• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6875-6881
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• 2013

Background: Studies evaluating smoking cessation treatment outcomes in cancer patients are scarce, despite smoking cessation importance in cancer care. We sought to add to the literature by evaluating smoking cessation in a challenging group of cancer patients (medium-to-heavy smokers) visiting an out-patient smoking cessation clinic (SCC) in a cancer center in Amman, Jordan. Materials and Methods: Patients smoking >9 cigarettes per day (CPD) and referred to the SCC between June 2009 and May 2012 were studied. Clinic records were reviewed to measure demographic and baseline clinical characteristics, and longitudinal (3-, 6- and 12- month) follow-up by phone/clinic visit was conducted. At each follow-up, patients were asked if they experienced medication side-effects, if they had returned to smoking, and reasons for failing to abstain. Descriptive and multivariable logistic regression analyses were performed. Results: A total of 201 smokers were included in the analysis. The 3-month abstinence was 23.4% and significantly associated with older age, being married, and presenting with lower (${\leq}10ppm$) baseline carbon monoxide (CO) levels. On a multivariable level, lower CO levels, a higher income (relative to the lowest income group), being older, and reporting severe dependence (relative to dependence reported as 'somewhat' or 'not') were significant predictors of higher odds of abstinence at three months. Reasons for failing to quit included not being able to handle withdrawal and seeing no value in quitting. Long-term ARs did not reach 7%. Conclusions: In a sample of Jordanian smokers (>9CPD) with cancer and receiving smoking cessation treatment, ARs were low and further declined with time. Results underscore the need for more aggressive patient management and rigorous follow-up during and after smoking cessation treatment, particularly when this takes place in challenging settings. Observed reasons for failure to abstain should be used to tailor counseling practices.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.1755-1758
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• 2016

Background: Anemia is the most common hematologic abnormality in bladder cancer (BC) patients. We evaluated the impact of preoperative anemia on oncologic outcomes in BC undergoing transurethral resection of a bladder tumor (TURBT) for the first time diagnosis. Materials and Methods: We retrospectively evaluated the data collected from 639 patients who underwent TURBT between January 2006 and September 2014 in our department. Of these patients, 320 qualified for inclusion in the study. The primary efficacy endpoint was the effect of preoperative anemia status on cancer-specific and overall survival. Independent t-test and chi-square analyses were performed to assess the effects of anemia on oncologic outcomes. Survival was estimated by using the Kaplan-Meier test. Results: There were 118 (36.9%) and 202 (63.1%) patients in the anemia (Group-1) and non-anemia groups (Group-2), respectively. The median follow-up duration was 68 months. Anemia was associated with decreased overall survival (p<0.001). Comparison between cancer-specific survival of two groups did not show any statistically significant difference (p=0.17). Conclusions: Preoperative anemia status of BC patients according to World Health Organization classification is associated with decreased overall survival, but not with cancer-specific survival. We think that preoperative hemoglobin levels should be considered in patient counseling and decision-making for additional therapy.

• Child Health Nursing Research
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• 제7권3호
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• pp.308-321
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• 2001

Behavior modification is an approach to decrease degree of obesity through changing maladaptive eating habit and life style. It produces small amount of weight loss but it has few side effects and low dropout rate. It also has great effectiveness on maintenance of decreased weight. This study was performed to investigate effects of behavior modification on physical variables, fat and thin habit, and self-esteem in obese elementary school children. Sixty two students of 4th, 5th, and 6th grade were selected from two elementary schools located in the suburbs of Seoul. Thirty four children in one school were assigned to experimental group and twenty eight children in another school were assigned to control group. All subjects were healthy and were not on any type of obesity control. Behavior modification, in this study, was consisted of introduction, self-monitoring and stimuli control, education about diet and physical activities, individual counseling and reinforcement, requesting personal assistance, cognitive restructuring, and closing and long-term planning. Experimental group was received 60～70 minutes of behavior modification once a week for 8 weeks from October 16 to December 22, 2000. Control group was not received any intervention. Data were collected before and after intervention by measuring physical variables, fat and thin habit, and self-esteem. Physical variables consisted of obesity index, skinfold thickness, body fat(percentage of body fat, fat mass, fat free mass), serum lipids(total cholesterol, HDL-C, LDL-C, triglyceride) and serum leptin. The results were as follows ; 1. physical variables 1) Obesity index of the experimental group was significantly decreased after behavior modification. But there was no significant difference between two groups. 2) The increase of skinfold thickness was significantly low in the experimental group compared to the control group. 3) Percentage of body fat and fat mass were significantly decreased in the experimental group. Fat free mass was significantly increased in the experimental group. 4) Total cholesterol, HDL-C, triglyceride and serum leptin between the experimental group and control group showed no significant difference. LDL-C was significantly decreased in the control group. 2. Thin habit score was significantly increased in the experimental group. In subcategories of habit, thin scores of life style, attitude, social relationship, nutrition were signifi- cantly increased in the experimental group. 3. Self-esteem score was significantly increased in the experimental group. These results indicate that behavior modification is effective in decreasing percentage of body fat and fat mass, in less increasing skinfold thickness and in increasing fat free mass, thin habit, and self-esteem. In conclusion, behavior modification can be used as safe and effective strategy for managing obesity in elementary school children.

