• Title/Summary/Keyword: cross-examination

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Prevalence of and Factors Associated with Osteoporosis among Korean Cancer Survivors: A Cross-Sectional Analysis of the Fourth and Fifth Korea National Health and Nutrition Examination Surveys

  • Choi, Kyung-Hyun;Park, Sang Min;Park, Joo-Sung;Park, Jae-Hyun;Kim, Kyae Hyung;Kim, Myung-Ju
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4743-4750
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    • 2013
  • Background: Identifying and managing osteoporosis among cancer survivors is an important issue, yet little is known about the bone health of cancer survivors in Korea. This study was designed to measure the prevalence of osteoporosis and to assess related factors among Korean cancer survivors. Materials and Methods: This study was designed as a cross-sectional analysis. Data were obtained from dual energy X-ray absorptiometry measurement of the lumbar vertebrae and femoral neck, and from standardized questionnaires among 556 cancer survivors and 17,623 non-cancer controls who participated in the Fourth and Fifth Korea National Health and Nutrition Examination Surveys (2008-2011). We calculated adjusted proportions of osteoporosis in non-cancer controls vs. cancer survivors, and we performed multivariate logistic regression analysis. Results: The prevalence of osteoporosis among cancer survivors was significant higher than that of the non-cancer controls after adjusting for related factors. Furthermore, osteoporosis among cancer survivors was higher in elderly subjects (60-69 years : adjusted odds ratio (aOR) 3.04, 95% CI : 1.16-8.00, ${\geq}70$ years : aOR 6.60, 95% CI 2.20-19.79), in female cancer survivors (aOR: 7.03, 95% CI: 1.88-26.28), and in a group with lower monthly income (aOR: 3.38, 95% CI: 1.31-8.71). In male cancer survivors, underweight and lower calcium intake were risk factors. Conclusions: These data suggest that the osteoporosis among cancer survivors varies according to non-oncologic and oncologic factors. Effective screening should be applied, and a sufficient and comprehensive management should be matched to individual cancer survivors early after cancer treatment.

The Effect of the Fiber Volume Fraction Non-uniformity and Resin Rich Layer on the Rib Stiffness Behavior of Composite Lattice Structures (섬유체적비 불균일 및 수지응집층이 복합재 격자 구조체 리브의 강성도 거동에 미치는 영향)

  • Kang, Min-Song;Jeon, Min-Hyeok;Kim, In-Gul;Kim, Mun-Guk;Go, Eun-Su;Lee, Sang-Woo
    • Composites Research
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    • v.31 no.4
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    • pp.161-170
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    • 2018
  • Cylindrical composite lattice structures are manufactured by filament winding process. The fiber volume fraction non-uniformity and resin rich layers that can occur in the manufacturing process affect the stiffness and strength of the structure. Through the cross-section examination of the hoop and helical ribs, which are major elements of the composite lattice structure, we observed the fiber volume fraction non-uniformity and resin rich layers. Based on the results of the cross-section examination, the stiffness of the ribs was analyzed through the experimental and theoretical approaches. The results show that the fiber volume fraction non-uniformity and resin rich layers have an obvious influence on the rib stiffness of composite lattice structure.

Novel and Sentimental Education: Sympathy and Empathy (소설과 감정교육: 공감과 동감)

  • Lee, Myung-ho
    • Cross-Cultural Studies
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    • v.53
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    • pp.219-249
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    • 2018
  • This essay attempts a historical examination of educational function of the novel. It pays attention to the eighteenth century sentimentalism, and its historical vicissitudes up to early twenties century. The eighteenth century is the period in which debates on the nature of emotion and its moral and aesthetic role have passionately taken place and the modern paradigm of thought on affect has been formed. This is why "affect revival phenomenon" in the late twenties century goes back to this period. This essay finds in Adam Smith the most sophisticated arguments on sympathy in their relation to the development of the novel; it examines the relationship of Smith's argument with modern novel in the tradition of sentimentalism, and its revision in modernist novel. Through this examination, it discusses how cognitive and non-cognitive approaches, the two representative positions in contemporary thinking on emotion/affect, have revised and transformed the eighteenth century sentimentalism.

