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Analysis of Convergent Influence of Self-Esteem, Fatigue and Psychosocial Stress on Depression among General Hospital Administrative Staff (종합병원 행정직의 자아존중감, 피로 및 사회심리적 스트레스가 우울에 미치는 융복합적 영향 분석)

  • Bae, Sang-Yun;Kim, Seung-Hee
    • Journal of Digital Convergence
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    • v.16 no.9
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    • pp.301-307
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    • 2018
  • We study convergent influence on depression and its association with self-esteem, fatigue and psychosocial stress among General Hospital Administrative Staff(GHAS). The subjects were 201 randomly extracted GHAS from 9 general hospitals in J City, Data collection was carried out via a structured self-administered questionaries from Jul. 3rd, 2017 to Jul. 29th, 2017. Depression was positively correlated with three sub-domains of fatigue and psychosocial stress, and it was negatively correlated with self-esteem. With the analysis of covariance structure, depression was more influential on self-esteem than fatigue and psychosocial stress. The study found the higher fatigue and psychosocial stress, and the lower self-esteem tend to increase depression. The results indicate that the efforts, to increase self-esteem, and to decrease fatigue and psychosocial stress, are required to decrease the depression of GHAS. The results are expected to be useful for industrial health education and job management to decrease the depression of GHAS. In the following study, the analysis about convergent additional factors of influence on the depression of GHAS will be needed.

Ontology-based Context-aware Framework for Battlefield Surveillance Sensor Network System (전장감시 센서네트워크시스템을 위한 온톨로지 기반 상황인식 프레임워크)

  • Shon, Ho-Sun;Park, Seong-Seung;Jeon, Seo-In;Ryu, Keun-Ho
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.4
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    • pp.9-20
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    • 2011
  • Future warfare paradigm is changing to network-centric warfare and effects-based operations. In order to find first and strike the enemy in the battlefield, friendly unit requires real-time target acquisition, intelligence collection, accurate situation assessment, and timely decision. The rapid development in advanced sensor technology and wireless networks requires a significant change in operational concepts of the battlefield surveillance. In particular, the introduction of a battlefield surveillance sensor network system is a big challenge to the ground forces which have lack of automated information collection assets. Therefore this paper proposes an ontology-based context-aware framework for the battlefield surveillance sensor network system which is needed for early finding the enemy and visualizing the battlefield in the ground force operations. Compared with the performance of existing systems, the one of the proposed framework has shown highly positive results by applying the context systems evaluation method. The framework has also proven to be satisfactory by the structured evaluation method using device collaboration. Since the proposed ontology-based context-aware framework has a lot of advantages in terms of scalability and reusability, the ground force's reconnaissance and surveillance system can be widely applied to expand in the future. And, ontology-based model has some weak points such as ontology data size, processing time, and limitation of network bandwidth. However, these problems can be resolved by customizing properly to fit the mission and characteristics of the unit. Moreover, development of the next-generation communication infrastructure can expedite the intelligent surveillance and reconnaissance service and may be expected to contribute greatly to expanding the information capacity.

Epidemiological Pattern of Breast Cancer in Iranian Women: Is there an Ethnic Disparity?

  • Taheri, Neger Sadat;Nosrat, Sepideh Bakhshandeh;Aarabi, Mohsen;Tabiei, Mohammad Naeimi;Kashani, Elham;Rajaei, Siamak;Besharat, Sima;Semnani, Shahryar;Roshandel, Gholamreza
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4517-4520
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    • 2012
  • Introduction: Northeastern Iran is known as a high risk area of upper gastrointestinal cancers. Recent reports have suggested a declining trend for these cancers as well as an increase in the incidence of other malignancies including breast cancer. Our present aim was to describe the epidemiological pattern of breast cancer in this region during 2004-2009. Methods: All new cancer cases from public and private diagnostic and therapeutic centers of Golestan province were registered. A structured questionnaire was prepared and used based on the standerds of the International Association of Cancer Registries. The international classification of diseases for oncology was considered for coding. Age standardized incidence rates (ASR) of breast cancer were calculated. Results: A total of 11,038 new cancer cases were registered during 2004-2009, of which, 1,101 (10%) were females with breast cancer. The median age of the breast cancer patients was 46 years. The ASR for breast cancer was 28 per 100,000 person-years. We found an unusual rapid increase in breast cancer rate at the age of 25 years. The ASR of breast cancer was significantly lower in females from Turkmen ethnicity and those from rural areas(P value <0.01). Conclusion: Our study showed high rate of breast cancer in Golestan province of Iran. We found an unusual peak of breast cancer in young women. So, the age of starting screening programs may need to be revised in this area. The rate of breast cancer was significantly lower in women from Turkmen ethnicity. Further studies are warranted to clarify the role of important determinants, especially regarding the ethnic disparity, on breast cancer in this region.

