Measuring health activation among foreign students in South Korea: initial evaluation of the feasibility, dimensionality, and reliability of the Consumer Health Activation Index (CHAI)

Park, MJ,Jung, Hun Sik The International Promotion Agency of Culture Tech 2020 International Journal of Advanced Culture Technolo Vol.8 No.3

Foreign students in South Korea face important challenges when they try to maintain their health. As a measure of their motivation to actively build skills for overcoming those challenges, we evaluated the 10-item Consumer Health Activation Index (CHAI), testing its feasibility, dimensionality, and reliability. There were no missing data, there was no floor effect, and for the total scores the ceiling effect was trivial (< 2%). Results of the Kaiser-Meyer-Olkin test and Bartlett's test of sphericity indicated that the data were suitable for the detection of structure by factor analysis. The results of parallel analysis and the shape of the scree plot supported a two-factor solution. One factor had 3 items concerning "my doctor" and the other factor had the 7 remaining items. Reliability was high for the 10-item CHAI (alpha = 0.856), for the 3-item subscale (alpha = 0.838), and for the 7-item subscale (alpha = 0.857). Reliability could not be improved by deletion of any items. Use of the CHAI to gather data from these foreign students is feasible, and reliable results can be obtained whether one uses the total score from all 10 items or scores from the proposed 7-item and 3-item subscales.

Coping with symptoms after education for self-management of chronic diseases

Park, MJ,Noh, Gie Ook,Jung, Hun Sik The International Promotion Agency of Culture Tech 2019 International Journal of Advanced Culture Technolo Vol.7 No.1

One benefit of education for self-management of chronic diseases is to increase the use of cognitive techniques for coping with symptoms. Unfortunately, that benefit can deteriorate over time, and that phenomenon, which is sometimes called "decay of impact", has been studied only rarely. This study was done to understand the decay of impact with regard to the use of cognitive techniques for coping with symptoms, and especially to understand how that decay might be predicted. Data were analyzed from 381 adults suffering from chronic medical conditions, all of whom were involved in education to improve their self-management of their chronic condition(s). During the first year after the educational program, coping was measured four times. Variables associated with the decay of impact were found using statistical modeling (logistic regression). Decay of impact was found in almost half of the participants. The analysis provided moderately good predictions regarding the decay of impact. Given this new information, interventions to further improve coping with symptoms can be appropriately targeted to the people for whom they will be most beneficial.

Coping with symptoms after education for self-management of chronic diseases

MJ Park,Gie Ook Noh,Hun Sik Jung 국제문화기술진흥원 2019 International Journal of Advanced Culture Technolo Vol.7 No.1

One benefit of education for self-management of chronic diseases is to increase the use of cognitive techniques for coping with symptoms. Unfortunately, that benefit can deteriorate over time, and that phenomenon, which is sometimes called “decay of impact”, has been studied only rarely. This study was done to understand the decay of impact with regard to the use of cognitive techniques for coping with symptoms, and especially to understand how that decay might be predicted. Data were analyzed from 381 adults suffering from chronic medical conditions, all of whom were involved in education to improve their self-management of their chronic condition(s). During the first year after the educational program, coping was measured four times. Variables associated with the decay of impact were found using statistical modeling (logistic regression). Decay of impact was found in almost half of the participants. The analysis provided moderately good predictions regarding the decay of impact. Given this new information, interventions to further improve coping with symptoms can be appropriately targeted to the people for whom they will be most beneficial.

Lessons Learned from Cloning Dogs

Kim, MJ,Oh, HJ,Kim, GA,Park, JE,Park, EJ,Jang, G,Ra, JC,Kang, SK,Lee, BC Blackwell Publishing Ltd 2012 REPRODUCTION IN DOMESTIC ANIMALS Vol.47 No.4

<P><B>Contents</B></P><P>The aim of this article is to review dog cloning research and to suggest its applications based on a discussion about the normality of cloned dogs. Somatic cell nuclear transfer was successfully used for production of viable cloned puppies despite limited understanding of <I>in vitro</I> dog embryo production. Cloned dogs have similar growth characteristics to those born from natural fertilization, with no evidence of serious adverse effects. The offspring of cloned dogs also have similar growth performance and health to those of naturally bred puppies. Therefore, cloning in domestic dogs can be applied as an assisted reproductive technique to conserve endangered species, to treat sterile canids or aged dogs, to improve reproductive performance of valuable individuals and to generate disease model animals.</P>

분만 예에 있어서 모성건강기록의 임상통계학적 분석 ( II )

박인서(IS Park),이규완(KW Lee),조명준(MJ Cho),박찬용(CY Park),박창서(CS Park),차인환(IW Cha) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.3

