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A Literature Review of Parkinson's Disease Rating, Balance, Fall and Gait Scales (파킨슨 환자들의 질환등급, 균형, 낙상 및 보행능력 평가척도 고찰)

  • Kim, Chang-Hwan;Kim, Mi-Young;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.25 no.4
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    • pp.441-451
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    • 2015
  • Objective : The purpose of the study was to investigate and compare the differences between Parkinson's disease rating, balance, fall and gait scales. Results : Parkinson's disease rating scales include the Hoehn-Yahr Scale and the Unified Parkinson's Disease Rating Scale (UPDRS). The Hoehn-Yahr Scale can measure disease rates easily; however it is not sensitive enough to evaluate the disease's process and management. UPDRS's advantage is in it's higher inter-reliability score; however it is more complicated to use. Parkinson's balance scales are comprised of the Berg Balance Scale (BBS) and the Activities-Specific Balance Confidence Scale (ABC). BBS has the advantage in that it is cheaper to measure and simple in use. ABC's advantage is especially in it's ability to measure higher functional levels; however it is more difficult measure responses due to scores appearing in both extremes. The Fall Efficacy Scale (FES) and The Survey of Activities and Fear of Falling in the Elderly (SAFE) are Parkinson's fall scales. FES's leverage over SAFE is that it is simpler to measure; however it does not coincide with responses which proves disadvantageous in measuring balance loss in high-level Parkinson's patients. SAFE's advantage is in it's simpler use and ability to be utilized without encountering the fear of fall; however it's at a disadvantage in regards to its use with multilateral aspects providing insufficient inspection. Lastly, the Dynamic Gait Index (DGI) and the Functional Gait Assessment (FGA) are Parkinson's gait scales. DGI is advantageous in its ability to test gait ability when exposed to a variety of external environments; however it is disadvantageous in that it registers higher scores with activities. FGA's advantage is in it's dynamic balance test; however it at a disadvantage with those unable to walk. Conclusion : A researcher of Parkinson's patients must choose each scale while considering their positive and negative characteristics.

The Effect of Maternal Pre-pregnancy Body Mass Index on Very Low Birth Weight Infants

  • Baek, Kyung Suk;Jin, Bo Kyeong;Jeon, Ji-Hyun;Heo, Ju Sun
    • Neonatal Medicine
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    • v.25 no.3
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    • pp.118-125
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    • 2018
  • Purpose: The pre-pregnancy body mass index (BMI) is associated with adverse neonatal outcomes. However, studies on very low birth weight (VLBW) infants are rare. This study aimed to investigate the effect of maternal pre-pregnancy BMI on VLBW infants. Methods: This retrospective study evaluated singleton VLBW infants born at the CHA Gangnam Medical Center from 2006 to 2016. The neonates were classified into three groups according to the maternal pre-pregnancy BMI: underweight (<$18.5kg/m^2$), normal weight (${\geq}18.5$ to <$23kg/m^2$), and overweight or obese (${\geq}23kg/m^2$). Clinical characteristics and morbidities of mothers and infants were analyzed. Results: A total of 181 infants belonging to underweight (16.6%), normal weight (58.6%), and overweight or obese (24.8%) groups were enrolled. The pre-pregnancy BMI had a significant negative correlation with gestational age (r=-0.198, P=0.001) and a significant positive correlation with the z-score of the birth weight (r=0.078, P=0.001) and body length (r=0.067, P=0.008). The number of extremely preterm infants was significantly higher in the overweight or obese group. The proportion of risk of small for gestational age infants was higher in the underweight group (adjusted odds ratio [OR], 2.958; 95% confidence interval [CI], 1.113 to 7.864), whereas that of infants with severe retinopathy of prematurity was higher in the overweight or obese group (adjusted OR, 9.546; 95% CI, 1.230 to 74.109). Conclusion: In our population of VLBW infants, the pre-pregnancy BMI was associated with gestational age, intrauterine growth, and adverse neonatal outcomes. Therefore, proper weight control before pregnancy is important.

