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Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension (고혈압 환자의 복약순응행위 변화단계에 영향을 미치는 요인)

  • Byeon, Young Soon;Kim, Soon Ock;Cho, Jeong-Hyun
    • Research in Community and Public Health Nursing
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    • v.23 no.2
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    • pp.189-200
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    • 2012
  • Purpose: The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension. Methods: Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered. Results: Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence. Conclusion: The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

Factors for Suicidal Ideation in Middle School Students by Gender

  • Chaung, Seung-Kyo;Kim, Chun-Gill;Yang, Soo;Lee, So Young
    • Journal of the Korean Society of School Health
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    • v.29 no.3
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    • pp.267-276
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    • 2016
  • Purpose: This study was conducted to identify the factors of suicidal ideation in middle school students by gender, and to announce the necessity of gaining upon a socio-cultural comprehension-based approach. Methods: Three middle schools were randomly selected from a pool of 21 middle schools in S City, and were stratified by school and grade. A total of 878 students were included in the analysis. Multiple logistic regression analysis was conducted to identify the factors that affect suicidal ideation by gender. Results: Suicidal ideation and depression scores of the female students were over twofold higher than those of the male students. The factor that was found to affect suicidal ideation in the male students was depression while for the female students the factors were visiting suicide-related websites, having friends who attempted to commit suicide, depression, and poor communication with one's parents. Conclusion: The findings in this study support gender differences in suicidal ideation, and suggest that building socio-cultural environments are needed to abate their negative emotions and to help youth find out their reasons to live.

The Relationship of Gender Role Conflict and Job Satisfaction upon Organizational Commitment in Male Nurses (남자간호사의 성역할 갈등, 직무만족 및 조직몰입에 관한 연구)

  • Lee, Kyoung Ju;Kim, Miyoung
    • Korean Journal of Adult Nursing
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    • v.26 no.1
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    • pp.46-57
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    • 2014
  • Purpose: This study was to investigate the influence of male nurses' gender role conflict and job satisfaction on their organizational commitment. Methods: Data were collected through a mixed method design using structured questionnaires (N=162) and a sequential qualitative interviews (N=8) from 2nd October, 2012 to 7th February, 2013. Data analysis included t-test, ANOVA, regression with SPSS/WIN 19.0 program and a qualitative thematic analysis. Results: Factors affecting participants' organizational commitment were job satisfaction and marital status which accounted for 36.2% of the total variance. In particular, low job satisfaction was not correlated with low organizational commitment despite lower job satisfaction. Three main themes connoting meanings of ambivalence were extracted from the data: desiring for the better future in spite of the current difficulty, strengthening their masculinity in tandem with complementing femininity in the midst of gender role conflict, leading their organization at times, and enduring hard work with responsibility for raising their family as a head of household. Conclusion: The findings indicate that male nurses' adjustment to the organization is controlled by ambivalence. It is essential to understand sociocultural contexts of male nurses as a minority in nursing fields for further research.

Gender Differences in Awareness of Preconception Care and Pregnancy (수태 전 건강관리에 대한 젠더 간 인식 차이)

  • Cho, Dong Dook;Kim, Eun Jung;Jun, Eun Mi
    • Women's Health Nursing
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    • v.19 no.4
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    • pp.219-229
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    • 2013
  • Purpose: This study was conducted to identify awareness levels in regard to preconception care and gender differences targeting single undergraduate students in their 20s. Methods: The study participants were 867 single undergraduate students aged 20~29 (523 women, 344 men). This was a descriptive research, in which awareness levels of preconception care and pregnancy were identified the through questionnaire surveys. Results: Gender differences in the awareness of reproductive care before conception were found. Generally, women's awareness of issues related to preconception care and pregnancy was higher than that of men. Women recognized risk factors in pregnancy (x2=22.85, p<.001) and positive behaviors (x2=10.91, p=.012) better than men. Women's awareness of preconception care was significantly higher than that of men (t=8.37, p<.001). The awareness levels of the students who completed a reproduction related class (t=3.16, p=.002) and the students who knew about folic acid (t=-10.78, p<.001) in preconception care were statistically significantly higher. Conclusion: The results indicate that the ways to educate and alert students to major risk factors before pregnancy and other reproductive care content before conception is to provide education both single women and single men.

