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Noh, Jin-Won,Yun, Hyo-Young,Park, Hyunchun,Yu, Shi-Eun The Korean Society for Preventive Medicine 2015 예방의학회지 Vol.48 No.5
Objectives: The present study aimed to analyze the factors that could affect the health-promoting behaviors of North Korean adolescent refugees residing in South Korea. Methods: Questions about their sociodemographic variables, subjective health status, healthy living habits, and health-promoting behaviors were asked. Results: Statistically significant differences were found in religion (t=2.30, p<0.05), having family members in South Korea (t=2.02, p<0.05), and subjective health status (t=4.96, p<0.01). Scores on health-responsible behaviors were higher with higher age (t=2.90, p<0.01) and for subjects without family or friends (t=2.43, p<0.05). Higher physical-activity behaviors were observed in males (t=3.32, p<0.01), in those with better subjective health status (t=3.46, p<0.05) and lower body mas index (t=3.48, p<0.05), and in smokers (t=3.17, p<0.01). Nutritional behaviors were higher in those who followed a religion (t=2.17, p<0.05). Spiritual growth behaviors were higher in those who followed a religion (t=4.21, p<0.001), had no family in South Korea (t=2.04, p<0.05), and had higher subjective health status (t=5.74, p<0.01). Scores on interpersonal relationships and stress-management behaviors were higher for those with higher subjective health status. A multiple regression analysis showed greater effects on health-promoting behaviors when subjective health status was better. Older people and non-smokers exhibited more health-responsible behaviors, while more physical-activity behaviors and spiritual growth activities were observed when subjective health status was better. Interpersonal relationship behaviors had positive effects on those with good subjective heath status and on non-smokers. Conclusions: Based on the results of the current study, an alternative was suggested for promoting health in North Korean adolescent refugees.
Health Information Managers' Job Stress in an Electronic Medical Record Environment
Noh, Jin-Won,Choi, Hyo-Jin,Hong, Jin-Hyuk,Boo, Yoo-Kyung The Korea Contents Association 2017 International Journal of Contents Vol.13 No.2
This study sought to measure the influence of HIMs' work environment changes on job stress, and to explore measures for improving job satisfaction among them. A total of 275 hospital HIMs' were surveyed using a structured questionnaire. Significant job stress impact variables were sorted out using a simple linear regression analysis. Then, through multiple linear regression analysis, multicollinearity was tested. Significant impact factors were identified from among the control variables, and job stress impact was measured. The survey revealed that in public hospitals where the EMR system has been implemented for a longer period, depression scores in HIMs' were increased. HIMs' job stress level was found to be affected by the following factors: computerization of their working environment, experience of depression, unemployment, and manpower reduction, as well as, their lifestyles, including leisure activities. The results of this study suggest that HIMs' job stress can be reduced through work environment improvement and improvement of their personal lifestyle habits.
Hyo Jung Cho,Soon Sun Kim,So Young Kang,Min Jae Yang,Choong Kyun Noh,Jae Chul Hwang,Sun Gyo Lim,Sung Jae Shin,Kee Myung Lee,Byung Moo Yoo,Kwang Jae Lee,Jin Hong Kim,Sung Won Cho,Jae Youn Cheong, 거트앤리버 소화기연관학회협의회 2019 Gut and Liver Vol.13 No.5
Background/Aims: Barcelona Clinic Liver Cancer (BCLC) C stage demonstrates considerable heterogeneity because it includes patients with either symptomatic tumors (performance status [PS], 1–2) or with an invasive tumoral pattern reflected by the presence of vascular invasion (VI) or extrahepatic spread (EHS). This study aimed to derive a more relevant staging system by modification of the BCLC system considering the prognostic implication of PS. Methods: A total of 7,501 subjects who were registered in the Korean multicenter hepatocellular carcinoma (HCC) registry database from 2008 to 2013 were analyzed. The relative goodness-of-fit between staging systems was compared using the Akaike information criterion (AIC) and integrated area under the curve (IAUC). Three modified BCLC (m-BCLC) systems (#1, #2, and #3) were devised by reducing the role of PS. Results: As a result, the BCLC C stage, which includes patients with PS 1-2 without VI/EHS, was reassigned to stage 0, A, or B according to their tumor burden in the m-BCLC #2 model. This model was identified as the most explanatory and desirable model for HCC staging by demonstrating the smallest AIC (AIC=70,088.01) and the largest IAUC (IAUC=0.722), while the original BCLC showed the largest AIC (AIC=70,697.17) and the smallest IAUC (IAUC=0.705). The m-BCLC #2 stage C was further subclassified into C1, C2, C3, and C4 according to the Child-Pugh score, PS, presence of EHS, and tumor extent. The C1 to C4 subgroups showed significantly different overall survival distribution between groups (p<0.001). Conclusions: An accurate and relevant staging system for patients with HCC was derived though modification of the BCLC system based on PS.
