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A Study on the Glucose Level Control and Chronic Complication Rate in Diabetic Compliance Groups with Health Care Regimen (당뇨병 환자의 치료지시 이행군과 비이행군의 혈당과 만성 합병증 발생비교)

  • Song Min Sun;Yoo Yang Sook;Kim Hee Seung
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.334-341
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    • 2001
  • The purpose of this study is to examine to control of glucose level and the occurrence of chronic complications of diabetes by compliance groups with health care regimen The subjects were consisted of 300 out patients with type 2 diabetes mellitus from beginning of March through the end of April in 2001, who visited at the endocrinology department at Kangnam St. Mary's Hospital of Catholic University in Seoul. The patient's compliance level with health care regimen was assessed at questionnaire. However, the blood glucose level and the occurrence of chronic complications of diabetes were assessed at medical record review. The data were analyzed by SAS program for chi square test and t-test. The results were as follows. 1. Significant differences were found among the factors such as duration of diabetes, the number of participation of diabetes educational program, job, smoking, self monitoring of blood glucose and the methods of diabetes therapy between high and low compliance groups. High compliance group patients had a diabetes longer than low compliance group patients. High compliance group patients more frequently attended the educational program and checked themselves monitoring blood glucose than low compliance group patients. Also, they did not work recently, smoked less and got more insulin injection therapy compared to low compliance group patients. 2. No significant differences were found among the result of fasting blood glucose. 2-hour postprandial blood glucose, and $HbA_{l}c}$ between high and low compliance groups. 3. The occurrence rate of macrovascular complications of chronic complications of diabetes were lower, however, the occurrence rate of microvascular complications were higher in high compliance group than in low compliance group with health care regimen.

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The Effect of Pelvic Floor Muscle Exercise Using a Smartphone Application on Abdominal Muscle Thickness and Maximum Voluntary Ventilation (스마트폰 애플리케이션을 이용한 골반바닥근육 운동이 배 근육 두께와 최대 자발적 환기량에 미치는 영향)

  • Han-Kyu Park;Dong-Kyu Lee;Jae-Cheol Park
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.3
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    • pp.1-10
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    • 2023
  • Purpose : This study was conducted to determine the effect of intervention using a smartphone application on abdominal muscle thickness and maximum voluntary ventilation when conducting pelvic floor muscle exercise (PFME). Methods : This study was performed on 14 subjects. They were divided into two groups; PFME using smartphone application (n=7), common PFME (n=7). Both of group executed the exercise 5 times a week for 1 weeks. Abdominal muscle thickness was measured using ultrasound. Maximum voluntary ventilation was measured using a spirometer. The smartphone application used the paid version of Kegel trainer. This material was analyzed by the paired t-test to compare differences on each group and the independent t-test to compare between the two groups. Results : The PFME group using the smartphone application showed a significant increase in the transverse abdominis and internal oblique muscles (p<.05). The common PFME group showed a significant increase in the internal oblique muscle (p<.05). There was no significant difference in variation of the muscle thickness between the two groups (p>.05). The PFME group using the smartphone application showed a significant increase in the maximal voluntary ventilation (p<.05). There was no significant difference in variation of the maximal voluntary ventilation between the two groups (p>.05). Conclusion : As a results of this study, PFME using a smartphone application seems to induce voluntary participation of subjects and maintain continuity against time constraints. As a result, it is thought that using a smartphone application when performing PFME is efficient and convenient in terms of research method. However, this study is difficult to generalize due to the small number of subjects and short intervention period. Therefore, additional research should be conducted by modifying and supplementing these limitations.

Effects of Normal Saline for Maintenance of Arterial Lines of Surgical Patients (수술환자의 동맥관 개방성 유지를 위한 생리식염수의 효용성 평가)

  • Han, Sang Sook;Park, Jee Eun;Kim, Nam Eun;Kang, Hwa Ja
    • Journal of Korean Academy of Nursing
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    • v.42 no.6
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    • pp.791-798
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    • 2012
  • Purpose: The purpose of this study was to analyze the effectiveness of saline solution vs. heparinized-saline for maintenance of arterial lines and to detect changes in platelet and aPTT as physiological indexes. Methods: In this nonequivalent control group, non-synchronized, double-blind study the effects of heparinized and saline solution on the maintenance of arterial lines were compared. Fifty five patients received the heparinized solution and fifty nine patients received the saline solution. All patients who had surgery in K-university hospital between September and December 2011 were eligible for participation in the study. Results: There was no statistically significant difference between the saline and the heparin group in the maintenance time of the arterial lines or the number of irrigations. There was no statistically significant difference between the groups in changes in the number of platelets and aPTT for interaction between the groups and time intervals. Conclusion: The results indicate that saline solution can be used as an irrigation solution for the maintenance of arterial lines of adult surgical patients, rather than heparinized-saline, in view of potential risk factors in the use of heparin.

