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Frequency of Cholelithiasis and Biliary Pathology in the Easter Island Rapanui and Non-Rapanui Populations

  • Bravo, Eduardo;Contardo, Jorge;Cea, Jerson
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1485-1488
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    • 2016
  • Background: Chile is one of the countries with the highest prevalence of cholelithiasis worldwide, considering the Mapuche ethnicity as a risk factor for developing this pathology. Moreover, cholelithiasis is the main risk factor for developing gallbladder cancer, being the fifth cause of cancer death in Chile. The purpose of this study was to compare the frequency of cholelithiasis and biliary pathology among the population belonging to Rapanui ethnicity and non-Rapanui population living on Easter Island. Materials and Methods: In this retrospective case-control study, a total of 609 abdominal ultrasonographs performed consecutively in Hanga Roa Hospital during the period August 2012 to January 2015 were analyzed. Multiple logistic regression was used to obtain odds ratio (OR) and 95% confidence intervals (95% CI) of cholelithiasis and biliary pathology, adjusting for age, gender and referral diagnostic hypothesis. Results: In the Rapanui population the frequency for cholelithiasis and biliary pathology was 6.4% and 13%, meanwhile for the non-Rapanui population it was 13% and 22% respectively. Compared to the non-Rapanui Chilean population, the Rapanui ethnicity presented an OR of 0.53 (95% CI: 0.29-0.95) for cholelithiasis and OR of 0.52 (95% CI: 0.33-0.82) for biliary pathology. Conclusions: We found statistically significant ethnic differences in the frequency of cholelithiasis and biliary disease among the population of Rapanui and non-Rapanui ethnicity, so that this could be a protective factor for the development of biliary pathology, given the Chilean population context. Other studies including community population to determine the real prevalence of cholelithiasis and analyze the protective role of Rapanui ethnicity on this disease are necessary.

Tobacco Smoke Exposure and Breast Cancer Risk in Thai Urban Females

  • Pimhanam, Chaisak;Sangrajrang, Suleeporn;Ekpanyaskul, Chatchai
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7407-7411
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    • 2014
  • The incidence of urban female breast cancer has been continuously increasing over the past decade with unknown etiology. One hypothesis for this increase is carcinogen exposure from tobacco. Therefore, the objective of this study was to investigate the risk of urban female breast cancer from tobacco smoke exposure. The matched case control study was conducted among Thai females, aged 17-76 years and living in Bangkok or its surrounding areas. A total of 444 pairs of cases and controls were recruited from the Thai National Cancer Institute. Cases were newly diagnosed and histologically confirmed as breast cancer while controls were selected from healthy women who visited a patient, matched by age ${\pm}5$ years. After obtaining informed consent, tobacco smoke exposure data and information on other potential risk factors were collected by interview. The analysis was performed by conditional logistic regression, and presented with odds ratio (ORs) and 95% confidence intervals(CI). From all subjects, 3.8% of cases and 3.4% of controls were active smokers while 11.0% of cases and 6.1% of controls were passive smokers. The highest to lowest sources of passive tobacco smoke were from spouses (40.8%), the workplace (36.8%) and public areas (26.3%), respectively. After adjusting for other potential risk factors or confounders, females with frequent low-dose passive smoke exposure (${\leq}7$ hours per week) from a spouse or workplace had adjusted odds ratio 3.77 (95%CI=1.11-12.82) and 4.02 (95%CI=1.04-15.50) higher risk of breast cancer compared with non-smokers, respectively. However, this study did not find any association of breast cancer risk in high dose passive tobacco smoke exposure, or a dose response relationship in cumulative passive tobacco smoke exposure per week, or in the active smoker group. In conclusion, passive smoke exposure may be one important risk factor of urban female breast cancer, particularly, from a spouse or workplace. This risk factor highlights the importance of avoiding tobacco smoke exposure as a key measure for breast cancer prevention and control.

Self-evaluative Awareness of Problem Solving Ability In Psychiatric Nurse Practitioners (정신보건간호사의 문제해결능력에 대한 인식정도)

  • Yang Soo;Lee Gyung Joo;Yu Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.378-387
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    • 2002
  • This study was conducted to investigate the degree of PSI (self-evaluative awareness of problem solving ability) in PMHNP (psychiatric mental health nurse practitioners) and to identified the factors predicting problem solving ability of them, in order to provide basic data for the development of the specific education programs to improve problem solving ability. Data was collected from 355 subjects who have the certificates of PMHNP working in hospitals and public centers. Chun Seok Kyun's instruments (1993) based on the Heppner and Petersen's Problem Solving Inventory (1982) was used to determine PMHNPs' PSI. The results were as follows; 1. The average score of PSI of PMHNP was $2.81\pm0.23$. Of the three factors. there marked the lowest score in the factor 3. personal control $(2.56\pm0.43)$, and the highest score was in the factor 1. problem-solving confidence $(2.95\pm0.34)$. 2. The differences in PSI were significant for degree of education and career in psychiatric settings (p=0.000l, p=0.0187). 3. Job satisfaction was the highest factor predicting PSI of PMHNP$(17.9\%)$. When degree of education, career in psychiatric setting and marital status were added, the total predictors explained $24.3\%$. As a result, it is necessary to conduct further research in relation to the problem-solving process, the development of education program. skill acquisition and measurement of problem solving in nursing practice.

