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Background: The aim of the present study was to determine the population-based prevalence of diabetes mellitus (DM) and prediabetes in a rural district of Daegu City, Korea. Methods: Between August and November 2003, a community-based health survey of adults aged 20 years and older was performed in the rural district of Dalseong-gun in Daegu City. A total of 1,806 of all eligible individuals agreed to participate. Fasting plasma glucose was measured in all participants. Two hour oral glucose tolerance was measured in the 1,773 participants for whom there was neither an established diagnosis of DM nor evidence of DM according to fasting glucose levels. The prevalence of DM and prediabetes was determined according to the 2003 criteria of the American Diabetes Association. Subjects with prediabetes were classified into one of three categories of glucose intolerance: isolated impaired fasting glucose (IFG); isolated impaired glucose tolerance (IGT); or combined IFG and IGT. Results: The prevalence of DM was 12.2%. The highest prevalence rates were observed in subjects in their seventies. A total of 34.7% of all subjects who were assigned a diagnosis of DM in the present study had not been diagnosed previously. The prevalence of prediabetes was 22.7%. The highest prevalence rates were observed in subjects in their fifties. Conclusion: The present study identified prevalence rates of 12.2% for DM (age-standardized prevalence rate [ASR], 6.8%), and 22.7% for prediabetes (ASR 18.5%). These results emphasize the need for community health promotion strategies to prevent or delay the onset of DM in individuals with prediabetes.
This study aims to explore how working mother's cognitive assessments of work and family resources cluster together in patterned ways. Latent Profile Analysis(LPA) was used to determine the underlying types of work-family fit, based on 7 dimensions, including job security, income adequacy, work control, family-friendly workplace culture, childcare control,emotional family support, and instrumental family support, Questionnaires were administered to 12 preschools in Seoul and Kyunggi areas, and the data was collected from 376 working mothers of preschoolers. The comprehensive socio-economic rage of working mothers were included in the sample. Using LPA, five distinct multivariate profiles of work-family fit were identified: poor fit(7.2%), low fit(45.2%), moderate fit(13.8%), good fit(16.0%), and optimal fit(17.8%). Based on the research findings, this study suggests practical implications for working mothers, including flexible work programs, family-supportive culture, childcare service in the community, husbands’ participation in childrearing and domestic duties. Also,political implications that might provide help to working mothers with poor resources, by work-family fit subgroups were discussed. 본 연구의 목적은 미취학 자녀를 둔 여성근로자의 일가정양립을 위해 필요한 직장 및 가정 영역에서의 자원의 결합 형태에 따라 직장-가정 적합성의 차이를 살펴보는 데 있다. 기존연구에서 소홀히 다뤄졌던 저소득층을 포함하여 국공립어린이집에 다니는 미취학자녀를 둔여성근로자 376명을 대상으로 한다. 직장-가정 적합성을 구성하는 총 7개의 변수-직무안정성, 소득적절성, 직무통제, 가족친화적 조직문화, 양육통제, 가족의 정서적 지지, 가족의도구적 지지-를 투입하여 관찰대상 중심적 접근방법인 잠재프로파일분석을 실시하였다. 연구결과 직장-가정 적합성이 가장 낮은 수준부터 최적의 수준까지 직장-가정 적합성을 보이는5개의 잠재유형이 확인되었고, 각 유형 집단별 구성원의 속성을 살펴보았다. 이를 바탕으로여성근로자의 일가정양립을 증진시키기 위한 일반적 방안과 집단별 차별적 접근 등 정책적제언을 제시하였다.
