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Effects of a Self-management Program for Metabolic Syndrome - A Metabolic Syndrome Management Program in Seoul - (지역사회 대상의 대사증후군 자가관리 프로그램 중재 효과 - 서울특별시 대사증후군 관리 시범사업 -)

  • Kim, Hee-Sun;Yoon, Seok-Jun;Lee, Kun-Sei;Kim, Hyeong-Su;Oh, Sang-Woo;Ryu, Ho-Sihn;Choo, Jin-A;Lee, Kye-Heui;Ryu, Byung-Wook;Lee, Dong-Ok;Park, Dong-Rim
    • Korean Journal of Health Education and Promotion
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    • v.28 no.2
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    • pp.51-62
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    • 2011
  • Objectives: The aim of the study was to identify the effects of a community-level metabolic syndrome self-care management program. Methods: Data included baseline demographics, abdominal circumference, blood pressure, blood sugar, triglyceride, and HDL-cholesterol collected at 15 public health centers in Seoul from January to March, 2010. A data obtained(584 men and 410 women) from Metabolic Syndrome Management Program in Seoul was analyzed using Paired t-test and Linear mixed model. Results: The group with 6-month intervention resulted in significant decrease in abdominal circumference, systolic and diastolic blood pressure, blood sugar, and triglyceride. In moderate intervention group with 3-month follow-up showed tendency that abdominal circumference(-1.27(${\beta}$)) and diastolic blood pressure(-1.66(${\beta}$)) are significantly reduced. In the group with aggressive intervention, the more counseling led to significant reduction in abdominal circumference(-0.22(${\beta}$)). Conclusions: These results indicate that a self-care for metabolic syndrome management can improve metabolic syndrome status over a short-term period. Further structured research is needed to develop a systematic program on health behaviors focusing on exercise, diet, and intervention.

Effects of honeybee (Apis Mellifera L.) venom injection on the growth performance and hematological characteristics of pigs (봉독이 자돈의 성장 및 혈액성상 변화에 미치는 영향)

  • Han Sang-Mi;Lee Kwang-Gill;Yea Joo-Hong;Kweon Hae-Yong;Oh Baeg-Young;Lee Yun-Geun;Kim Bong-Soon;Baek Ha-Ju;Kim Soon-Tae
    • Korean Journal of Veterinary Service
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    • v.29 no.3
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    • pp.287-295
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    • 2006
  • This study was conducted to evaluate effects of honeybee venom injection (VI) collected using bee venom collector compared to that of bee venom accupuncture (VA) on the body weight gain, growth rate and hematological characteristics of piglets. One hundred sixty two piglets from 15 sows were allocated in to three groups; honeybee venom subcutaneous injection groups (97 piglets from 9 sows), honeybee venom accupuncture -treated group (31 piglets from 3 sows), and non -treated control group and 30 days after birth. Honeybee venom subcutaneous injection groups divided by a syringeful; group A (0.5, 1.0, 1.5, 2.0 mg ), group B (1.0, 1.0, 1.0, 1.0 rug), and group C (1.0, 1.5, 2.0, 2.5 mg). During 60 days experiment, weight gain and survivability in VI and VA treatment of pigs were higher compared with control. Survival rate during the experiment period was 96.8% in group C, 93.2 % in VA and 86.7 % in control. Weight gain and survivability were effected by VI and VA. WBC, RBC, lymphocytes, monocytes, serum total protein, and albumin concentration were not affected by VI and VA. Serum IgG concentration of VI and VA treatments were greater than that of control. In conclusion, VI and VA were effective for improving growth performance and to increase the concentrations of blood Ig G in growing pigs. No statistical differences were found for VI and VA. These results suggested that the treatment of honeybee venom injection collected using bee venom collector could be used effectively for the increase productivity.