• 초등상담연구
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• 제9권1호
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• pp.95-110
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• 2010

본 연구는 또래 칭찬활동 프로그램이 초등학생의 교우관계와 학급응집성에 미치는 영향을 알아보기 위하여 실시되었다. 서울특별시에 소재한 J초등학교 5학년 2개 학급을 실험집단과 통제집단으로 나누어 실험집단에 프로그램을 처치하고 사후검사와 추후검사를 실시하여 프로그램의 효과를 검증하였다. 프로그램의 타당도를 검증하기 위하여 예비 실시를 통해 미비점과 문제점을 보완하였다. 연구 결과 또래 칭찬활동프로그램을 처치한 실험집단은 교우관계와 학급응집성에서 모두 유의미한 효과가 나타났으며, 아동 소감과 연구자의 관찰에서도 이 프로그램을 통해 아동의 교우관계가 개선되고, 학급응집성이 증가한 것을 알 수 있었다. 그러나 통제집단에서도 학기 초 아동의 학급생활 적응으로 인해 교우관계의 일부 하위변인에서 유의미한 효과가 나타났으며, 추후검사에서 실험집단 아동의 교우관계 하위변인 중 일부에서 효과가 감소한 것이 드러나기도 하였다. 학급응집성은 사후검사보다 추후검사에서 더욱 유의미하게 증가한 점으로 보아 본 연구에서 실시한 또래 칭찬활동 프로그램은 학급응집성의 증가와 유지에 긍정적인 영향을 미친다는 것을 알 수 있었다. 앞으로의 연구에서는 교우관계를 지속적으로 높이기 위한 프로그램의 내용 수정이나 추후지도에 관한 연구가 필요하다고 본다.

• 대한간호학회지
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• 제42권5호
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• pp.671-679
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• 2012

Purpose: This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment. Methods: A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers. Results: Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development. Conclusion: The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

• 산업진흥연구
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• 제1권1호
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• pp.27-33
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• 2016

본 연구는 패널 데이터를 분석하여 청년층 취업자의 현 직장 근속연수에 영향을 미치는 결정요인을 검증하였다. 연구결과 청년층의 직장 근속연수에 영향을 미치는 요인은 성별, 연령, 최종학력(고졸 이하-대졸 이상 여부), 혼인상태, 정규직 여부, 현 직장 임금, 현 직장 고용안정 만족도(p<.001), 가구 총 근로소득과 현 직장 복리후생 만족도(p<.01) 및 현 직장 인사고과 공정성 만족도(p<.05)로 나타났다. 또한 남성일수록, 연령이 높을수록, 기혼일수록, 근로소득이 낮은 집단일수록, 정규직일수록, 정년제일수록, 계속근로가 가능할수록, 업무내용과 전공이 일치할수록, 현 직장 임금이 높을수록, 현 직장 만족도가 높을수록 근속연수가 길었다. 본 연구는 청년층의 직장 근속연수 결정요인을 밝힘으로써 장기적이고 안정적인 고용을 위한 효과적인 정책을 마련하는 데 시사점을 제공한 것에 의의가 있다.

• 대한지역사회영양학회지
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• 제5권4호
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• pp.654-661
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• 2000

Hypertension is the major risk factor for cardiovascular disease which is considered the leading cause of death in Korea. Since nonpharmarologic dietary intervention is recommended as the first step in the management of hypertension, evaluation of intervention programs is needed to formulate strategies for improving patients' dietary adherence. This study was designed to evaluate the overall effectiveness of a hypertension nutrition education program (HNEP) at a public health center, by assessing changes in nutrition knowledge, food attitude, self-efficacy, dietary behavior, and nutrient intake after program completion. An HNEP was conducted in Suwon city for 5 months in 1999 by a public health center. The program provided 3 sessions of group education with individual nutrition counseling. Thirty-five patients participated fully in the program out of 62 enrollees. Data about nutrition knowledge, food attitude, self-efficacy, dietary behavior, and intake (24-hour recall) were collected before (baseline) and after the program. Post program results indicate the following : 1) nutrition knowledge and perception of importance of nutrition significantly increased, 2) food attitudes also improved, 3) the self-efficacy for maintaining a low salt diet was increased significantly, whereas self-efficacy for maintaining a low fat diet or dietary guidelines was not improved, 4) frequency of intake of processed food, animal fat, and sweets as well as frequency of dining out were significantly reduced, 5) nutrient intake was not improved after the program, 6) the most serious barrier for participating in the program and practicing diet therapy was lack of time and willingness. In conclusion, it appears that HNEP might improve food attitudes, individual perceptions and self-efficacy for desirable eating behavior, but it might not improve dietary intake. It follows then, that a long term intervention program may need to increase effectiveness of patient dietary adherence.