The Association between Social Support and the Change in Depressive Symptoms among Baby Boomer (베이비부머의 사회적 지지가 우울감 변화에 미치는 영향)

  • Song, Si Young;Jun, Hey Jung;Joo, Susanna
    • 한국노년학
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    • v.39 no.2
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    • pp.347-362
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    • 2019
  • This study aimed to investigate the association between social support and the change of depressive symptoms and its difference by gender among Korean Baby Boomer. We used the Korean Longitudinal Study of Aging (KLoSA) 5th (in 2014) and 6th waves (in 2016). Samples were Korean Baby Boomer (born 1955 to 1963) who have spouse and children(N = 1,210). Dependent variable was depressive symptoms and independent variables were four social support variables (spousal relationship satisfaction, parent-child relationship satisfaction, frequency of social contact, and number of participation groups). Interaction variables between social support and gender were also included in the model. Hierarchical regression analysis with the lagged dependent variable was performed. Results showed that the higher the satisfaction of spousal relationship and the satisfaction of parent-child relationship, the less the depressive symptoms increased. All interaction variables were not significant. These findings mean that the support from the spouse and the child is helpful in lowering depressive symptoms, and the associations between social support and depressive symptoms are not different by gender among Baby Boomer. It implies that interventions for enhancing family relationships, especially spousal relationship and parent-child relationship, may be useful to reduce depressive symptoms among Korean Baby Boomer.

Antecedents and Consequences of Cooperation in Retail Voluntary Chain (소매점 볼런터리 체인 활성화의 선행요인과 결과)

  • Yi, Ho-Taek
    • Journal of Distribution Science
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    • v.14 no.6
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    • pp.65-73
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    • 2016
  • Purpose - Recently, the management conditions of small independent retailers are getting worse everyday as large-scale marts and franchised convenience stores are increasing. The objective of this research is to find out the antecedents and consequences of cooperation in voluntary chain in order to enhance small independent retailer's competitiveness. Voluntary chains, also called affiliation or symbol groups, or allied group represent a high market shared in some European countries like Italy, France, and Germany. Nevertheless, there are still limitations in this research from academic fields. Drawing from network theory, the author investigates the relationship between antecedent factors in voluntary chain cooperation, such as participation benefits, justice of compensation, and autonomy in voluntary chain, and relationship specific asset. The author also attempts to examine the relationship between the relationship specific asset and cooperation of voluntary chain member shop and cooperation and consequence factors of voluntary chain cooperation, such as efficiency, group cohesiveness, and long-term relationship. Research design, data, and methodology - The author presented conceptual framework integrating the major antecedents and consequences of voluntary chain cooperation. The data were collected from 174 independent small retailers who joined K-voluntary chain. K-voluntary chain consists of small independent retailers. In accordance with their status, each entrepreneur associated with the voluntary group can own one or more outlets and can be a part of the life and the decision-making process of the group. This participation is not based on company turnover or on the number of outlets, but based on a one member, one vote system. To verify the research model and test hypotheses, the author carefully investigated the reliability, content validity, convergent validity, and discriminant validity of the proposed model. The data were analyzed by using SPSS 18.0 and AMOS structural equation modeling program. Results - The results of this study are as follows. First, as antecedent variables, participation benefits and justice of compensation have positive effect on the relationship specific assets of voluntary chain members. Second, voluntary chain members' relationship specific asset also directly related to the level of its cooperation to chain headquarter. Third, cooperation of voluntary chain member shop facilitates efficiency, group cohesiveness, and long-term relationship. Unexpectedly, there are no effect autonomy in voluntary chain to relationship specific asset. Conclusions - This research shows several theoretical and practical implications to both marketing scholars and marketers. In terms of theoretical implications, this study applies to network theory and network theory variables to explain the antecedent and consequence factors of cooperation in voluntary chain. From the point of view from business management, most of all, this study shows the way how to reinforce competitiveness of voluntary chain. Specifically, it is necessary for voluntary chain headquarter to give higher level of participation benefit and justice of compensation to its members. Second, the results also indicate what the consequence factors of cooperation in voluntary chain. In other words, to increase the level of marketing efficiency, group cohesiveness, long-term orientation in retail voluntary chain, and chain headquarter need to facilitate participants' cooperation.