Gender-Related Differences in a Process of the Age-Dependent Alterations of the Elements in Monkey Sino-Atrial Node

  • Satoh, Hiroyasu;Tohno, Setsuko;Minami, Takeshi;Oishi, Takao;Hayashi, Motoharu;Tohno, Yoshiyuki
    • The Korean Journal of Physiology and Pharmacology
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    • v.14 no.5
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    • pp.249-256
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    • 2010
  • Gender differences in the trace elements of monkey sino-atrial (SA) node were investigated in a process of age-dependent alterations. Sixty hearts from Japanese and rhesus monkeys (30 male and 30 female) used were aged ranging from 1-day- to 30-year-old. The elements were analyzed using an inductively coupled plasma-atomic emission spectrometer (ICP-AES). Advancing age decreased all the trace elements. Ca, P, S and Mg significantly decreased. The correlation coefficients of Ca and P were 0.178±0.081 (p<0.05) and 0.088±0.022 (p<0.05) in male (n=30), and 0.095±0.026 (p<0.05) and 0.069±0.017 (p<0.05) in female (n=30), respectively. The age-dependent coefficients for Fe/Ca, Zn/Ca, Fe/P, Fe/S, Zn/S, Fe/Mg and Zn/Mg were exhibited markedly in male, but all was less in female. In gender-related differences, only a ratio of P/Ca (p<0.05) was significantly observed with ageing. The trace elements such as Cu, Se and Sn were less detected in the SA nodes. These results indicate that the age-dependent changes in the ratios of elements are appeared more rapidly in male monkey SA node, and the gender difference is observed in ratio of P/Ca. The different attenuations may be involved with the age- and gender-related SA nodal functions.

A Study on the Sasang Constitutional Characteristics by Obesity Grade (비만도에 따른 사상체질별 체형 특성 분석)

  • Yeo, Hye-Rin;Kim, Kyu-Kon;Lee, Myung-Hee;Park, Yoon-Chang;Jeon, Soo-Hyung;Kwon, Suk-Dong;Jung, Sung-Il;Kim, Jong-Won
    • Journal of Sasang Constitution and Immune Medicine
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    • v.20 no.1
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    • pp.89-99
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    • 2008
  • 1. Objectives The objective of this study is to offer some standards for the distinction of Sasang Constitutions through analyzing the characteristics of their body shapes that are classified by BMI. 2. Methods The subject of this study were 1341 female and 927 male patients who aged from 17 to 80 in Seoul, Pusan, Daeku and Jeonju. They were treated with Sasang Constitutional medicine. 8 circumferences, 5 widths, weight, height of their body were measured with measuring tape, large sliding caliper, scale and anthropometer. Collected 15 anthropometric datas were analyzed by Analysis of Contingency table, ANOVA and Duncan test. 3. Results (1) The Body shapes according to obesity grade are classified Underweight type that BMI is less than 18.5, Normal weight type that BMI is 18.523.0 and Overweight type that BMI is mote than 23.0. (2) Soeumin represents Underweight type and Taeeumin represents Overweight type regardless of gender differences. Soeumin stands for Normal weight type in women and Soyangin stands for Normal weight type in men. (3) In case of Underweight type, 13 measurements are not suitable to estimate Sasang Constitutions regardless of gender differences. (4) In case of Normal weight type, 12 measurements except for W3 in women and W7 in men are suitable to estimate Sasang Constitutions. And there are no gender differences in Soyangin and Soeumin, but there are gender differences in Taeyangin and Taeeumin. (5) In case of Overweight type, 9 measurements except for C2, C5, C6, W7 in women and 12 measurements except for W3 in men are suitable to estimate Sasang Constitutions. And there are no gender differences in 4 Sasang Constitutions. 4. Conclusions From the above results, we have to consider not only gender differences and age groups but also obesity grade when we distinguish Sasang Constitutions.

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Noninvasive fetal RHD genotyping using cell-free fetal DNA incorporating fetal RASSF1A marker in RhD-negative pregnant women in Korea

  • Han, Sung-Hee;Yang, Young-Ho;Ryu, Jae-Song;Kim, Young-Jin;Lee, Kyoung-Ryul
    • Journal of Genetic Medicine
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    • v.12 no.2
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    • pp.100-108
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    • 2015
  • Purpose: Conventional methods for the prenatal detection of fetal RhD status involve invasive procedures such as fetal blood sampling and amniocentesis. The identification of cell-free fetal DNA (cffDNA) in maternal plasma creates the possibility of determining fetal RhD status by analyzing maternal plasma DNA. However, some technical problems still exist, especially the lack of a positive control marker for the presence of fetal DNA. Therefore, we assessed the feasibility and accuracy of fetal RHD genotyping incorporating the RASSF1A epigenetic fetal DNA marker from cffDNA in the maternal plasma of RhD-negative pregnant women in Korea. Materials and Methods: We analyzed maternal plasma from 41 pregnant women identified as RhD-negative by serological testing. Multiplex real-time PCR was performed by amplifying RHD exons 5 and 7 and the SRY gene, with RASSF1A being used as a gender-independent fetal epigenetic marker. The results were compared with those obtained by postnatal serological analysis of cord blood and gender identification. Results: Among the 41 fetuses, 37 were RhD-positive and 4 were RhD-negative according to the serological analysis of cord blood. There was 100% concordance between fetal RHD genotyping and serological cord blood results. Detection of the RASSF1A gene verified the presence of cffDNA, and the fetal SRY status was correctly detected in all 41 cases. Conclusion: Noninvasive fetal RHD genotyping with cffDNA incorporating RASSF1A is a feasible, reliable, and accurate method of determining fetal RhD status. It is an alternative to amniocentesis for the management of RhD-negative women and reduces the need for unnecessary RhIG prophylaxis.