Dental hygiene students' knowledge, attitude in an influenza A (H1N1) (일부 치위생과 학생들의 신종인플루엔자 인식도 및 예방태도)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.3
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    • pp.301-311
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    • 2011
  • Objectives : In order to identify the awareness of influenza A (H1N1) having currently high frequency and risk as an infectious disease, to find problems and to reflect them on curriculum improvements from students before/after clinical practices. Methods : The data was collected from 279 dental hygiene students of 1st and 2nd years at G health college university from December 6th 2010 to December 10th 2010. The questionnaire were consisted of awareness of influenza A (H1N1), preventive attitude, sociodemographic characteristics. Results : 1. 1st year was 51.6%, the case having dental experience was 51.2%, in the infection control training experience 'had' was 46.6%. In the route acquiring the information, the mass media was 70.6%, in obtained information, personal hygiene was 82.1%. In the impact on human body, 'great impact' was 58.1%. In terms of the most need for response and preparedness, vaccination was the highest, 67.4%. People who experienced influenza A (H1N1) were 10.7%. 2. Awareness of influenza A (H1N1) was 0.71 points, and treatment and spreading mechanism was 0.78 points, prevention was 0.63 points, causes and definition was 0.53 points. 3. In the attitude for infection prevention of influenza A (H1N1), 'washing hands before practice' was the highest, 0.99 points and 'wear the mask only in case of contact with patient within 1~2 meters upon occurrence of no aerosol' was the lowest, 0.72 points. 4. Awareness of influenza A (H1N1) according to sociodemographic characteristics showed the significant differences upon the impacts on systemic health (p<0.05). Preventive attitude didn't show a significant difference in grade, clinical experience, experience in infection control training, acquiring rmation routes, the possibility for occurrence, impact on systemic health, the most need for prevention, experience in influenza A (H1N1) (p>0.05). 5. The significantly correlated between awareness of influenza A (H1N1) and preventive attitude(p<0.01). Conclusions : Information and preventive attitude for influenza A (H1N1) as well as systematic training programs to identify actual affecting factors and to improve the practice are needed. Also government's institutional support is needed.

Development and Feasibility Assessment of Mobile Application-Based Digital Therapeutics for Postoperative Supportive Care in Gastric Cancer Patients Following Gastrectomy

  • Ji-Hyeon Park;Hyuk-Joon Lee;JeeSun Kim;Yo-Seok Cho;Sunjoo Lee;Seongmin Park;Hwinyeong Choe;Eunhwa Song;Youngran Kim;Seong-Ho Kong;Do Joong Park;Byung-Ho Nam;Han-Kwang Yang
    • Journal of Gastric Cancer
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    • v.24 no.4
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    • pp.420-435
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    • 2024
  • Purpose: This study aimed to develop and assess the feasibility and effectiveness of digital therapeutics for supportive care after gastrectomy. Materials and Method: The study included 39 patients with gastric cancer who underwent minimally invasive gastrectomy and were able to use a mobile application (app) on their smartphones. The developed research app automatically calculates and provides daily targets for calorie and protein intake based on the patient's body mass index (BMI). Patients recorded their daily diets, weights, and symptoms in the app and completed special questionnaires to assess the feasibility of the app in real-world clinical practice. Results: At the 10-week follow-up, the mean questionnaire scores for ease of learning, usability, and effectiveness of the app (primary endpoint) were 2.32±0.41, 2.35±0.43, and 2.4±0.39 (range: 0-3), respectively. Patients were classified as underweight (<18.5, n=4), normal (18.5-24.9, n=24), or overweight (≥25.0, n=11) according to predischarge BMI. Underweight patients showed higher compliance with app usage and a higher rate of achieving the target calorie and protein intake than normal weight and overweight patients (98% vs. 77% vs. 81%, p=0.0313; 102% vs. 75% vs. 61%, P=0.0111; 106% vs. 79% vs. 64%, P=0.0429). Two patients transitioned from underweight to normal weight (50.0%), one patient (4.3%) transitioned from normal weight to underweight, and two patients (22.2%) transitioned from overweight to normal weight. Conclusions: The mobile app is feasible and useful for postoperative supportive care in terms of ease of learning, usability, and effectiveness. Digital therapeutics may be an effective way to provide supportive care for postgastrectomy patients, particularly in terms of nutrition.

Studies on the Estimation of Annual Tree Volume Growth for the Use as Basic Data on the Plan of Timber Supply and Demand in Korea - The Sub-sampling Oriented - (우리나라 목재수급계획(木材需給計劃)의 기초자료(基礎資料)로 활용(活用)키 위한 연간(年間) 임목성장량(林木成長量)의 추정(推定)에 관한 연구(硏究) - 부차추출법(副次抽出法)을 중심(中心)으로 -)

  • Lee, Jong Lak
    • Journal of Korean Society of Forest Science
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    • v.61 no.1
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    • pp.37-44
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    • 1983
  • This study was to estimate total annual volume growth by the measurement of mean tree growth during the last 10 years. Surveyed Forest stand was the second block (20.80 ha.)of Kyung Hee University Forests located at San 58 and 64, Gaegok-Ri, Gapyung-Yeup, Gapyung-Goon, Kyunggi province in Korea. The stand was mainly composed of uneven-aged Pinus densiflora and the estimation of tree volume was conducted by taking the cores at the D.B.H. of the sample tree which was selected by sub-sampling. The results obtained were as follows; 1) The regression between the diameter (D) and diameter growth ($\hat{I}$) was $\hat{I}=0.5499+0.0101D$. 2) The estimated equation of confidence interval for the diameter growth was $S^2{\hat{I}}=0.00817(0.09538-0.00952D+0.00027D^2$) 3) The equation for estimating tree height (H) from diameter was $H=1.32376D^{0.77958}$ 4) The equation for estimating tree volume from diameter and height $V=0.0000622D^{1.6918}H^{1.1397}$ 5) Total annual tree volume growth was $5.4041m^3/ha$, and ranged from 5.6131 to $5.1984m^3/ha$. 6) Annual growth rate of total tree volume and its error were 8.8% and 3.9%, respectively. The annual volume growth per tree for any districts can be estimated by this method, and the annual volume growth will be successfully predicted. Because of poor forest growing stock in Korea, annual amount of allowable cut should not exceed annual tree volume growth for better forest management. Accordingly, annual amount of allowable cut should be either equal to or less than annual tree volume growth for the balanced establishment between timber supply and demand in Korea. Demand shortage will be substituted with imported timber. Such plans enable Korean Government to develop a better policy of forest resources management.