A Study on the Satisfaction of the Elderly with Mild Dementia using the Dementia Care Center (경증치매노인의 치매안심센터 이용만족도에 관한 연구)

  • Kim, In-Ok
    • Journal of Digital Convergence
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    • v.18 no.5
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    • pp.505-512
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    • 2020
  • This study is done to provide basic data on the effective operation of the new policies by examining the satisfaction level of the elderly with dementia visiting dementia care centers located in 25 autonomous districts of S city. Self-administered questionnaires were distributed to 217 elderly with dementia who visited the above dementia care center from July 1 to September 30, 2019. The satisfaction tool is a chart score scale that displays negative-positive expressions at both ends of a straight line. The result shows that satisfaction level is significantly higher in the group with trust in the visiting institutions than in the group with distrust (t=9.74, p<.001), higher in cognitive impairment group than in dementia group (t=0.13, p=.034), and higher in mild depression group than in more severe depression group (t=2.31, p=.022). Satisfaction ratios analyzed by logistic regression shows significant differences in factors like gender, age, education, and walking pattern. In conclusion, it is important to run health support programs that consider user characteristics to improve the satisfaction of newly introduced dementia care centers.

A Study on the Need in Sex Education of Primary School Students and Their Parents in Seoul (서울시내(市內) 일부(一部) 국민학교(國民學校) 학생(學生) · 학부모(學父母)의 성교육(性敎育) 요구도(要求度) 조사(調査))

  • Lee, Ogcheol
    • Journal of the Korean Society of School Health
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    • v.3 no.1
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    • pp.73-82
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    • 1990
  • Sex does not mean simply the physical behaviors related to man and woman, rather the sexuality needed socializing process toward total personality. It is believed that religion or social norms on sex, limit talking about sex openly. But children have, their own sexual thinking and want to know why and how. This survey was conducted to find out the need in sex education of primary school students and their parents in Seoul area, comparing students'sexual knowledge, attitude, and behavior to their parents', in October 1989. Total 400 students and their parents who are attending two primary school in Seoul, were given the questionnaires, and 395 students' and 310 parents', respectively, were finally analyzed. The following results were obtained. 1. The mean of 11 questions In asking sexual knowledge of students was 6.18, and showed no difference between boys and girls. But the higher grade, the higher score. 2. The positive attitudes on marriage and sex roles were showed, but negative on physical changes with puberty, which was same to the parents' reaction. 3. Moro than three-forths of students wanted to take sex education class, and one-third of them believed that it should be conducted by school nurses. This was accorded with their parents. 4. The sexual knowledge degree and attitudes of parents went proportionately to their higher educational background. Protestants reacted more negatively to the given sexual terms. No significant difference was made among the age groups of them. As stated above. the degree of sexual knowledge and attitudes are movable accordingly to their children's sexual thinking and need. Therefore, it is strongly recommended that sex education In the primary schools should be conducted systematically involving parents, especially mothers. And it is suggested that school nurses undertake their responsibilities as the sex educators.

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Impact of a Breast Health Awareness Activity on the Knowledge Level of the Participants and its Association with Socio-Demographic Features

  • Khokher, Samina;Qureshi, Muhammad Usman;Fatima, Warda;Mahmood, Saqib;Saleem, Afaf
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.5817-5822
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    • 2015
  • The developing countries have higher mortality rates for breast cancer. A reason for this is presentation at advanced stages due to low levels of public awareness. Activities are arranged by health authorities of developing countries to increase the knowledge of women but their effectiveness has not been evaluated in detail. A multiple choice questionnaire with questions about socio-demographic profile and questions about breast cancer knowledge was designed in local language Urdu, to evaluate the knowledge of the participants before and after an audio visual educational activity in Lahore, Pakistan. Scores of 0-2, 3-5 and 6-8 were ranked as poor, fair and good, respectively. Among 146 participants these scores were achieved by 1%, 55% and 45% before activity and 0%, 16% and 84% after the activity. Overall 66% of participants increased their knowledge score. Younger age, higher education, reliance on television as source of information and being a housewife were associated with better impact of the awareness activity. For the six knowledge related questions 3%, 5%, 11%, 23%, 33% and 44% more participants gave correct answers after the activity. However 6% and 7% fewer participants answered correctly for 2 questions related to the cause and the best prevention for breast cancer. The study indicated that awareness activities are effective to increase the knowledge of women and better impact is associated with higher education and younger age of women. The component analysis showed that the questions and related presentations using medical terms have a negative impact and should not therefore be used. Analysis of activity therefore leads to identification of deficiencies which can be remedied in future.