The effect of policy on Korean personal assistance service for persons with disabilities of labor market participation (장애인활동지원서비스제도의 노동시장 참여에 대한 정책효과)

  • Kim, Song Sook;Kim, Yoo-Min;Na, Ga-Yeon;Baek, Seung-Hee;Lee, Kun-Chul
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.267-274
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    • 2021
  • This study used data from the 6rd and 12th year of the Korean Welfare Panel to evaluate the effects of the Personal Assistance Service(PAS) system on the labor market of PAS users' participation. For the purpose of this study, 64 program groups using the Korean PAS and 344 control groups not using the Korean PAS were selected using Caliper matching among the propensity score matching. A chi-square test was used for the difference in characteristics between groups, and a simple difference-in-differences (DID) model and a double-difference multiple regression analysis of DID were performed to estimate the effect of thepolicy before and after the Korean PAS. As a result of the study, it was found that statistically, PAS had no significant effect on the labor market. This is due to the low number of system users, resulting in low post-hoc power, incomplete matching and limited availability of PAS Assistants for Disabled People. Therefore, In order to demonstrate the effectiveness of the Personal Assistance Service(PAS) system, specialized services and systems that meet the needs of the disabled and household members should be implemented.

An Analysis of the Verbal Interaction Patterns of Science-Gifted Students in Science Inquiry Activity (과학 탐구 활동에서 나타나는 과학영재들의 언어적 상호작용 유형 분석)

  • Kim, MyungHee;Kim, Youngshin
    • Journal of The Korean Association For Science Education
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    • v.35 no.2
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    • pp.333-342
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    • 2015
  • This study analyzes the verbal interaction patterns used in a social network activity analysis that appeared in a science inquiry activity of 31 small groups of science-gifted students consisting of 5 members each. The results of this study are as follows: The interaction patterns showed eight types. The most prevalent interaction pattern, type 1, is triangle-shaped, interacting with 3 members out of 5 without a central member. Type 2 is wye form, interacting with 4 members and with one alienated member. Type 3 is diamond-shaped, interacting with 4 members. Type 4 is ray form, interacting with 5 around a central member. Type 5 has an alienated member and interacts with 4 members around the central member. Type 6 is triangle-branched, 4 members linked to the central member. Type 7 is wye form linked all around the central member. Type 8 is wye form with a more complex link than type 7. These can be classified in two. One is the participation-type where the rest of the 4 members are linked to the central member. The other is the alienation-type where a member/members is/are alienated without a central member. The participation-type appeared in 9 groups (29%), type 4, type 6, type 7, and type 8. The alienation-type showed in 22 groups (71%), type 1, type 2, type 3, and type 5. On the basis of this study, we propose that the best number of members in a group is three. It helps prevent a free-riding effect or isolation of members. Also, we deem it more fruitful if there is a member playing a central role in a group.

Comparison of health outcomes according to intervention compliance in male Korean workers with metabolic syndrome (실천지침 이행률에 따른 대사증후군 중재 효과 비교: 직장인 남성 대사증후군을 대상으로)