1980년 2월1일부터 1980년 7월31일까지 만 6개월간 국립의료원 산과에 입원, 분만한 총 551 예를 대상으로 분석 조사한 결과 다음과 같은 결과를 얻었다. 1. 총 분만 551예중 초산부가 287예(50.63%) , 경산부가 271(49.37%)이었다. 2. 산전 산모의 상태는 합병증이 없는 경우가 397예(71.24%)로 가장 많고 합병증이 있는 경 우는 임신성 고혈압 54예(10.15%) 생식기 및 골반의 이상이 20예(3.76%), 감염이 13예(2.44%) 및 산전 질출혈이 12예(2.26%)순이었다. 3. 분만 방법은 정상 질식분만이 333예(60.84%)로 가장 많고 기계분만 113예(20.58%) 및 제 왕절개술 93예(16.94%)의 순이었다. 4. 분만 중 합병증은 분만지연이 24예(초산 19예, 경산 5예)로 가장 많았고 태반계류가 15예 (4:11), hypotonic uteruie contraction 이 8예(5:3) 전치태반 7예(3:4)의 순이었다. 5. 총 분만 549예중 일반 전공의 (인턴)가 분만을 시술한 경우는 45예(8.20%)로 초산모 8예, 경산모 37예이며 나머지 502예(91.44%)는 산부인과 전공의 (레지던트)이상이 시술하엿다. 6. 제왕절개술의 적응증은 제왕술의 기왕력이 36예(38.70%)로 가장 많고 이상태위 13예 (13.98%), 전치태반 8예(8.60%)의 순이었다. 7. 신생아의 평균 1분 Apgar score는 7.65±1.07이었으며 5분 Apgar score는 7.68±1.54이었 다. 8. 평균 신생아 체중은 3125.22±598.78gm이었으며 초산은 3054.07±587.21gm이었고 경산은 3194.62±603.73gm이었다. 9. 산후 합병증은 치료를 요하였던 산욕열이 18예로 제일 많았고 치료를 요하였던 산후출혈 6예, 요로감염증 6예, 봉합술파열 1예의 순이었다. 10. 총 분만 551예 중 모성 사망은 한 예도 없었으며 신생아 사망률 은 1000명당 42.11이었다. This is a review of 551 cases of delivered women in National Medical Center from Feb. 1 to July 31, 1980. Maternity record which was designed by Korean Institute for Family Planning was checked for all delivered cases The results of these material were as follows; 1. The times of mean antenatal visit was 3.05±2.84, gestational weeks; 39.11±3.94, Hb. level ; 10.53±1.87gm%, mean age ; 28.05±3.95 year and mean educational duration 10.82±1.76 years. 2. The incidence of primary antenatal complications was 28.76% in 532 cases, of which hypertensive disorder was most one (10.15%). 3. The methods of deliveries were as follows; spontaneous viaginal delivery ; 334 (60.84%) operative one 113(20.58%) and C-section 93 (16.94%). 4. Of 82 cases of intrapartum complications, prolonged labor was major one (24 case) others were as retained placenta hypotonic uterine contration and placenata previa. etc. 5. Majority of attendant at delivery was resident or staff (91.44%). 6. Indications for cesarean section revealed as previous history of cesarean section (38.70%), malpresentation (13.98%), placenta previa (8.60%) and so. 7. The mean Apgar score at one minute was 7.65±1.07 and at 5 minutes after birth 7.68±1.54. 8. The mean body weight of newborn was 3125.22±598.78gm 9. of analized 542 cases, 42 cases had postpartum complications as purepheral fever, postpartum hemorrhage and urinary tract infection. 10. perinatal mortality rate was 42.11 per 1000 infants delivered, but maternal one was zero.

Inhibitory Effect of Turnip Powder on Thioacetamide-induced Rat Hepatic Fibrogenesis

Park YI(박용일),Li L,Lee DR,Kim SH,Chang KW,Jin JB,Kim YJ,Lee MJ 한국실험동물학회 2009 한국실험동물학회 학술발표대회 논문집 Vol.2009 No.-

McCune-Albright 증후군 1 례

박성기,심재철,임문환,이원재,장연희,김태우,이창연,오연희,박석건,유문집 대한산부인과학회 1992 Obstetrics & Gynecology Science Vol.35 No.1

저자들은 2년 2개월 된 여아에서 전형적인 Mc-Cune-Ablright 증후군 1례를 경험하였기에 1974년 Cune-Albright 증후군 1례를 경험하였기에 1974년이 등의 보고 이후 새로운 문헌고찰과 함께 보고하는 바이다. The McCune-Albrights syndrome is extremely rare if one considers the complete form which fullfils the triad of cafe au lait spots, fibrous dysplasia, and endocrine disturbances. A current concept about endocrine disturbances in this syndrome is that it is the result of autonomous hyperfunction of peripheral target glands, and that other endocrine disorders (hyperthyroidism, Cushing syndrome, gigantism, and acromegaly)are occasionary accompanied, and that treatment with the aromatase inhibitor testolactone which blocks the synthesis of estogens seems to be successful. The authors report a case of a 22/12-year-old girl with sexual precocity and cafe au lait spots with literature review.