A Study on the Relationship between the Strengthen Non Financial Performance and Shareholder Return (기업의 비재무적 성과와 주주환원의 관계에 대한 연구)

  • Kim, Jong-Hee
    • Asia-Pacific Journal of Business
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    • v.13 no.3
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    • pp.311-328
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    • 2022
  • Purpose - The purpose of this study was to examine the relationship between firm's non financial performance and its shareholder return by analyzing PCA while focusing on the classifying all the variables into three categories such as financial, characteristics, and non financial factors of the firms. Design/methodology/approach - By exploring the pattern of self tender from the 801 firms in KOSPI while focusing on the objective of stock disposal, this paper analyzes the change of shareholder return of the firm. Findings - First, the higher major ownership, the lower self tender gets, whereby the higher ownership by foreigners, the ratio of self tender is higher. Secondly, cash dividend has not significant impact on the disposal of self stock, and the high ratio of ownership by foreigners leads to the high probability of retirement rather than the general disposal. In contrast, the major ownership has a negative impact on the general disposal as well as retirement. Thirdly, the score of non financial factors such as Environment(E), Social responsibility(S), and Governance(G) shows the high value in case of the firms with self tender. More specifically, the firms with retirement has the highest value of ESG while it has the lowest value in case of the firms with general disposal. Research implications or Originality - The retirement which means the active shareholder return is strongly affected by the non financial factors. Specifically, the probability of retirement increases in case of the firms with retirement, and even such a tendency is found to the case of the firms with general disposal.

Analysis of fungal hyphae, distribution and motility of bacteria in oral cavity according to halitosis (구취에 따른 구강 내 형태별 세균의 분포 및 운동성, 진균 균사 분석)

  • Kim, Do Kyeong;Byeon, You-Kyeong;Choi, Hyun-Ji;Lee, Ga-Ram;Choi, Yu-Ri;Choi, Yu-Jin
    • Journal of Korean Academy of Dental Administration
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    • v.6 no.1
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    • pp.28-35
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    • 2018
  • Halitosis is primarily caused by bacterial decay. The bacteria, which originate from biofilms such as dental plaque, show abnormal proliferation due to dental caries, periodontal diseases, soft tissue infections, and tongue diseases. Most studies on halitosis have exclusively focused on gram-negative bacteria in the oral cavity rather than on general oral microorganisms including oral fungi. This study analyzed oral fungal hyphae, as well as distribution and motility of oral microorganisms, and provided basic data on the control of halitosis. Our results revealed that the greater is the number of cocci bacteria, the higher is the halitosis value, or bad breath value (BBV), suggesting that cocci have a strongly positive correlation with halitosis (r=0.379, p=0.030). Moreover, there was no significant difference in the morphology or distribution of motile bacteria and motility score, with respect to BBV. Lastly, we investigated the relationship between halitosis and oral fungal hyphae. We found that a higher BBV corresponded with a greater number of fungal hyphae and that patients with fungal hyphae scored a higher BBV. However, this result was not statistically significant. In conclusion, this study provided the preliminary data on oral microorganisms and halitosis, but further studies are needed to analyze the relationship between oral microorganisms and halitosis.

Relation among Hair Mineral Contents, Nutrient Intakes and Clinical Symptoms of Male Middle School Students in Urban and Local Area (도시와 지방에 거주하는 남자 중학생의 두발 중 무기질 함량, 영양섭취상태 및 임상증상과의 관련성)

  • Kim, Mi-Hyun;Choi, Mi-Kyeong;Jun, Ye-Sook;Cho, Hye-Kyung;Sung, Chung-Ja
    • Korean Journal of Community Nutrition
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    • v.12 no.2
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    • pp.133-141
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    • 2007
  • Minerals play important roles in biological processes. Hair mineral analysis has the advantages of conveniences in sampling and observing the profiles of multiple minerals simultaneously. The purpose of this study was to compare hair mineral contents between urban and local middle school students, and to find out the relation with nutrient intakes and clinical symptoms. Ten nutritional minerals and 7 environmental mineral contents were analyzed in the hair samples of 44 and 37 male students who resided in urban and local area, respectively. And their nutrient intake and clinical symptom score were estimated from questionnaire. The average age, height, and weight were 15.1 years, 168.4 cm, 56.8 kg in urban subjects and 15.4 years, 169.1 cm, 61.9 kg in local subjects, respectively. The residence types were apartment (63.6%) and small-sized apartment (22.7%) in urban subjects and apartment (51.4%) and house (37.8%) in local subjects. The primary water sources were purified water (38.3%), running water (18.2%) in urban subjects and purified water (32.4%), underground water (27.0%) in local subjects, respectively. Daily energy and nutrient intakes were not significantly different between two groups. Among the surveyed 17 clinical symptoms, the scores of constipation, cold, anxieties and total score of clinical symptoms in urban subjects were significantly love. than those in local subjects. Hair contents of Na, Mg, Ca, Cu, V Al, As were significantly higher, while U was lower in urban subjects compared to those in rural subjects. Hair contents of Ni and U were significantly correlated with food intake, and Cr, V, Al, Sb, As, U showed a correlation with energy intake. Hair Mg level showed significantly negative correlation with total clinical symptom score. In conclusion, hair mineral profile between urban and local students was significantly different. And some of these minerals were significantly correlated with food and nutrient intakes. Especially hair magnesium was significantly correlated with total clinical symptom score. Therefore, hair mineral levels would be needed for more systematic study elucidating potentiality as a useful clinical tool.