Chocolate consumption and the prevalence of metabolic syndrome in the Korean adult population: an analysis based on the 2014-2016 Korea National Health and Nutrition Examination Survey

  • Kim, NaRae;Jeon, Min-Sun
    • Nutrition Research and Practice
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    • v.15 no.1
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    • pp.80-94
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    • 2021
  • BACKGROUND/OBJECTIVES: Recent studies have reported chocolate consumption has beneficial effects on blood pressure, obesity, and dyslipidemia, which are components of metabolic syndrome (MetS). However, evidence regarding these relationships in Asia is limited. The aim of this study was to investigate relations between chocolate consumption and MetS in Korea. SUBJECTS/METHODS: Study subjects were 6,982 adults aged 19-64 years free of major chronic diseases that participated in the 2014-2016 Korea National Health and Nutrition Examination Survey. Information on chocolate consumption was obtained using food frequency questionnaires. For primary analysis, subjects were divided into two groups: non-consumer (n = 3,741, 53.6%); consumer (n = 3,241, 46.4%). In order to investigate dose-response effects on MetS, chocolate consumers were divided into quartiles based on amounts consumed: Q1 (n = 789, 24.3%); Q2 (n = 837, 25.8%); Q3 (n = 863, 26.6%); Q4 (n = 752, 23.2%) in second analysis. RESULTS: Chocolate consumers; 1) were more physically active(P < 0.0001); 2) less likely to smoke(P < 0.0001); 3) paid more attention to food nutrition labels (P < 0.0001), and 4) had healthier dietary patterns, that is, they consumed vegetables, fruits, and dairy products more frequently(P < 0.0001) than non-consumers. Furthermore, chocolate consumers had a 30% lower risk of MetS (odds ratio, 0.70; 95% confidence interval, 0.58-0.86; P = 0.0005). However, dose-response effects between chocolate intake and MetS was not found by secondary analysis after excluding non-consumers. CONCLUSIONS: In conclusion, chocolate consumers had healthier lifestyles and dietary patterns and a lower prevalence of MetS than non-consumers, as determined by our primary analysis. Although dose-response effects were not found to be significant among chocolate consumers during secondary analysis, the patterns were partially similar. This cross-sectional finding shows chocolate consumption does not increase the risk of MetS. The prospective studies and intervention trials in Korea are needed to confirm this cross-sectional finding.

The Characteristics related to Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Cross-sectional Study, Data from the Korea National Health and Nutrition Examination Survey 2015-2019.

  • Kyeongbong Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.229-239
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    • 2023
  • Objective: Patients with chronic obstructive pulmonary disease (COPD) may experience reduced physical activity and quality of life (QoL) due to decreased pulmonary function. The purpose of this study was to investigate the level of pulmonary function, physical activity, and QoL of COPD patients. Design: Cross-sectional observational study. Methods: This study examined the published data of the Korea National Health and Nutrition Examination Survey in 2015-2019. Among 39,759 subjects who participated for 5 years, data from 151 patients diagnosed with COPD were analyzed separately. For the pulmonary function, the results of forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV6, forced expiratory flow 25-75%, and peak expiratory flow were observed. Physical activity was identified as frequency and duration. For the QoL, EQ-5D-3L evaluation results were examined, and the frequency and index of the Korean version were investigated. Results: In pulmonary function, all variables were found to be lower than age and weighted matched normal values. COPD patients showed to perform very low levels of high/medium physical activity and sitting time was confirmed to be more than 8 hours a day. In QoL, it was found that the highest reporting rate of some problems was the "pain and discomfort" and "mobility". Conclusions: It was found that COPD patients showed that the prevalence of circulatory disease was relatively high, lowered pulmonary function, and QoL. These can be improved through regular physical activity, and it is thought that this can be achieved through optimization of pulmonary rehabilitation.

Analysis of Steel Bridge by means of Specially Orthotropic Plate Theory (특별직교이방성 판이론을 응용한 강교량의 해석)

  • Han, Bong Koo;Kim, Duk Hyun
    • Journal of Korean Society of Steel Construction
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    • v.13 no.1
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    • pp.61-69
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    • 2001
  • The specially orthotropic plate theory is used for analysis of panels made of girders and cross-beams. The cross-sections of both girders and cross-beams ar H-type. A method of calculating natural frequencies corresponding to the modes of vibration of beams and tower structures with irregular cross sections and arbitrary boundary conditions was developed. The results of application of this method to steel bridge by using specially orthotropic plate theory is presented. The result is compared with that of the beam theory. Finite difference method is used for this purpose. The influence of the $D_{22}$ stiffiness on the natural frequency is rigorously investigated. According to numerical examination given in this paper the result by the plate theory is 2.43 times stiffer than of beam theory.

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COMPARISON OF IMAGE REFORMATION USING PERSONAL COMPUTER WITH CT SCAN RECONSTRUCTION (CT 스캔 영상재구성과 개인용 컴퓨터를 이용한 영상 재형성과의 비교에 관한 연구)