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Development of Physical Activities Self-Management Questionnaire of Elementary Students (초등학생의 신체활동 자기관리 검사지 개발)

  • Ahn, Jeong-Deok;Jeong, Sang-Hoon
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.642-654
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    • 2016
  • The purpose of this study was analyze the characteristics of self-management of the physical activity questionnaire elementary and develop self-management. To do this, from the average student is selected to receive training in physical education gifted students, and to cover up the children who are acting as an athlete in the current schools participated in a variety of students. Professional meetings, inductive categorization, item analysis, exploratory factor analysis and confirmatory factor analysis conducted, the verification was carried out between different groups discriminant validity for verification. As a result, physical activity self-management factor is the support of the parents of elementary school students, exercise management, life management, interest, self-confidence, support of parents, personal management were six factors determined to be a total of 24 questions. In addition, Gifted children was higher than in all the sub-factors of physical activity self-management in the general child population. As a result, we ensure the validity of the test to diagnose physical activity as a self-managed by first responders schools.

Adulterated Food Management Characteristics according to Dietary Lifestyles among Adolescents (청소년의 식생활 라이프스타일 유형에 따른 불량식품관리 특성)

  • Kim, Yunhwa
    • Korean Journal of Community Nutrition
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    • v.21 no.6
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    • pp.509-519
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    • 2016
  • Objectives: Adulterated food education in adolescence period is very important because dietary management related to food safety is not made in a short period. This study aimed to identify dietary lifestyle factors which drive adulterated food management among middle and high school students. Methods: Data was collected from 270 middle and high school students in Daegu using a self-administered questionnaire in March and April of 2015. Data was analyzed using frequency analysis, one-way analysis of variance, ${\chi}^2$-test, factor analysis, reliability analysis, regression analysis, and cluster analysis. Results: The results of factor analysis indicated that adulterated food management awareness was classified into necessity, difficulty, and food purchasing anxiety. The adulterated food management capability was sub-grouped into environmental grasp, food identification, cooking hygiene, and situation management. The adulterated food management efficacy composed of management confidence, action intention, and knowledge. Dietary lifestyle comprised of gustation, family, and health factors after factor analysis, and it consisted of all seeking group, gustation seeking group, family seeking group, health seeking group, and family and health seeking group after cluster analysis. The gustation, family and health factors were significantly affected the factors of awareness, capability and efficacy of adulterated food management (p < 0.05). The frequency of health conditions, helping with meal preparation, and the times of eating out were significantly different according to seeking groups of dietary lifestyle (p < 0.01). The scores of awareness, capability and efficacy of adulterated food management of family and health seeking group were significantly higher than the other seeking groups (p < 0.05). Conclusions: This study suggests that adulterated food management education programs should account for gustation, family and health factors of dietary lifestyle to be effective for adolescents.

Enhancing Competitiveness of the North Container Hinterland of Busan New Port - Based on AHP method - (부산항 신항 북컨테이너 배후단지의 경쟁력 제고 - AHP 기법을 토대로 -)

  • Park, Gil-Young;Ha, Myung-Shin
    • Journal of Korea Port Economic Association
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    • v.31 no.3
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    • pp.75-91
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    • 2015
  • This study aims to assess the competitiveness of 30 logistics centers that operate in the hinterland of the North Container Port at Busan New Port. Thirty-two key factors were selected from previous studies to analyze and improve competitiveness and expand business opportunities in the hinterland. Suggestions from logistics experts were also canvassed. These variables were then put through first- and second-factor analysis to verify validity and measure confidence levels; they were later categorized into five factors and 15 sub-factors impacting on competitiveness. The categorized factors were compared using the analytic hierarchy process (AHP) to assess the importance of each factor and sub-factor in the case of logistics centers in the North Container hinterland of Busan New Port. The findings indicate that factors related to the securing of significant amounts of container cargoes were of greater importance. On the other hand, relatively basic factors proved to be less important in improving the competitiveness of the port hinterland.