A Study on the Relationships between Osteoporosis Knowledge, Self-efficacy and Health Belief of Women in an Island (일개 도서지역 여성의 골다공증 지식, 자기효능감과 건강신념간의 관계 연구)

  • 신경림;강영미
    • Journal of Korean Academy of Nursing
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    • v.32 no.1
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    • pp.89-99
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    • 2002
  • This study was to examine the relationships between knowledge, health belief and self-efficacy of osteoporosis with the women residents in an island. Method: The subjects were 64 women who lived in an island located in Incheon metropolitan city. Data collection was performed by using questionnaire that included Osteoporosis Knowledge Test, Osteoporosis Self-Efficacy Scale and Osteoporosis Health Belief Scale by Kim, Horan & Gendler (1991). The Data were analyzed using SAS computer program that included descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. Result: 1) The mean of osteoporosis knowledge was 10.03 in the range of 0 to 24, shows the relatively lower score than mean score. The mean of osteoporosis health belief variables were susceptibility 18.95, seriousness 19.05, benefits of exercise 22.35, benefits of calcium 21.81, barriers to exercise 16.95, barriers to calcium 13.13, and health motivation 19.75 in every range of 6 to 30. The mean of osteoporosis self-efficacy was 37.95 in the range of 12 to 60, shows a relatively higher score than mean score. 2) There were statistically significant differences in the degree of osteoporosis knowledge according to age, education. But There was no significant difference in the degree of osteoporosis and self-efficacy according to general characteristics. There were statistically significant differences in the degree of susceptibility according to religion, family income. There were statistically significant differences in the degree of seriousness, health motivation according to family income. There was statistically significant difference in the degree of barriers to exercise according to education. 3) There were statistically significant positive correlations between osteoporosis knowledge and benefits to exercise, benefits of calcium intake. There was statistically no significant correlation between osteoporosis knowledge and osteoporosis self- efficacy. There was statistically a significant positive correlation between osteoporosis self-efficacy and barriers to exercise. There was statistically a significant negative correlation between osteoporosis self-efficacy and health motivation. Conclusion: According to the result, osteoporosis education program including exercise, calcium intake should be operated to increase benefits to exercise and calcium intake for osteoporosis prevention. In addition, the program of improving self-efficacy should be designed and operated to decrase the perception of barriers to exercise and to increase the perception of health motivation of women in island.

Varietal Difference in Feed Value of Rice Straw and Its Relationship with Agronomic Traits (볏짚 사료가치의 품종간 차이 및 생육형질과의 관련성)

  • Kim Chang-Ho
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.49 no.6
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    • pp.516-521
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    • 2004
  • The straw of thirty one rice varieties were evaluated for their feed value and related agronomic traits. The rice straw were hand-harvested, dried to constant weight at $75^{\circ}C$ and ground through a 20 mesh seive in a Wiley mill, analyzed with crude protein (CP), acid detergent fiber (ADF) and neutral detergent fiber (NDF). Relative feed value (RFV) was calculated from NDF and ADF. The sum of standardized score was estimated by dry weight of rice straw, content of CP, ADF and NDF. The straw yield of Daeanbyeo was 725.9 kg/10a, showed heighest value among the varieties and remainder was in the order of Keumnambyeo, Donginbyeo #1 and Chucheongbyeo. Crude protein (CP) content in a Dasanbyeo was higher than those in other varieties. The content of ADF in a Junghwabyeo and NDF in a Sobaegbyeo were $34.3\%$ and $63.8\%$, respectively, showed lowest value among the varieties. The rice straw of Dunnaebyeo, Obongbyeo, Seoanbyeo, Keumobyeo, Hwaseongbyeo, Noganbyeo and Gyehwabyeo belonged to the high feed value varieties by estimation of cluster analysis, sum of standardized score and RFV. The content of CP was found to be positively related with dry weight of leaf and grain, but negatively related with heading days after seeding, culm length, specific leaf weight (SLW) and dry weight of stem. ADF and NDF were found to be positively related with heading days after seeding, culm length, SLW and dry weight of leaf, but negatively related with dry weight of stem. The sum of standardized score and RFV were the only positive relationship with dry weight of stem and negative relationship with other traits.