Community-Based Cross-Sectional Study of Carcinogenic Human Liver Fluke in Elderly from Surin Province, Thailand

  • Kaewpitoon, Soraya J.;Rujirakul, Ratana;Ueng-Arporn, Naporn;Matrakool, Likit;Namwichaisirikul, Niwatchai;Churproong, Seekaow;Wongkaewpothong, Patcharaporn;Nimkuntod, Porntip;Sripa, Banchob;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4285-4288
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    • 2012
  • Background: Opisthorchis viverrini infection is a serious public-health problem in Southeast Asia. It is associated with a number of hepatobiliary diseases and the evidence strongly indicates that liver fluke infection is the etiology of cholangiocarcinoma. Objectives: This study aimed to determine Opisthorchis viverrini infection in elderly people in Surin province, Northeastern Thailand. Methods: A community-based cross-sectional survey was conducted among 333 elderly in 17 districts of Surin province, during one year period from January to December 2011. O. viverrini infection was determined using Kato's Thick Smear technique and socio-demographic were collected using predesigned semi-structured questionnaires, respectively. Results: A total of 333 elderly including 116 males and 217 females were selected from different study sites. Overall intestinal parasitic infection was 16.2%, predominantly in O. viverrini (9.91%) and followed by Strongyloides stercolaris (4.80%) and hookworm (1.50%), respectively. The O. viverrini infection was found higher in males (13.8%) than females (7.83%), and frequently in elderly 60-70 year old with 14.2%. Chi-square testing indicated that education and occupation were significantly associated with O. viverrini infection (P value = 0.02). The distribution of O. viverrini infection was found in 11 districts which was covered 64.7% of the studies areas. The highest prevalence was found in Thatum with 39.1%, and followed by Sangkha (24.0%), Buachet (21.1%), Samrong Thap (19.1%), Si Narong (15.0%), and Ratanaburi (13.3%) districts. Conclusion: This findings stress that O viverrini is still a problem in Thailand. We confirmed, for the first time, the high endemicity of human O. viverrini infections in elderly in Surin province of Thailand, underlying the fact that mass treatment and health education are urgently required.

Appraisal of Breast Cancer Symptoms by Iranian Women: Entangled Cognitive, Emotional and Socio-Cultural Responses

  • Khakbazan, Zohreh;Roudsari, Robab Latifnejad;Taghipour, Ali;Mohammadi, Eesa;Pour, Ramesh Omrani
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.19
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    • pp.8135-8142
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    • 2014
  • Background: Breast cancer is the most common cancer in Iranian women and usually features delayed presentation and late diagnosis. Interpretation of symptoms, as the most important step, has a significant impact on patient delay in seeking treatment. There is a dearth of studies on symptom appraisal and the process leading to seeking help in breast cancer patients. This study explored the perceptions and experiences of Iranian women with self-detected possible breast cancer symptoms. Materials and Methods: A qualitative method was conducted involving in-depth semi-structured interviews with 27 Iranian women with self-discovered breast cancer symptoms. Participants were purposefully selected from women who attended Cancer Institute of Tehran University of Medical Sciences during June 2012 to August 2013. The audiotaped interviews were transcribed and analyzed using conventional content analysis with MAXQDA soft ware version 10. The trustworthiness of the study was verified by prolonged engagement, member validation of codes, and thick description. Results: The main concepts emerging from data analysis were categorized in four categories: symptom recognition, labeling of symptoms, interactive understanding, and confronting the fear of cancer. Symptom recognition through breast self-examination, symptom monitoring and employing prior knowledge distinguished normal from abnormal symptoms and accompanied with perception of being at risk of breast cancer led to symptom labeling. Social interaction by selective disclosure and receiving reassurance from a consultant led to confirmation or redefinition of the situation. Perceived seriousness of the situation and social meanings of breast cancer as a stigmatized and incurable illness associated with loss of femininity were reasons for patient worries and fear. Conclusions: This study emphasized that entangled cognitive, emotional and socio-cultural responses affecting understanding of symptom seriousness require further investigation. It is suggested that programs aimed at shortening patient delay in breast cancer should be focused on improving women's knowledge and self-awareness of breast cancer, in addition to correcting their social beliefs.