Background: Substantial variation exists in the reported rates of postoperative venous thromboembolism (VTE) following total knee arthroplasty (TKA) in the Asian population. This retrospective study aimed to compare the early postoperative VTE incidence between patients managed with epidural anesthesia and those managed by general anesthesia at the time of TKA. Methods: We reviewed 589 cases of unilateral primary TKA performed between January 2011 and June 2014. We selected epidural versus general anesthesia groups as the main anesthetic choices, with postoperative patient-controlled analgesia. All the patients underwent deep vein thrombosis (DVT) computed tomography angiography on postoperative day 7. The incidence of DVT and pulmonary thromboembolism (PTE) was evaluated and compared between epidural and general anesthesia. Results: The overall incidence of VTE was 8.0% in the two groups together. The incidence did not differ between the groups. The odds ratio in the generalized estimation equations analysis showed a higher incidence of DVT and PTE in the epidural group; however, this result was not statistically significant. Although, the odds ratio for age showed that the risk of developing DVT and PTE increased 1.12 times per year. Conclusions: Total VTE incidence was not significantly different between patients who underwent general anesthesia and those who underwent epidural anesthesia for TKA. A prospective multicenter study is required to evaluate the nature of the Korean VTE status in major orthopedic surgeries, and to prepare guidelines and protocols for medical prophylaxis for DVT and PTE in Korea.
The purpose of this study was to explore how public library services for people with intellectual and developmental disability (IDD) and/or autism are promoted in the view of their parents. A total of 153 parents of individuals with IDD and/or autism participated. The parents were asked about their previous experiences in public libraries and their needs for facilitating their children's use of public libraries. The findings were as follows: Approximately half of the parents responded had used public libraries with their children. Mostly they checked out books and hardly knew much of library services designed for the individuals with IDD and/or autism. The parents strongly urged a necessity for various programs reflecting the library needs of the individuals with IDD and/or autism over a life span. Based on the results of this study, the future directions for facilitating public library services for individuals with IDD and/or autism were discussed. 이 연구는 지적장애 및 자폐성장애를 가진 장애인을 둔 부모를 대상으로 그간의 공공도서관 이용 경험과 자녀의 공공도서관 이용 활성화를 위한 요구를 알아보는 것을 목적으로 하였다. 수도권과 중부권에 거주하는 영유아기부터 성인기에 해당하는 장애인을 둔 부모 153명이 설문조사의 대상이었다. 설문에서는 공공도서관 서비스와 관련된 경험, 이들이 중요하다고 생각하는 장애인을 위한 도서관 서비스, 생애시기별로 필요한 도서관 프로그램 유형과 운영방법에 대한 선호도 등에 대한 질문이 포함되었다. 설문응답자 중에는 공공도서관 이용 경험자보다는 한 번도 이용한 경험이 없는 사람이 더 많았고. 그 주된 이유로 공공도서관 서비스에 대해 잘 알지 못하거나 자녀가 이용할만한 프로그램이 없음을 꼽았다. 또한 생애시기별로 장애인 당사자와 가족의 요구가 반영되고 연령에 적합한 프로그램의 개발이 필요함을 알 수 있었다. 연구결과를 기반으로 향후 지적장애인과 자폐성장애인의 공공도서관 이용 활성화를 위한 서비스를 개발할 때 고려해야 할 점에 대해 논의하였다.
By viewing first-generation Kyopo narratives as life stories, this study aims atuncovering how the ‘immigrant’ experience, that is, ‘immigrating to a country’and ‘being an immigrant’, forms social and personal identities throughstory-telling. A particular focus will be on the various modes of how anindividual explains an autobiographical self according to relevance of expressionand sense-making in interviews. The analysis will spotlight how, in interviewnarratives, first-generation Kyopos present the migration situation andinterpersonal relationships in a migrant’s life; how selected stories and theaccounts and interpretations of one’s self therein depict their lives and imbue aspecific meaning to it; and how their stance and justification thereof construct anautobiographical self. On a macro-level, the narrative analysis will shed light onthe thematic sub-topic development within the stories, while a micro-analysis ofthe storyteller’s stance and evaluation reveals identity-constructing indexicalexpressions. By doing thus, the meanings of identity-construction spanning theentire interview as well as local sites of identity-construction are beingcross-examined, and the sense-making function of an identity in re-constructionwill be further discussed as it is being developed into a moral value byfirst-generation Kyopos.