  • Nam, Kyung-Hui;Kang, Ji-Yeon;Lee, Yeon-Ju;Sung, Sook-Hee;Chang, Youn-Koun;Lee, Ji-Young;Park, Ill-Keun;Choi, Tae-In
    • Journal of Nutrition and Health
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    • v.46 no.2
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    • pp.156-165
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    • 2013
  • This study examined how achievement of session goals contributes to outcomes of subjects after participation in a 12-week lifestyle intervention program in men with metabolic syndrome (MetS). Thirty office workers with MetS, aged $47.2{\pm}6.6$ years, participated in this study, from March to July, 2011. The intervention program included face-to-face counseling five times during the 12-week period. Counselors and subjects designed session goals for each round. The average of the goal achievement rate was calculated based on compliance for each round. The subjects were divided into three groups according to their tertiles of achievement rate: Low-compliance group (LC, < 59%), medium-compliance group (MC, 59-70%), and high-compliance group (HC, > 70%). Anthropometry, biochemical index, and nutrient intake were examined at baseline and at the end of the 12-week intervention program. After the intervention, diastolic blood pressure (DBP) showed a significant decrease in the LC group, and waist circumference (WC) showed a significant decrease in the MC group. Systolic blood pressure (SBP), DBP, and low-density lipoprotein cholesterol (LDL) showed a significant decrease in the HI group. Changes in SBP and DBP were significantly lower in the HC group than in the MC group (p < 0.05, p < 0.01). Changes in LDL were significantly lower in the HC group than in the MC group (p < 0.05). Results for intake of total energy, protein, fat, and sodium, as well as rates of carbohydrate and fat intake, showed a significant decrease in all participants (p < 0.05). The change in fiber was significantly higher in the HC group than in the MC group (p < 0.05). The change of fruit serving size showed a significant increase in the HC group (p < 0.01). The number of risk factors for MetS showed a significant decrease in the LC and HC groups (p < 0.05), however, no significant mean differences were observed among the three groups. In conclusion, participation in this intervention program resulted in positive effects on risk factors for MetS, nutrient intake, and dietary habits, especially in the High-compliance group.

A Comparison of the Ranking for Safety Motivations Factors between Construction Engineers and Construction Managers (안전 동기요인에 대한 시공관리자와 사업관리자간 요인별 중요도 순위 비교)

  • Kim, Young-Kil;Kim, Jin-Dong;Kim, Gwang-Hee
    • Journal of the Korea Institute of Building Construction
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    • v.19 no.3
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    • pp.247-254
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    • 2019
  • The number of construction accident deaths in Korea is increasing and most causes of construction accidents are human factors. Voluntary participation of construction workers in safety activities is likely to improve these human factors and increase the prevention effect of construction accidents. Therefore, there is a need to study the motivation of workers to meet the voluntary participation of construction workers. In this respect, the purpose of this study is to compare the importance of construction field engineers and construction managers about the safety motivation factors of construction workers. This study analyzed the results of the questionnaire survey about safety motivation factors and conducted a T-test for these factors. The results of this study can be used as managing method to effective on-site safety management by minimizing the difference between the two groups according to motivation factors of construction workers.

The Measurement of Community Capacity Using Community-based Organizations Network and the Development of Health Promotion Plans (지역사회 기반 조직을 이용한 지역사회역량의 측정과 건강증진 기획 -서울시 S구를 중심으로-)

  • Jung, Min-Soo;Gil, Jin-Pyo;Cho, Byong-Hee
    • Korean Journal of Health Education and Promotion
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    • v.26 no.3
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    • pp.35-48
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    • 2009
  • Objectives: The community network is a foundation laid by the local community which has been formed historically and geographically to develop itself. This paper as a Korean way of healthy network survey for the community capacity building is an exploratory research to grasp the character of Korean society and then to organize an resident-governing partnership for that. Methods: Research objectives are CBOs(Community-Based Organizations) in S-district of Seoul. This region is a new town, however the solidarity and volunteerism of this resident is lively. The survey tool is Cho's CBOs Evaluation Questionnaire which was originated to measure the community capacity. The period of survey is from the January 2009 to the March 2009 and the study organizations which were collected by snowball sampling were 80. Results: The result shows two main networks: one is the civil society and craft union cluster, the other is welfare organization cluster. Groups of high centrality were organizations whose members are mainly women and craft organizations which were organized before 1990's. The group of high betweenness was the Association of Women's Organizations(0.188). Bi-components were six and they could be divided by organization's aim. In terms of the determinants of the participation to the health center enterprise, only the number of link(B=-0.60, p<0.04) was statistically significant. It means that when organization variables are controlled a tendency appears: the more the voluntary associations network, the less participation in the health enterprise. Conclusion: CBHOs(Community-Based Health Organizations) enhances residents' spontaneity and cohesion to increase the capability of the local community. If the surveyed healthy network, together the community health project, are used for various community development projects, the existing CBOs including CBHOs will be reorganized and furthered newly. For this it will be needed to construct an effective partnership of healthy network by restructuring the existing networks of voluntary associations.