• Title/Summary/Keyword: cross sectional

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Balloon Valvuloplasty for Congenital Pulmonary Valve Stenosis (풍선 카테터에 의한 폐동맥 판막 성형술)

  • Park, Kook-Yang;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1256-1262
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    • 1990
  • Percutaneous pulmonary valvuloplasty was performed in 19 patients of congenital pulmonary valve stenosis. Pulmonary annulus diameter was estimated by cross sectional echocardiography and right ventricular cineangiography. The size of balloon dilatation catheter was chosen by the same size of the estimated pulmonary annulus in the first 3 patients and 20 \ulcorner30% greater than the annulus in the last 17 patients. After valvuloplasty a satisfactory results was obtained in most patients. Before dilatation, the right ventricular systolic pressure was 91.7 mmHg[range 58-150 mmHg] and it fell to 49.2mmHg[25-85 mmHg] after dilatation. The transvalvular gradient was 67.7 mmHg[33 \ulcorner120 mmHg] before dilatation and it fell to 23.7mmHg [5 \ulcorner62] after dilatation. Repeat cardiac catheterization has been scheduled in all patients 3 months after the initial valvuloplasty but follow up recatheterization was performed in only two patients; in one of them residual gradient of 50 mmHg was reduced to 30 mmHg by repeat valvuloplasty. The other patient showed no evidence of restenosis with transvalvular gradient of 20 mmHg The balloon used for valvuloplasty was single balloon for the first 10 cases and for the later 10 cases it was replaced by Trefoil balloon which was easier for inflation and deflation. There were no significant complications during and after the procedure. From our results, we conclude that balloon valvuloplasty for congenital pulmonary valve stenosis is the treatment of choice in most patients.

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The Association of Waist to Height Ratio and Resting Heart Rate with Cardio-metabolic Risk Factors in Korean Postmenopausal Women (한국 폐경 여성의 허리둘레/신장비 및 안정시 심박수와 심혈관-대사 위험요인과의 상관성)

  • Park, Ha-Nui;Byeon, Ji-Yong;Jeon, Justin Y.
    • Exercise Science
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    • v.28 no.1
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    • pp.82-90
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    • 2019
  • PURPOSE: The purpose of this study was to examine the association of waist to height ratio (WHtR) and resting heart rate (RHR) with cardio-metabolic risk factors among Korean postmenopausal women. METHODS: A cross-sectional analysis was performed using the 2015 Korea National Health and Nutrition Examination Survey. The analysis included a total of 1,540 postmenopausal women. RESULTS: Individuals with higher WHtR (>0.56) showed significantly higher glucose, triglyceride, insulin, Homeostatic Model Assessment for Insulin resistance (HOMA-IR), total cholesterol, systolic and diastolic blood pressure compared with ones with lower WHtR (≤0.51). Similar findings were found in those with higher RHR (≥90 bpm) compared with ones with lower RHR (<60 bpm) for glucose and HOMA-IR. When determining the combined effects of WHtR and RHR on the prevalence of metabolic syndrome, individual with WHtR above 0.5 and RHR above 80 bpm showed 10.39 times higher prevalence of metabolic syndrome compared with those with WHtR below 0.5 and RHR below 70 bpm. We further performed multiple linear regression analysis to understand how WHtR and RHR contribute to fasting glucose, and found that both WHtR and RHR contribute to fasting glucose levels independent of age, education level, marital status and income level. CONCLUSIONS: The current study showed that the WHtR and RHR are associated with cardio-metabolic risk factor and prevalence of metabolic syndrome in Korean postmenopausal women.

The intrinsic motivation of child welfare workers: Modeling its causal relationships with career commitment and turnover intentions (아동복지기관 종사자의 내재적 동기가 경력몰입을 통해 이직의도에 미치는 영향)

  • Kang, Hyun Ah
    • Korean Journal of Social Welfare Studies
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    • v.42 no.4
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    • pp.445-468
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    • 2011
  • Based on the framework of self-determination theory and past relevant literature, the study develops and estimates a causal relationship between intrinsic motivation, career commitment, and turnover intention. The study utilizes data from a cross-sectional survey conducted on 353 child welfare workers of the fields of foster care, child protective services, and child residential care all over the country. The study relies on Structural Equation Modeling(SEM) method. The results of Confirmatory Factor Analysis indicate the validity of measurement model. The results of SEM tests show a good fit of the proposed model. Controlling the level of salary and the working hours of the workers, the model reveals that intrinsic motivation is positively related to career commitment, and that career commitment is negatively related to turnover intention. In other words, the effect of intrinsic motivation on turnover intention is mediated by career commitment. Implications of the findings for practice and study limitations are discussed.