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The Perception of Mental Health Status, Mental Health Literacy, Mental Health Welfare Center and Mental Health Business of among Local Students (일 지역사회 학생의 정신건강상태, 정신건강지식, 정신건강복지센터와 정신건강사업에 대한 인식조사)

  • Oh, Mi-Jung;Kim, Min-Ja;Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.427-437
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    • 2020
  • This study investigated perceptions of mental health literacy, mental health status, mental health welfare center, and mental health business of local students. Totally, 388 students visiting the mental health welfare center located in G city were enrolled for the study. Data were collected from October 1 to October 26, 2018 using structured questionnaires, and analyzed by applying the IBM SPSS 24.0 statistics program. The mental health status of subjects was found to be most severely stressed (31.4%). The mental health literacy score of the subjects was 40.99 points, and 45.9% of the respondents had never heard of mental health welfare center. Considering mental health business, 68.3% had never heard of mental health counseling, and the most common way to access information about mental health or mental illness was the internet (58.0%). In addition, 75.3% respondents answered that an increase in the government budget for management of mental health and illness was required. Taken together, our results indicate the necessity to strengthen continuous education, promotion for mental health improvement, and the development of a customized mental health promotion program suitable for the student's level, through involvement of the community mental health welfare center.

Deep-learning-based GPR Data Interpretation Technique for Detecting Cavities in Urban Roads (도심지 도로 지하공동 탐지를 위한 딥러닝 기반 GPR 자료 해석 기법)

  • Byunghoon, Choi;Sukjoon, Pyun;Woochang, Choi;Churl-hyun, Jo;Jinsung, Yoon
    • Geophysics and Geophysical Exploration
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    • v.25 no.4
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    • pp.189-200
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    • 2022
  • Ground subsidence on urban roads is a social issue that can lead to human and property damages. Therefore, it is crucial to detect underground cavities in advance and repair them. Underground cavity detection is mainly performed using ground penetrating radar (GPR) surveys. This process is time-consuming, as a massive amount of GPR data needs to be interpreted, and the results vary depending on the skills and subjectivity of experts. To address these problems, researchers have studied automation and quantification techniques for GPR data interpretation, and recent studies have focused on deep learning-based interpretation techniques. In this study, we described a hyperbolic event detection process based on deep learning for GPR data interpretation. To demonstrate this process, we implemented a series of algorithms introduced in the preexisting research step by step. First, a deep learning-based YOLOv3 object detection model was applied to automatically detect hyperbolic signals. Subsequently, only hyperbolic signals were extracted using the column-connection clustering (C3) algorithm. Finally, the horizontal locations of the underground cavities were determined using regression analysis. The hyperbolic event detection using the YOLOv3 object detection technique achieved 84% precision and a recall score of 92% based on AP50. The predicted horizontal locations of the four underground cavities were approximately 0.12 ~ 0.36 m away from their actual locations. Thus, we confirmed that the existing deep learning-based interpretation technique is reliable with regard to detecting the hyperbolic patterns indicating underground cavities.

Saphenous Vein Graft as a Composite Graft in Patients Who Are Undergoing Off-pump Coronary Artery Bypass: The Early Results (복재정맥 복합도관을 이용하여 시행한 심폐바이패스를 사용하지 않는 관상동맥우회술의 조기 결과)