Noh, O Kyu,Kim, Soon Sun,Yang, Min Jae,Lim, Sun Gyo,Hwang, Jae Chul,Cho, Hyo Jung,Cheong, Jae Youn,Cho, Sung Won Elsevier 2020 Hepatobiliary & pancreatic diseases international Vol.19 No.1
<P><B>Abstract</B></P> <P><B>Background</B></P> <P>Hepatic epithelioid hemangioendothelioma (HEH) is a rare tumor of vascular origin with an unknown etiology, a low incidence, and a variable natural course. We evaluated the management and prognosis of HEH from the Surveillance, Epidemiology and End Results (SEER) program and changes in treatment modalities of HEH over 30 years.</P> <P><B>Methods</B></P> <P>From 1973 to 2014 in the SEER database, we selected patients diagnosed with HEH. We analyzed the clinical characteristics, patterns of management, and clinical outcomes of patients with HEH.</P> <P><B>Results</B></P> <P>We identified 79 patients with HEH (median age: 54.0 years; male to female ratio: 1:2.6). The initial extent of disease was local in 22 (27.8%) patients, regional metastasis in 22 (27.8%), distant metastasis in 31 (39.2%) and unknown in 4 (5.1%). The median size of primary tumor was 3.85 cm (interquartile range, 2.50–7.93 cm). Among 74 patients with available management data, the most common management was no treatment (29/74, 39.2%), followed by chemotherapy only (22/74, 29.7%), liver resection-based (13/74, 17.6%), and transplantation-based therapy (6/74, 8.1%). The 5-year cancer-specific survival rate was 57.8%. Patients who underwent surgical treatment had significantly higher survival than those who underwent non-surgical treatment (5-year survival; 88% vs. 49%, <I>P</I> = 0.019). Multivariate analysis revealed that surgical therapy was the only independent prognostic factor for survival (hazard ratio: 0.20, <I>P</I> = 0.040).</P> <P><B>Conclusions</B></P> <P>Resection or liver transplantation is worth considering for treatment of patients with HEH.</P>
Hyo Sang Lee(이효상),Jin Won Oh(오진원),Hwang Jae Yoo(유황재),Noh Hyuck Park(박노혁) 대한소아신경학회 2007 대한소아신경학회지 Vol.15 No.1
Post-lumbar puncture headache (PLPH) is a common complication developed after lumbar puncture, and it usually begins within 48 hours. The pain is postural; the it is relieved by reclining and worsened by sitting. Moreover, there are some related symptoms such as nausea, vomiting, tinnitus and blurred vision. PLPH is rare in children and it is effectively treated by bed rest and conservative treatment. However, when the pain is too severe or continuous or different types of headache are seen after LP, it is worthwhile to conduct brain MRI or exact diagnosis and proper treatment. Therefore, we report a patient with PLPH in whom brain MRI showed diffuse meningeal enhancement and concurrent cerebral venous expansion, with a review of literatures. 요추천자 후 두통은 요추천자후에 발생되는 가장 흔한 합병증으로 주로 24-48시간 내에 발생하며 오심과 구토, 어지러움증, 체위에 따른 증상의 완화, 이명, 복시 등의 증상을 동반하는 질환이다. 소아에서 요추천자 후 두통은 성인과 비교하여 흔하지 않으며, 대부분 안정 및 대증요법만으로도 호전되지만 두통이 심하고 지속적으로 나타날 때, 특히 요추천자 검사를 하기 전 두통의 양상과 다르게 나타나는 경우 정확한 진단을 위해 뇌자기공명검사(Brain MRI)을 시행해야하며 이에 따른 적절한 치료가 필요하다. 본 저자들은 뇌수막염진단을 위해 시행한 요추천자검사 후 두통이 발생한 환아에게 시행한 뇌자기공명검사에서 대뇌 정맥동의 확장과 조영 증강을 동시에 보인 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.