The Mediating Effects of Positive Resources in the Association Between Social Anxiety Symptoms and Adverse Childhood Experiences in Young Adults (젊은 성인에서 사회불안 증상과 아동기 외상 경험 간의 관련성에서 긍정자원의 매개효과)

  • Jung, Young-Eun;Oh, Su-Kyong;Jeong, You-Ra;Kim, Moon-Doo
    • Anxiety and mood
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    • v.18 no.2
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    • pp.65-71
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    • 2022
  • Objective : This study was to examine the impact of adverse childhood experiences on social anxiety symptoms in young adults and verify the mediating effects of positive resources. Methods : Data from 1,317 young adults aged to 18 to 29 years who took part in the university-based cross-sectional survey were analyzed. All participants completed Adverse Childhood Experience (ACE) scale, Social Avoidance and Distress Scale (SAD), and Positive Resources Test (POREST). Results : In young adults, 9.3% had severe social anxiety symptoms. Based on 10 ACE categories, 32.7% of participants reported one or more adverse childhood experience, and 4.5% reported four or more different forms of adverse childhood experiences. Young adults with higher social anxiety symptoms were likely to report more adverse childhood experiences, and less positive resources. Multivariate regression analysis indicated that positive resources moderated the association between adverse childhood experiences and social anxiety symptoms. Conclusion : Based on the results, professionals need to consider early detection of adverse childhood experiences and comorbid social anxiety symptoms. In addition, various positive psychological interventions for individuals with adverse childhood experiences are needed.

The Association Among the Fear of COVID-19, Depression, Risk Perception, Health Belief, and Preventive Health Behaviors Related to COVID-19 Among University Students in Jeonbuk Region (전북지역 대학생의 COVID-19에 대한 두려움, 우울, 위험인식, 건강신념과 예방적 건강행위의 연관성)

  • Kim, Ho-Rim;Kwon, Joo-Han;Park, Jong-Il;Chung, SangKeun
    • Anxiety and mood
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    • v.18 no.2
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    • pp.92-100
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    • 2022
  • Objective : The purpose of this study was to investigate the association among the fear of COVID-19, depression, risk perception, health belief, and preventive health behaviors related to COVID-19 among university students in Jeonbuk region. Methods : A cross-sectional study was conducted using an online questionnaire survey. The questionnaire included The Korean Version of Fear of COVID-19 Scale, the Korean Version of the Patient Health Questionnaire-9, and measurement tools adapted from previous studies for risk perception, health belief, and preventive health behaviors of subjects. We analyzed data using Pearson's correlation analysis, confirmatory factor analysis, and path analysis using SPSS 22 and AMOS 21. Results : The fear of COVID-19 showed significant positive influence on health belief as well as risk perception. Depression had a significant negative impact on preventive health behaviors and risk perception. Health belief showed a significant positive impact on preventive health behavior. Conclusion : Rresults revealed that the higher the level of depression was, the lower risk perception and performance of preventive health behavior were among university students in Jeonbuk region. As the level of the fear of COVID-19 became higher, the level of health belief and risk perception became higher. The higher the level of health belief was, the higher the performance level of preventive health were. Thus, it is prudent to increase the level of health belief, and lower the level of depression, in promoting preventive health behavior.

Mental Health of Asymptomatic or Mildly Symptomatic COVID19 Patients in the Seoul Metropolitan City Community Treatment Center: Cross Sectional Analysis of Depression, Anxiety, Trauma Experience, and Suicidal Tendency (서울 생활치료센터에 입소한 경증 혹은 무증상 코로나19 감염자의 정신건강: 우울, 불안, 외상경험, 자살위험성에 대한 단면 분석)

  • Mun, Myeonghyeon;Lee, Haewoo;Yoo, Yongjoon;Shin, Juhee;Ahn, Chiung
    • Anxiety and mood
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    • v.18 no.2
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    • pp.101-108
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    • 2022
  • Objective : The purpose of this study was to investigate depression, anxiety, trauma experience, and suicidal tendency among patients who were hospitalized in a community treatment center and to identify the factors that were associated with each symptom. Methods : A total of 213 patients who were hospitalized in the Tae-reung community treatment center between March 16, 2020 and April 30, 2020 were recruited into this study. A self-report questionnaire or interview by mental health professionals was used to assess PHQ-2, GAD-7, PC-PTSC and P4 screener. In 90 patients who completed the survey, multiple regression modeling was conducted to identify the burden of each psychiatric symptoms and associated demographic characteristics. Results : Female gender was significantly positively associated with GAD-7 score, score of each GAD-7 subscale of 1, 2, 3 or 4 (nervous, control of worry, worry, and trouble relaxing), and sum of GAD-7 subscale scores reflecting cognitive and emotional experience of anxiety (1. nervous+2. control of worry+3. worry+7. afraid). Previous psychiatric history and, number of counseling service used were significantly positively associated with the PHQ-2 score and the duration of isolation was significantly negatively associated with the PHQ-2 score. Conclusion : These results showed that depression and anxiety symptoms were more prevalent in COVID-19 patients at the community treatment center than in the general population. Among the demographic characteristics, female gender was positively associated with cognitive and emotional experience of anxiety. It shows the necessity of an appropriate psychiatric intervention protocol and health-policy preparation for community treatment centers.