• 시큐리티연구
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• 제29호
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• pp.115-137
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• 2011

본 연구는 경호학전공대학생을 대상으로 진로장벽과 전공만족이 진로준비행동에 미치는 영향을 알아보는데 그 목적이 있다. 연구조사대상은 충남소재대학과 전북소재대학의 경호학과에 재학 중인 대학생 200명이었으며 이중응답이 부실하거나 조사내용의 일부가 누락된 자료 30부를 제외한 유효표본 170부를 연구에 사용하였으며 자료의 수집을 위해 사용한 도구는 진로탐색장애 척도, 전공만족도 척도, 진로준비행동 척도 등이다. 자료처리는 SPSS 18.0을 사용하여 분석하였고 수집된 자료는 측정도구에 대한 탐색적요인분석, 상관 관계분석, 다중회귀분석, 일원변량분석을 하였다. 분석결과에 의하면 진로장벽은 진로준비 행동에 부적인 상관을 미치며 특히 자기명확성부족이 뚜렷하게 영향을 미치는 것으로 나타났다. 전공만족도와 진로준비행동은 정적인 상관을 미치며 특히 적성만족이 뚜렷하게 영향을 미치는 것으로 나타났다. 학년에 따른 진로장벽은 3, 4학년이 1, 2학년에 비해 진로장벽을 덜 느끼고, 전공만족은 3, 4학년이 1, 2학년보다 더 만족스러운 것으로 나타났다. 경호학 전공 대학생을 대상으로 진로장벽과 전공만족이 진로준비행동에 미치는 영향이 어떠한지 알아보는 것은 큰 의미가 있으며 경호학 전공학생들과 취업담당자들에게 진로를 준비하고 상담을 하는 과정에 도움을 줄 수 있을 것이다.

• 동의신경정신과학회지
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• 제26권4호
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• pp.383-406
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• 2015

Objectives: People with tension-type headache generally take pain relievers, but long term dependency causes problems as well as side effects. The present study aimed to provide clinical evidence of herbal medicine for tension-type headache by systematic review of randomized controlled trials on the effect of herbal medicine for tension-type headache. Methods: Randomized or quasi-randomized controlled trials that verified effects of herbal medicine intervention on patients with tension-type headache were included in the study. A literature search of English, Japanese, Chinese, Korean databases was performed. The selected literature were assessed by Jadad scale and Risk of Bias. Results: Herein, 40 reports were selected from a total of 157. Meta-analyses of 2 trials indicated that the effective rate was significantly higher in the herbal medicine treatment group, as compared to the placebo control (risk ratio: 1.49, 95% confidence interval (CI): 1.23 to 1.80, p<0.0001, I²=0%). Four trials that compared herbal medicine with routine care with routine care only group showed a significantly higher effective rate of benefits for herbal medicine with routine care, as compared to routine care only (RR: 1.57, 95% CI: 1.18 to 2.10, p=0.002, I²=0%). Conclusions: The effective rate was significantly higher than control and adverse events were less in the treatment group. Pattern analysis (辨證) indicated that the studies on wind-fire pattern (風火證) were highest. Yougeun-bang (柔筋方) in prescription and Paeoniae Radix Alba (白芍藥) in medicinal herbs were most used. This finding could be widely utilized in future clinical practice and form the basis for the development of clinical practice guidelines in advance.

• Archives of Plastic Surgery
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• 제49권3호
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• pp.346-351
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• 2022

Background Postmastectomy breast reconstruction (PMR) increases patient satisfaction, quality of life, and psychosocial well-being. There is scarce data regarding the safety of PMR in chronic anticoagulated patients. Perioperative complications can reduce patient satisfaction; therefore, it is important to elucidate the safety of PMR in these patients. Methods A retrospective case-control study of patients who underwent PMR with implants and were on chronic anticoagulation was performed at our institution. Inclusion criteria were women ≥ 18 years old. Exclusion criteria included autologous reconstructions, lumpectomy, and oncoplastic procedures. Two controls for every one patient on anticoagulation were matched by age, body mass index, radiotherapy, smoking history, type of reconstruction, time of reconstruction, and laterality. Results From 2009 to 2020, 37 breasts (20 patients) underwent PMR with implant-based reconstruction and were on chronic anticoagulation. A total of 74 breasts (40 patients) who had similar demographic characteristics to the cases were defined as the control group. Mean age for the case group was 53.6 years (standard deviation [SD] = 16.1), mean body mass index was 28.6 kg/m² (SD = 5.1), and 2.7% of breasts had radiotherapy before reconstruction and 5.4% after reconstruction. Nine patients were on long-term warfarin, six on apixaban, three on rivaroxaban, one on low-molecular-weight heparin, and one on dabigatran. The indications for anticoagulation were prior thromboembolic events in 50%. Anticoagulated patients had a higher risk of capsular contracture (10.8% vs. 0%, p = 0.005). There were no differences regarding incidence of hematoma (2.7% vs. 1.4%, p = 0.63), thromboembolism (5% vs. 0%, p = 0.16), reconstructive-related complications, or length of hospitalization (1.6 days [SD = 24.2] vs. 1.4 days [SD = 24.2], p = 0.85). Conclusion Postmastectomy implant-based breast reconstruction can be safely performed in patients on chronic anticoagulation with appropriate perioperative management of anticoagulation. This information can be useful for preoperative counseling on these patients.