관동맥질환 환자에서 저용량 엽산 보충요법이 혈중 호모시스테인 농도에 미치는 영향

박영선,조민자,전원중,이혜영,연태진,채희복,김기남,손보라,김동운,김학순,조명찬 대한순환기학회 2001 Korean Circulation Journal Vol.31 No.6

자궁외임신의 임상적 고찰

박기수,이민정,김연진,장은익 대한산부인과학회 1993 Obstetrics & Gynecology Science Vol.36 No.6

1989년 1월1일부터 1991년 12월 31일까지 3년간 대림성모병원에서 치료한 자궁외임신 104례를 대상으로 임상적 고찰을 하였던 바 다음과 같은 결론을 얻었다. 1. 자궁외임신의 분만수에 대한 발생빈도는 1:44.5였다. 2. 호발연령군은 30~34세로써 32.7%로 가장 많았으며 25~34세까지가 61.5%나 되었다. 3. 임신횟수는 2회가 33.7%로 가장 많았고, 분만횟수는 미산부가 28.8%, 유산횟수는 1회가 30.8%로 가장 많았고, 인공유산의 경험이 없는 환자도 25.0%나 되었다. 4. 기왕력은 인공유산경험이 75.0%, 골반내염증 22.1%, 복강경 불임술이 18.3%였다. 5. 임상증상의 발현시기는 최종월경일로부터 4주~8주가 83.6%로 가장 많았다. 6. 주요 증상으로는 하복부 동통이 95.2%, 무월경이 93.3%, 질출혈이 75.0%에서 나타났다. 7. 내원 당시의 수축기혈압은 110mmHg이상이 53.8%로 가장 많았고, 70mmHg미만은 5.7%였다. 8. 내원 당시의 혈색소치는 7mg/dl미만이 2.9%, 12mg/dl이상이 26.9%였고, 10mg/dl이상이 전체의 65.4%를 차지하였다. 9. 진단방법으로 소변 임신반응검사 양성율은 97.9%였고, 다글라스와천자 양성율은 91.9%였다. 10. 발생부위로는 난관이 88.4%, 자궁각이 10.6%, 광인대가 1.0%였다. 11. 복강내 출혈양은 1000cc이하가 전체의 57.6%였다. 12. 수술방법은 환측 난관절제술이 46.1%로 가장 많이 시행되었고, 환측 부속기 절제술이 14.4%였다. 13. 입원후 경과는 104례중 사망한 예는 없었으며, 전례에서 특별한 합병증없이 퇴원하였다. This study is a clinical analysis of 104 ectopic pregnant patients who were admitted and treated at Department of Obstetrics and Gynecology, Dae Rim Saint Marys Hospital from January, 1, 1989 to December 31, 1991. The results obtained were as follows; 1. The incidence of ectopic pregnancy was 1 in 44.5 delivies (104/4627). 2. The most frequent age group was in 30~34 years of age, comparing 32.7%, 25~ 34 years of 61.5%. 3. Nullipara was 28.8% and the cases who experienced artificial abortion was 75.0%. 4. According to past history of illness, artificial abortion was in 75.0%, PID was in 22.1%, Laparoscopic tubal sterilization was 18.3% of total. 5. The most frequent interval between L.M.P. and the onset of symptoms was 8 weeks in 83.6%. 6. On symptomatological analysis, low abdominal pain was encountered in 93.2%, amenorrhea in 93.3%, vaginal spotting or bleeding in 75.0%. 7. In initial systolic blood pressure at hospital, under 70 mmHg was 5.7%, and over 110mmHg was 53.8%. 8. The laboratory studies in most cases were not significant. Hemoglobin value over 10.0mg% was 65.4% and below 7.0mg% was 2.9%. 9. Urine hCG test was positive in 97.9% and culdocentesis was positive in 91.9%. 10. Ectopic pregnancy was implanted on the fallopian tube in 88.4%, on the uterine cornus in 10.6%, on the broad ligment in 1.0%. 11. Intraabdominal hemorrhage below 1000cc in amount was 57.5%. 12. Most commonly used surgical procedure was salpingectomy (46.1%). 13. There was no fetal case in 104 ectopic pregnancy.

양막대증후군 1 례

박기수,이민정,장은익,이성원,양동윤 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.1

저자들은 임신 17주에 초음파상에 무뇌증과 복벽균열 등의 다발성기형이 발견되어 인공유산한 사산아가 두부, 안면부, 흉부, 복부 및 사지의 기형을 보이는 양막대증후군으로 확인되어 문헌고찰과 함께 보고하는 바이다. The amniotic band syndrome is thought to be caused by rupture of the amnion, leading to subsequent entanglement of fetal parts by the chorion and is a relatively common cause of defects involving the fetal abdominal wall and trunk, limbs, and craniofacial regions. It has been suggested that the earlier the insult occurs, the more severe the lesion. The mechanism of amnion repture is unknown, and it is not believed to recur in future pregnancies. A case of severe congenital anomaly due to amniotic bands diagnosed by ultrasonogram in the antenatal period is presented with a brief review of the literatures.