The Feminism expressed in the Modem Fashion -'The Logic of Sex and Gender' on Feminism- (현대 복식에 나타난 페미니즘 -'성논리'의 연계성을 중심으로-)

  • Shin, Su-Ok;Yang, Sook-Hi
    • The Korean Fashion and Textile Research Journal
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    • v.1 no.3
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    • pp.218-230
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    • 1999
  • The purpose of this study is -under the post-modem situation- to emphasize the role of women which has various several logic on feminism, to look forward to division of men's consciousness of women, and to reflect a trend to accept the role of sex which is occurring in the system of sex, that is, 'The Third Gender and Homosexuality'. The category of biological and sociocultural on feminism discussed, meantime expressed the sexual logic under post-modern situation, and probed the sexual logic on feminism which was expressed in modem dress and its ornaments by redefining some characters as follows; Imitation-it was to attain masculinity by imitating the body of the opposite sex. Interaction such situations like...... masculinity in women, feminity in men was demonstrated as transvestism of cross-dressing and the symbolic meaning of homosexuality was demonstrated in the shoes of sociocultural on Feminism. Dispersion appeared as a moderation charm and a resistance against the men-ruling culture. Destruction-expressed the fetishism of punk of porny image and maternal affectional image of biological trend as playful satire. Therefore, It is conceived that Feminism would be created true human-phase come true in the men's world as long as the realization of women themselves make the phase of women higher; and further not only propose new image of women but the system of gender.

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The Prevalence of Cardiovascular Disease Risk Factors and the Framingham Risk Score in Patients Undergoing Percutaneous Intervention Over the Last 17 Years by Gender: Time-trend Analysis From the Mayo Clinic PCI Registry

  • Lee, Moo-Sik;Flammer, Andreas J.;Kim, Hyun-Soo;Hong, Jee-Young;Li, Jing;Lennon, Ryan J.;Lerman, Amir
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.4
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    • pp.216-229
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    • 2014
  • Objectives: This study aims to investigate trends of cardiovascular disease (CVD) risk factor profiles over 17 years in percutaneous coronary intervention (PCI) patients at the Mayo Clinic. Methods: We performed a time-trend analysis within the Mayo Clinic PCI Registry from 1994 to 2010. Results were the incidence and prevalence of CVD risk factors as estimate by the Framingham risk score. Results: Between 1994 and 2010, 25 519 patients underwent a PCI. During the time assessed, the mean age at PCI became older, but the gender distribution did not change. A significant trend towards higher body mass index and more prevalent hypercholesterolemia, hypertension, and diabetes was found over time. The prevalence of current smokers remained unchanged. The prevalence of ever-smokers decreased among males, but increased among females. However, overall CVD risk according to the Framingham risk score (FRS) and 10-year CVD risk significantly decreased. The use of most of medications elevated from 1994 to 2010, except for β-blockers and angiotensin converting enzyme inhibitors decreased after 2007 and 2006 in both baseline and discharge, respectively. Conclusions: Most of the major risk factors improved and the FRS and 10-year CVD risk declined in this population of PCI patients. However, obesity, history of hypercholesterolemia, hypertension, diabetes, and medication use increased substantially. Improvements to blood pressure and lipid profile management because of medication use may have influenced the positive trends.

Perceived Air Quality Assessment of Occupants According to Indoor Air Quality (실내공기질에 따른 재실자의 인식성 공기질 평가)

  • Woo, Byung-Lyul;Lee, Hyun-Su;Ahn, Ho-Gi;Jung, Soon-Won;Hwang, Moon-Young;Park, Choong-Hee;Yu, Seung-Do;Yang, Won-Ho
    • Journal of Environmental Science International
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    • v.20 no.1
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    • pp.61-69
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    • 2011
  • Perceived air quality (PAQ) is defined as evaluation of indoor air satisfaction and comfortable sensory by occupants. However, there are differences between criteria of indoor pollutants and lowest sensory thresholds. In this study, we compared indoor PAQ by questionnaire with measured benzene, toluene and nitrogen dioxide (NO2) concentrations in home indoors. The NO2 concentration was the highest in Seoul, while benzene and toluene were the highest in Asan. Average PAQ score in winter was higher than that in summer. Significant correlations between PAQs of home indoor air pollution and measured pollutant concentrations were not shown and correlation coefficients (r) ranged between -0.453