A Study on the Effect of Small and Medium Enterprise Workers' Welfare Environment on Job Satisfaction (중소기업 근로자의 복지환경이 직무 만족도에 미치는 영향)

  • Kwak, No-Hag;Kim, Moon-Jun
    • Industry Promotion Research
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    • v.1 no.1
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    • pp.19-25
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    • 2016
  • This study is to determine the status of satisfaction and well-being and work environment aimed at SME workers, deficiencies is to improve the overall satisfaction improvement. As a result of the confidence analysis to verify the reliability of the measurement tool, all of the factors is somewhat higher reliability coefficient was found to less than 0.6. Job factors, relationship factors, compensating factors are subjected to multiple regression analysis as job satisfaction and welfare duties factors to determine the impact on satisfaction, relationship factors, the compensation factor as an independent variable and dependent of each job satisfaction and welfare satisfaction variable result of three factors, job factors and compensation factors, two factors had significant influence on job satisfaction. When the job factor ${\beta}$ value(0.584), the compensation factor(0.369) showed a net impact on job satisfaction big. By improving the business environment and well-being through improved employee satisfaction, it came to a positive attitude to business is expected to have a positive impact on the satisfaction of external customers.

Reliability and Validity of the Decision-Making-Competency Inventory (DMCI) in Korean Adolescents (한국 청소년을 대상으로 한 의사결정역량 도구의 신뢰도와 타당도 검정)

  • Park, Mi-Jeong;Oh, Doo-Nam;Ham, Young-Lim;Lim, Seung-Joo;Lim, Young-Mi
    • Child Health Nursing Research
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    • v.18 no.2
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    • pp.53-59
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    • 2012
  • Purpose: This study was done to verify the reliability and validity of the Korean version of DMCI in Korean adolescents. Methods: A methodological study design was used with Cronbach's ${\alpha}$ for reliability, and an exploratory factor analysis and contrasted groups approach for construct validity. DMCI was translated into Korean and tested with a sample of 406 adolescents in Korea. The data were analyzed using Cronbach's ${\alpha}$, item correlation with total, principal component factor analysis, and t-test. Results: The translated content of the DMCI was validated by nursing faculty members and translation equivalency was obtained. The Cronbach's ${\alpha}$ of the DMCI simplified with 18 items was .78. The factor analysis revealed three factors explaining 41.5% of total variance and the corresponding factors were self-observation (21.6%), self-judgement (11.4%), and self-confidence (8.6%). The mean score for the DMCI in the aggression group was significantly lower than the non-aggression group. Conclusion: Results of this study suggest that the Korean version of DMCI can used as a reliable and valid measure to assess decision making competency in Korean adolescents.

Far-ultraviolet study of the GSH006-15+7: A local Galactic supershell

  • Jo, Young-Soo;Min, Kyoung-Wook;Seon, Kwang-Il
    • The Bulletin of The Korean Astronomical Society
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    • v.39 no.1
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    • pp.61.1-61.1
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    • 2014
  • GSH 006-15+7 is a Milky Way supershell discovered by Moss et al. (2012). This supershell shows large shell-like structures in H I velocity maps. We have analyzed FUV emission for the supershell regions based on the FIMS and GALEX observations. Bright FUV flux at the boundaries of the supershell is mostly originated from dust scattering of FUV photons by dust clouds which was also observed at the boundaries of the supershell. We could find the distance to the supershell can be closer more than 30% compared with the distance of 1500 pc suggested by Moss et al. (2012) from the dust scattering simulation. And we also found the albedo and the phase function asymmetry factor of interstellar grains were 0.30 and 0.40, respectively. The confidence range for the albedo covers the theoretical value of 0.40, but g-factor is rather smaller than the theoretical value of 0.65. The small g-factor might mean the environment of turbulent ISM of the supershell. Meanwhile, the excess of C IV and X-ray emissions in the inside of the supershell can support the existence of hot gas and cooling in the supershell. And the C IV and X-ray emissions are monotonically decrease as away from the center of the SNR. This indicates the size of the hot bubble has considerably shrunk. We applied a simple simulation model to the PDR candidate region of the lower part of the supershell and obtained a H2 column density N(H2) = 1017.0-18.0 cm-2 and total hydrogen density nH ${\geq}$ 10 cm-3. This result shows the PDR candidate region represents a transition region from the warm phase to the cool phase in the PDR.

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An analysis on the Structural relationship between Parents-Child Communication and Child's problematic behavior Depending on the Elementary School Student's Participation in a Sport activity after School class (초등학생의 방과 후 스포츠 활동 참여에 따른 부모자녀 간 의사소통과 문제행동의 구조적 분석)

  • Chang, Bong-Woo;Kim, Jae-Yeon
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.347-353
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    • 2016
  • This study aims to analyze how parents and their children participating in sports after school hours positively affects their communication and behavior based on the stratified sampling of 189 students (fifth and sixth graders) in Cheongju city C-province. The result from the exploratory factor and the structural analysis using SPSS18.0 showed that participating in sports improved parent-child communication including increasing their motivation, self-confidence, and self-esteem, and reducing children's problematic behavior such as anxiety, feeling insecure, insubordination, and aggressiveness. In order to improve the children's mental health, it would be essential to set various programs of after school sports and more importantly validate its quality.