  • Hwang, Ho-Young;Kim, Jun-Sung;Choi, Eun-Seok;Lee, Jae-Hang;Kim, Ki-Bong
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.324-330
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    • 2009
  • Background: The long term patency of the free saphenous vein graft, which is the most commonly used conduit, anastomosed to the ascending aorta has been reported to be lower than that of arterial grafts. We evaluated early clinical outcome and the angiographic patency of the saphenous vein composite graft based on the left internal thoracic artery, and compared these results with those of using arterial composite grafts. Material and Method: From September 2006 to October 2008, 419 patients underwent off-pump coronary revascularization. Among those, 295 patients (70.4%) were revascularized using composite grafts (group I: saphenous vein composite graft, n=71, group II: arterial composite graft, n=224). The clinical results were compared between the 2 groups. Early postoperative coronary angiograms were performed in all the patients. ($1.6{\pm}1.6$ days) Result: The number of the distal anastomosis per patient was $3.5{\pm}1.0$ and $3.1{\pm}0.8$ in group I and II, respectively (p=.002). The operative mortality (n=2, 0.7%) and postoperative complications such as atrial fibrillation (n=73, 24.7%), perioperative myocardial infarct (n=6, 2.0%), acute renal failure (n=6, 2.0%), reoperation for bleeding (n=5, 1.7%), cerebrovascular accident (n=3, 1.0%), and mediastinitis (n=1, 0.3%) were not related with the use of saphenous vein graft. Early coronary angiograms revealed a 96.9% (126/130) for the saphenous vein grafts and a 98.8% (479/485) for the composite graft in group II (p=.231). Conclusion: Our data suggested that a saphenous vein graft might be used as analtemative conduit to the arterial graft for constructing a composite graft, as based on our early clinical and angiographic results. Further study is required to establish the long-term efficacy of using a saphenous vein as a composite graft.

Characteristics and Clinical Correlations of Staphylococcus aureus Discovered in Stools from Children Hospitalized at a Secondary Hospital (일개 이차병원에 입원한 소아의 분변에서 발견된 황색포도알균의 특징과 임상적 연관성)

  • Shin, Eun Hye;Eun, Byung Wook;An, Young Min;Song, Mi Ok
    • Pediatric Infection and Vaccine
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    • v.25 no.2
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    • pp.61-71
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    • 2018
  • Purpose: Research on the clinical role of Staphylococcus aureus as a pathogen in acute gastroenteritis (AGE) in children has been scarce. This study aimed to clarify the prevalence and clinical correlation of S. aureus detection in children with AGE. Methods: Fecal samples were collected from children with symptoms of AGE who visited a secondary hospital between January 2012 and December 2015. The samples were sent to the Seoul Metropolitan Government Research Institute of Public Health and Environment to test for pathogenic organisms. Clinical patterns were analyzed through medical record review. Results: Among the 663 participants, the bacteria detection rate was 26.2% (n=174), the virus detection rate was 29.7% (n=197), and the non-detection rate was 43.1% (n=286). S. aureus was tested positive from 102 cases and was confirmed as a single pathogen in 53 cases. It was the third most common pathogen. The prevalence by age was highest (45.3%) in 0-2 year-olds. Most cases occurred in summer. Symptoms included diarrhea (71.7%), vomiting (67.9%), fever (49.1%), and abdominal pain (37.7%). Only vomiting showed a significant difference between the S. aureus group and the non-detection group (67.9% vs. 43.0%; P=0.001). Among enterotoxins, the higher incidence of vomiting was associated with classical staphylococcal enterotoxins (SEA, SEB, SEC, SED, and SEE) and SEH (P=0.027). Conclusions: S. aureus was the bacteria commonly isolated from children with AGE. Our study identified cases of staphylococcal AGE in children based on fecal samples and confirmed the characteristic symptoms, affected age groups, seasonal distribution, and correlation with enterotoxins.

The Effects of Performance of Public Health Services and Personal Characteristics on Community Image of Public Hospitals (공공보건의료사업 수행과 주민특성이 공공병원 이미지에 미치는 영향)

  • Sim, In Ok;Hwang, Eun Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6089-6098
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    • 2015
  • This study purposes to identify the effects of performance of public health services (PHS) and personal characteristics on community image to public hospitals. The subjects of this study were 33 public hospitals and 1,789 community residents. The data of '2011 Public hospital evaluation programme' were utilized in this study. The personal characteristics consisted of nine items which were gender, age, education, occupation, monthly incomes, medical security, use experience, health state, and location type. The PHS performance consisted of five items which were number of doctors, number of nurses, total number of staff, budget per 1,000 community residents, and amount of activities per 1,000 community residents. The cronbach's alpha of community image instrument was 0.916. As the results of logistic regression, the significant variables of community image, were age (OR=0.34, 95% CI=0.19-0.60), education (OR=3.03, 95% CI=1.60-5.76), use experience (OR=0.57, 95% CI=0.40-0.81), health state (OR=0.69 95% CI=0.49-0.96), location type (OR=2.10, 95% CI=1.11-3.99), and amount of activities per 1,000 community residents (OR=0.58, 95% CI=0.35-0.96). Community image is very important to public hospitals. The workforce and budget related PHS were significantly demanded to improve community image. The Central and Local government should support to public hospitals to perform PHS effectively.