Quantitative Study on the Forms and Distributions of Gapyoungchon Potholes (가평천 포트홀의 형태 및 분포에 관한 정량 연구)

  • JEON, Hongkun;PARK, Jongkwan
    • Journal of The Geomorphological Association of Korea
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    • v.18 no.4
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    • pp.213-221
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    • 2011
  • The purpose of this study is to clarify the characteristics of forms and distributions of Gapyoungchon potholes. Different sizes of 153 potholes were distributed in the upper stream marginal area that was 30×25m, and over 70 percent among them were egg-shaped potholes. A development of joint in pothole was not important to make potholes in the stream but the mean size of potholes with joint was larger than without joint. Moreover, the schistosity structure of the bedrock was more important factor to develop potholes in this area. Finally, four cross sectional faces were found in this study area. From the reason, Gapyoungchon potholes are distributed on the rock terraces.

Subjective Well-being and Attitude toward Minority Group Members: A longitudinal analysis (주관적 안녕감과 소수집단에 대한 태도: 종단 분석)

  • Jaisun Koo;Eunkook M. Suh
    • Korean Journal of Culture and Social Issue
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    • v.22 no.2
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    • pp.183-202
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    • 2016
  • This research investigated the influence of subjective well-being on attitude towards minority group members. In a cross-sectional data, the higher subjective well-being predicted more positive cognitive beliefs, affective feelings, and behavioral intentions towards foreign laborers and children of international couples. The causal link from subjective well-being to greater tolerance for cultural diversity was found again in a large longitudinal sample. The rate of life satisfaction increase from Time 1 to Time 2 significantly predicted multicultural receptiveness at Time 2. Overall, the findings suggest that subjective well-being may contribute to the formation of favorable attitude towards minority group members.

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The prevalence and characteristics of external cervical resorption based on cone-beam computed tomographic imaging: a cross-sectional study

  • Matheus Diniz Ferreira;Matheus Barros-Costa;Felipe Ferreira Costa;Deborah Queiroz Freitas
    • Restorative Dentistry and Endodontics
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    • v.47 no.4
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    • pp.39.1-39.12
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    • 2022
  • Objectives: This study investigated the prevalence and characteristics of external cervical resorption (ECR) regarding sex, age, tooth, stages of progression, and portal of entry, using cone-beam computed tomography (CBCT) scans. Materials and Methods: CBCT scans of 1,313 patients from a Brazilian subpopulation comprising 883 female and 430 male patients (mean age, 55.2 years), acquired using a PreXion 3D CBCT unit, were evaluated. All permanent teeth included in the scans were evaluated for the presence of ECR according to the 3-dimensional classification and the portal of entry. The association between the presence of ECR and the factors studied was assessed using the χ2 test. Intra-observer agreement was analyzed with the kappa test (α = 0.05). Results: In total, 6,240 teeth were analyzed, of which 84 (1.35%) were affected by ECR. A significant association was found between the presence of ECR and sex, with a higher prevalence in male patients (p = 0.002). The most frequently affected teeth were the mandibular and maxillary central incisors. The most common height was the mid-third of the root. For the portal of entry, 44% of cases were on the proximal surfaces, 40.5% on the lingual/palatal surface and 15.5% on the buccal surface. Intra-observer agreement was excellent. Conclusions: The prevalence of ECR was 1.35%, with a higher prevalence in male patients and a wide age distribution. The mandibular and maxillary central incisors were the most commonly affected teeth, and cases of ECR most frequently showed a height into the mid-third of the root and proximal entry.

Association between cigarette smoking and the prevalence of post-endodontic periapical pathology: a systematic review and meta-analysis

  • Nestor Rios-Osorio ;Hernan Dario Munoz-Alvear ;Fabio Andres Jimenez-Castellanos;Sara Quijano-Guauque ;Oscar Jimenez-Pena ;Herney Andres Garcia-Perdomo ;Javier Caviedes-Bucheli
    • Restorative Dentistry and Endodontics
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    • v.47 no.3
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    • pp.27.1-27.14
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    • 2022
  • Objectives: This systematic review and meta-analysis aimed to assess the association of cigarette smoking with the prevalence of post-endodontic apical periodontitis in humans. Materials and Methods: We searched through PubMed/Medline, Web of Science, and Scopus from inception to December 2020. Risk of bias was performed by using the Newcastle-Ottawa Scale for cross-sectional, cohort, and case-control studies. We performed the statistical analysis in Review Manager 5.3 (RevMan 5.3). Results: 6 studies met the inclusion criteria for qualitative and quantitative synthesis. Statistical analysis of these studies suggests that there were no differences in the prevalence of post endodontic apical periodontitis (AP) when comparing non-smokers vs smoker subjects regarding patients (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.31-1.49; I2 = 58%) and teeth (OR, 1.71; 95% CI, 0.99-2.93; I2 = 72%). Conclusions: Our findings suggest that there was no association between cigarette smoking and post-endodontic apical periodontitis, as we did not find statistical differences in the prevalence of post-endodontic AP when comparing non-smokers vs smoker subjects. Therefore, smoking should not be considered a risk factor associated with endodontic failure.