet concrete evidence that sclerotherapy helps to improve the pregnancy rate via in vitro fertilization in comparison to cystectomy or no sclerotherapy.

• Women's Health Nursing
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• v.16 no.1
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• pp.87-94
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• 2010

Purpose: The purpose of this study was to examine the effects of a 16-week Self-help Tai Chi for Arthritis (SHTC) combined with health education for Korean American older women. Methods: This research was a designed quasiexperimental pre-posttest. Forty one women aged 55~79 were recruited 20 in SHTC group 21 in control group and, but twelve in SHTC group and thirteen in control group were left after 16 weeks. SHTC group was educated for 1 hour health education and 1hour TCA, once a week during 16 wks. Measurements for comparison were taken three times, at baseline, 8 wks and 16wks. The effect were evaluated with self-efficacy, shoulder flexibility, back flexibility, both hand grip strength and standing balance with closed eyes. Results: All variables except for left hand grip strength at baseline had significant homogeneity between both groups. After 16 weeks intervention, there was a significant interaction effect of time and group on right hand grip strength by repeated measure of ANOVA (F=3.398, p=.044). No significant interaction effects were found on self-efficacy, shoulder and back flexibility, left hand grip strength and standing balance with closed eyes. Conclusion: I can suggest this self-help Tai Chi program may be effective partially, but further research is needed to establish the best times and periods to intervene for a better effect.

• Journal of Korean Academy of Nursing
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• v.47 no.2
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• pp.164-177
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• 2017

Purpose: This study was done to develop a strength based I-change smoking cessation program for middle school boys and identified its effects. Methods: The study design was a nonequivalent control group pre-post test design. The participants were 97 middle school students from D city, who were in school from April 6 to September 25, 2015. The experimental group participated in the strength based I-change smoking cessation program, while the comparative group participated in a general smoking cessation program. The control group did not participate in any program. Data analyses involved $x^2$-test, Fishers' exact test, Bonferroni test, and Repeated measures ANOVA, with the IBM SPSS for Windows (version 20.0) program. Results: Compared to the comparison and control groups, the experimental group showed significant improvement in knowledge, attitude, self-efficacy, behavior change. Also cotinine in urine and modeling of social influence in the experimental group significantly decreased after the strength based I-change smoking cessation program. Conclusion: These findings indicate that the strength based I-change smoking cessation program is an effective intervention for middle school boys who smoke. The findings suggest that such programs can be used at public health centers or through school health education to decrease smoking in adolescents.

• The Korean Journal of Pain
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• v.24 no.1
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• pp.31-35
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• 2011

Background: Circumcision is a painful intervention frequently performed in pediatric surgery. We aim to compare the efficacy of caudal block versus dorsal penile block (DPNB) under general anesthesia for children undergoing circumcision. Methods: This study was performed between July 1, 2009 and October 16, 2009. Fifty male children American Society of Anesthesiolgists physical status classification I, aged between 3 and 12 were included in this randomized, prospective, comparative study. Anesthetic techniques were standardized for all children. Patients were randomized into 2 groups. Using 0.25% 0.5 ml/kg levobupivacain, we performed DPNB for Group 1 and caudal block for Group 2. Postoperative analgesia was evaluated for six hours with the Flacc Pain Scale for five categories; (F) Face, (L) Legs, (A) Activity, (C) Cry, and (C) Consolability. For every child, supplemental analgesic amounts, times, and probable local or systemic complications were recorded. Results: No significant difference between the groups (P > 0.05) was found in mean age, body weight, anesthesia duration, FLACC pain, and sedation scores (P > 0.05). However, on subsequent measurements, a significant decrease of pain and sedation scores was noted in both the DPNB group and the caudal block group (P < 0.001). No major complication was found when using either technique. Conclusions: DPNB and caudal block provided similar postoperative analgesic effects without major complications for children under general anesthesia.

• The Journal of Korean Society for School & Community Health Education
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• v.10 no.1
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• pp.1-16
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• 2009

Objectives: This study aims to perform comparative analysis of educational effects between video self-instruction (VSI) and basic cardiopulmonary resuscitation among college students in some areas. Methods: This study was conducted with 57 college students (28 for control group and 29 for experimental group) in U Metropolitan City from September 27 to October 5, 2007, and SPSS 14.0 Version was used for analysis. Results: As for differences in attitudes before and after cardiopulmonary resuscitation training, the experimental group (1.48) was higher than the control group (.91), which was significant (p<.001). The experimental group (9.56) also showed higher knowledge score than the control group (7.79) with significant differences (p<.05). The former (3.93) also showed higher concrete self-efficacy than the latter (2.17). with significant differences (p<.05). The experimental group (43.24) showed higher practical performance ability than the control group (34.48), with no significant difference. The former (30.93) also showed higher accuracy in chest compression skill than the control group (20.25). with no significant difference.

• Restorative Dentistry and Endodontics
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• v.42 no.4
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• pp.290-300
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• 2017

Objectives: This study investigated the removal efficacy and cytotoxicity of a newly developed calcium hydroxide paste (cleaniCal, Maruchi) using N-2-methyl-pyrrolidone (NMP) as a vehicle in comparison with ApexCal (Ivoclar Vivadent) and Calcipex II (Nishika), which use different vehicles such as polyethylene glycol and propylene glycol, respectively. Materials and Methods: Thirty maxillary premolars with oval-shaped canals were divided into 3 groups and the teeth were filled with one of the pastes. After removal of the paste, micro-computed tomographic (${\mu}$-CT) imaging was obtained to assess the volume of residual paste in the root canal of each tooth. The teeth were then split longitudinally and the area of the paste-coated surface was evaluated by stereomicroscopy. The cytotoxicity of each product was assessed using an agar overlay assay. The effect of each vehicle on cell viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The data were analyzed using one-way analysis of variance and Tukey's tests to detect any significance (p < 0.05). Results: In the ${\mu}$-CT and stereomicroscopic analysis, cleaniCal exhibited less remnants of medicament than ApexCal and Calcipex. cleaniCal showed a higher cytotoxicity than the other pastes in the agar overlay assay. Furthermore, NMP exhibited lower cell viability compared to the other vehicles. Conclusions: cleaniCal showed better removal efficacy compared to the other products. However, clinicians should be aware of the higher cytotoxicity of the NMP-based material and consider its possible adverse effects on periradicular tissue when it is overfilled.