The Effect of Anonymity on Virtual Team Performance in Online Communities (온라인 커뮤니티 내 익명성이 가상 팀 성과에 미치는 영향)

  • Lee, Un-Kon;Lee, Aeri;Kim, Kyong Kyu
    • The Journal of Society for e-Business Studies
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    • v.20 no.1
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    • pp.217-241
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    • 2015
  • One of the challenges in online community management is what level of perceived anonymity can be granted to encourage active participation from members while discouraging unhealthy activities. Few studies developed a scheme of anonymity and investigated how different levels of anonymity influence community activities. This study develops a classification scheme of anonymity encompassing the following three different levels : (1) real name(no anonymity), (2) nickname (partial anonymity), and (3) random assignment of a temporal ID (complete anonymity). Then, it examines how different levels of anonymity influence trust and perceived risk, which in turn affect virtual team performance. A series of laboratory experiments were performed, manipulating the levels of anonymity, in the context of well-structured communities that allow prior interactions among community members. The data was collected from 364 laboratory participants and analyzed using ANOVA and PLS. The results indicate that the difference of anonymity between (2) and (3) had not be significant and the only (1) could not guarantee the anonymity. The impact of anonymity on trust and perceived risk could not be significant in this situation. These findings could contribute to make more beneficial member identification strategies in online community practice.

Study and Evaluation of an Incident Detection Algorithm for Urban Freeways (도시고속도로 돌발상황 감지 알고리즘 개발에 관한 연구 및 평가)

  • Seo Jeong-ho;In Sung-man;Kim Young-chan
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.3 no.1 s.4
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    • pp.53-65
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    • 2004
  • A series of accidents, which are non-recurrent and non-anticipated, are called incidents. These incidents make standard traffic flows interrupt, which result in the decrease of road capacity and a number of social and economic costs, such as the traffic congestion and air pollution. In order to prevent the hazard of incidents, domestic and foreign traffic management center are likely to opt auto-sense system with algorithms of auto-incident sense. However, it is evaluated that the algorithms have a low function with frequent wrong alarms, even if they accurately ry to speculate the incidents. In the case of bottleneck which has lack of road capacity, compared with other roads, due to inefficient road structured over-capacity of the demand of on-off ramp, the incidents regularly take place. Nonetheless, it can be more difficult to speculate the auto-incidents sense owing to similar incidents, such as the queue of in-out flows of cars and the change of road line. Throughout this research, the function of the model has improved excluding near road line in the module of the incidents which is based on the auto-incidents algorithms during the sense of the congestion of ramp areas.

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PRELIMINARY STUDY FOR ADHD TREATMENT GUIDELINE (ADHD 최적치료 지침을 위한 예비연구)

  • Kim, Eun-Young;Ra, Chul;Lee, Young-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.129-138
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    • 2002
  • Objectives:In order to treatment guideline of ADHD, present clinical practise of child psychiatrists and their opinion of optimal intervention were evaluated. Methods:Structured questionnaire items about diagnostic workup, drug choice of 5 different situations according to different co-morbid disorders, and non - pharmacological treatment were applied to 32 child psychiatrists working at university and general hospital. we compared the data with Texas Algorithm Project guideline. Results:(1) Intelligence Test, Sentence Completion Test, sustained attention test, and Conner's questionnaire were the basic routine test that must be performed. (2) Main trend of medication in this study was not different from TAP guideline. (3) In case of co-morbid tic disorder, first recommending drug is still psychostimulant in the TAP guideline. But in this study initial psychostimulant prescription was not main trend. (4) In case of MPH non-response co-morbid disruptive behavior disorder, MPH medication combined with other drug were more common than switching to other drug as suggested the TAP guidelines. (5) In non-pharmacological treatment, most child psychiatrists reported the importance of parent management. Conclusion:There were some difference in medication trend in this study compared with TAP guideline. Further study and conference are needed for experts consensus in Korea.