The objective of this study was to derive conversion formulae among HINT-8 and EQ-5D instruments. Total 220 people were surveyed using EQ-5D-3L, EQ-5D-5L, EQ-VAS, and HINT-8 instruments and pairwise conversion formulae were derived using regressions. The average of health utility scores in EQ-5D-3L, EQ-5D-5L, EQ-VAS, and HINT-8 was 0.94, 0.91, 0.84, 0.84, respectively. The ceiling effect was 51.4% in EQ-5D-3L, 47.3% in EQ-5D-5L, and 1.8% in HINT-8. The correlation between EQ-5D-3L and EQ-5D-5L utility scores was the highest (r=0.82), and also the ones between EQ-5D-3L and HINT-8 and between EQ-5D-5L and HINT-8 showed high correlations. The association of domains between EQ-5D instruments and HINT-8 showed pain and depression domains have high correlation coefficients, r=0.69 and r=0.78, respectively. The derived conversion formulae showed explanatory power of 57~69% and they seems to be reasonable. When converting the HINT-8 to EQ-5D-3L, the derived range was from 0.474 to 1, while the conversion range for EQ-5D-5L was from 0.259 to 1. The derived conversion formulae from this study considered all the available health related utility instruments in Korea. The others do not have a valuation study in Korea yet. Hence, this study has an importance that comparisons among the available health related utility measures in Korea. More specifically, the comparison between the future estimates of HINT-8 in the Korean National Health and Nutrition Survey (KNHANES) and the past estimates of EQ-5D-3L in the KNHANES will be possible. Also the comparison between HINT-8 and EQ-5D-5L will be useful in patient reported outcomes studies and economic evaluation studies. 본 연구에서는 건강관련 삶의 질 측정도구로 널리 쓰이고 있는 EQ-5D 도구들과 질병관리본부에서 국민건강영양조사에 사용할 목적으로 개발한 HINT-8 도구를 통해 얻어진 각각의 삶의 질 효용 값을 이용하여 EQ-5D 지수 산출을 위한 전환식을 도출하고, 이를 통해 HINT-8의 활용 가능성을 알아보고자 하였다. 연구를 위해 우리나라 일반인 220명을 대상으로 EQ-5D-3L, EQ-5D-5L, EQ-VAS, HINT-8 도구를 이용하여 설문을 실시하였으며 설문 내용은 SPSS 25.0을 이용하여 분석하였다. 연구 결과, 건강관련 삶의 질 지수의 평균은 EQ-5D-3L에서 0.94, EQ-5D-5L에서 0.91, EQ-VAS에서 0.84, HINT-8에서 0.84로 나타났다. 천장효과는 EQ-5D-3L에서 51.4%, EQ-5D-5L에서 47.3%, HINT-8에서 1.8%이었다. EQ-5D 도구와 HINT-8 도구 간의 관련성을 살펴본 결과 EQ-5D-3L 지수와 EQ-5D-5L 지수간의 상관관계가 0.82로 가장 높았다. 이번에 개발된 전환식은 국내 인구집단에서 가중치 연구가 출간되어 건강관련효용 측정 시 실질적으로 사용가능한 모든 도구들간의 비교를 가능하게 한다는 점에서 의의가 있다. 특히 앞으로 국민건강영양조사에서 사용될 HINT-8의 측정치를 기존의 조사에서 사용되었던 EQ-5D-3L 도구의 값과 비교하거나, 2016년에 국내 가중치가 출판된 EQ-5D-5L 도구의 측정치들과 비교하는데 유용할 것으로 생각된다.
This study investigates the wearing behavior and athleisure wear design preferences of women in their twenties as related to the design development of athleisure wear. A questionnaire survey was conducted on 185 women in their 20s. The survey was conducted from September to October 2016. Questionnaire items consisted of respondents' general items, athleisure wear and preference related items, and athleisure wear purchase related items. We collected 185 questionnaires from participants; subsequently, 169 were used as analytical data (except for incomplete questionnaires). The results of the study are as follows. Fit and wear comfort was the most important factor in the selection of athleisure wear. As a result of investigating the popularity of the athletic wear brand, the preference for the total sportswear brand was higher than the professional athletic wear brand. When the preferred colors were examined, the achromatic colors were ranked higher than chromatic colors. An examination of the preferred designs according to items indicated that the bra top preferred the 'U' shaped front plate and the 'Y' base basic type; in addition, T-shirts with the round neckline and the 1/4 length sleeves were preferred as tops. Leggings preferred long length type. It is necessary to develop a brand that matches the preference of the twenties' consumers by adjusting the aged target that can avoid the overheated competition and develop a niche market.