  • Jung Gi-Hun;Kim Eun-Kyung;Kim Sang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.2
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    • pp.361-368
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    • 1994
  • Radiographic planning is needed for implant placement in order to determine implant length, jaw bone volume, anatomical stucture and so on. Radiographic examination includes conventional radiography, conventional tomography and CT scan. The most accurate mesurement can be obtained from CT scan. For the cross-sectional view of mandible, CT scan reconstruction is generally needed. But the cross-sectional view of mandible can be reformed by personal computer. This study was performed to examine the clinical usefulness of reformed image using personal computer in comparison with CT scan reconstructed image. CT axial slices of 4 mandibles of 4 volunteers were used. Digital imaging system was composed of Macintosh Ⅱ ci computer, high resolution Sony XC-77 CCD camera, Quick Capture frame grabber board and 'NIH Image' program. Seven reconstructed cross-sectional images within CT machine(CT group) were obtained. And seven reformed cross-sectional images(PC group) after digitization of CT axial slices into the personal computer were obtained. PC group was compared with CT group in the objective and subjective aspects. The results were as follow: 1. Measurement of mandibular height & width in both group showed insignificant difference(P>0.05). 2. Subjective assessment of the mandibular canal in both group showed insignificant difference(P>0.05). 3. Image reformation using personal computer could provide panoramic view, which could not be obtained in CT scan reconstruction.

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Developing Customized Phantom for Korean Bone Density Using 3D Printing (3D 프린팅을 이용한 한국인 골밀도 맞춤 팬텀 개발)

  • Lee, Junho;Choi, Kwan-Yong;Choi, Jae-Ho
    • Journal of radiological science and technology
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    • v.42 no.3
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    • pp.223-229
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    • 2019
  • In order to reduce the radiation exposure dose of the patient and to obtain accurate diagnosis results, the quality control of the diagnostic radiation generator must be conducted periodically In particular, bone density test equipment could be influenced by many factors, and it is far more important because inaccurate measurement would eventually affect the result value. However, the cross-correction phantom of DXA equipment is poorly penetrated due to lack of awareness of the industry and the high cost. Therefore, this study developed a BMD phantom using a 3D printer and Korean BMD phantom with low cost by cross analyzing Korean BMD value from The Korean National Health and Nutrition Examination Survey and evaluated it. The L1, L2, and L3 BMD values of phantoms produced with the 3D printer were measured to be $0.887{\pm}0.006g/cm^2$, $0.927{\pm}0.006g/cm^2$, and $0.960{\pm}0.005g/cm^2$, at 215 mm height and $0.882{\pm}0.011g/cm^2$, $0.914{\pm}0.005g/cm^2$, $0.933{\pm}0.008g/cm^2$ at 155 mm height displaying statistically significant relevance. The result suggests that a proper quality control and cross calibration of DXA device be possible and expected to be an essential data for various medical phantom manufacture development using 3D printer.

Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data

  • Kim, Young-Ju;Lim, Myoung-Nam;Lee, Dong-Suk
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.743-750
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    • 2014
  • Purpose: The objective of this study was to provide a trend analysis of the prevalence of diabetes relative to the socioeconomic, lifestyle, and physiologic risk factors among Korean adults aged over 30 years for a 10-year period using data from the Korean National Health and Nutrition Examination Survey. Methods: Prevalence difference and the slope index of inequality were calculated for each risk factors using binomial regression by considering the repeated cross-sectional features of the data. The prevalence ratio and the relative index of inequality were calculated using log-binomial regression. Linear trend tests were performed using SAS 9.2. Results: Crude prevalence of diabetes increased over the 10-year period, and was higher for men than for women. It was very high for adults 60 years or over, consistently increasing over time. The prevalence among unemployed men, women with higher level of stress, women with hypertension, and adults with serum triglyceride levels over 135 mg/dL increased over the 10-year period in comparison with the respective control group. Conclusion: Considering the rapid economic development and associated lifestyle changes in Korea, action should be taken to control the prevalence of diabetes by both preventing and consistently monitoring these identified risk factors using a public-health approach.

Beliefs and Behavior of Malaysia Undergraduate Female Students in a Public University Toward Breast Self-examination Practice

  • Akhtari-Zavare, Mehrnoosh;Juni, Muhamad Hanafiah;Said, Salmiah Md.;Ismail, Irmi Zarina
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.57-61
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    • 2013
  • Background: Breast cancer is the most common cancer and the second principal cause of cancer deaths among women worldwide, including Malaysia. Methods: A cross-sectional study was carried out among 262 female undergraduate students in University Putra Malaysia using a validated questionnaire which was developed for this study. Results: The mean age of respondents was $22{\pm}2.3$ years. Most of them were single (83.1%), Malay (42.3%) and 20.7% reported having a family history of breast cancer. Eighty-seven (36.7%) claimed they had practiced BSE. Motivation and self-efficacy of the respondents who performed BSE were significantly higher compared with women who did not (p<0.05).There was no association between BSE practice and demographic details (p<0.05). Logistic regression analysis indicated that women who perceived greater motivation (OR=1.089, 95%CI: 1.016-1.168) and had higher confidence of BSE (OR=1.076, 95%CI: 1.028-1.126) were more likely to perform the screening. Conclusions: The findings show that Malaysian young female's perception regarding breast cancer and the practice of BSE is low. Targeted education should be implemented to improve early detection of breast cancer.