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A Phenomenological Study on the Child-rearing Experience and Conflict of Grandmothers in Dual-income Families: from the Grandmother's and Working Moms' Point of View (맞벌이 가정 조모의 손자녀 양육경험와 양육갈등에 관한 현상학적 연구: 조모와 취업모 관점에서)

  • Kim, Mee Ok;Song, Seung Min;Lee, Sa Rah
    • Korean Journal of Childcare and Education
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    • v.11 no.4
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    • pp.239-269
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    • 2015
  • The purpose of this study is to understand the different views of grandparent's that are rearing children from the grandmother and working mom as co-caregivers by studying conflicts and the experience made by grandmothers by rearing children through a phenomenological approach, and to help to build healthy relationships and furthermore to promote a healthy educational environment. Data were collected from six working mothers from a child care center in Gyeonggi, and their six grandmothers who were rearing grandchildren through in-depth interviews, emails and observation based on the instruction of semi-structured interviews. For analysis, a phenomenological analysis method is used. As a result, 78 meaning units, 15 sub-elements and 6 theme categories were drawn. Theme categories were (1) grandmothers' rearing experience; perform a double-role through grandchildren-rearing (2) working moms' rearing experience; conflicts over ideologue of motherhood (3) grandmothers' rearing positive effect: increasing grandmothers' efficacy and intimate relationships with grandchildren (4) working moms' rearing positive effect: reducing working moms' children-rearing stress (5) negative effect: increasing grandmothers' children-rearing stress and working moms' low children-rearing efficacy (6) rearing conflicts: the two mothers' conflicts over children-rearing values. Through the study, it implies that social intervention is needed to solve the conflicts between two mothers over the rearing attitudes and methods as understanding and intervention is needed.

Time-course Analysis of Biofilm Formation in Quorum Sensing-deficient Bacteria (Quorum sensing 결핍 세균에서 생물막 형성의 시간적 추이 분석)

  • Kim, Soo-Kyoung;Lee, Mi-Nan;Lee, Joon-Hee
    • Korean Journal of Microbiology
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    • v.50 no.2
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    • pp.108-113
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    • 2014
  • Pseudomonas aeruginosa and Vibrio vulnificus are Gram-negative human pathogens, which exert their virulence through quorum sensing (QS) regulation. The infection of these pathogens have been known to be mediated by biofilm formation in many cases and this study carried out the time-course analysis of biofilm formation depending on the QS regulation in P. aeruginosa and V. vulnificus. In P. aeruginosa, our results demonstrated that QS-deficient mutant better attached to surface at initial stage of biofilm formation, but poorly proceeded to the maturation of the biofilm structure, while wild type less attached at initial stage but developed highly structured biofilm at late stage. Because of this, the quantitative comparison of biofilm formation between wild type and the QS mutant showed the reversion; the QS mutant formed more biofilm until 10 h after inoculation than wild type, but wild type formed much more biofilm after 10 h than QS mutant. V. vulnificus has been reported to form more biofilm with the mutation on QS system. When we performed the same time-course analysis of the V. vulnificus biofilm formation, the reversion was not detected even with prolonged culture for 108 h and the QS mutant always forms more biofilm than wild type. These results indicate that the QS regulation negatively affects the attachment at early stage but positively facilitates the biofilm maturation at late stage in P. aeruginosa, while the QS regulation has a negative effect on the biofilm formation throughout the biofilm development in V. vulnificus. Based on our results, we suggest that the developmental stage of biofilm and bacterial species should be considered when the QS system is targeted for biofilm control.