In this study, the pattern of bilateral asymmetry in the eye orbit and nose of the Joseon Dynasty skeletal group was analyzed using geometric morphometrics. For this, 38 adult males and 38 adult females from the Joseon Dynasty skeletal group belonging to the 15(th) to early 20(th) centuries were examined. For geometric morphometric analysis, Procrustes superimposition was performed on 10 landmarks in both eye orbits and 7 nasal landmarks. The data were analyzed by multivariate analysis of variance with partial least square scores. In results, the lateral landmarks had more impact on the bilateral asymmetry in the eye orbit and nose than the center landmarks. The eye orbit and nose on the right side of the face seemed bigger than those of the left side, while the direction of asymmetry in the eye orbit and nose was different. The correlation between asymmetry patterns in the eye orbit and nose were statistically significant (p<0.01). The results of this study will be useful for examining causes of bilateral asymmetry in the eye orbits and noses of the Korean population.
Adult ; Female ; Humans ; Male ; Multivariate Analysis ; Nose* ; Orbit*

Purpose: This study aimed to identify the factors influencing job satisfaction among nurses working in integrated nursing care wards. Methods: The study participants were 196 nurses working in integrated nursing care wards at four general hospitals and one tertiary hospital. Data were collected using structured questionnaires from April 11 to 25, 2022, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation, and stepwise multiple regression with SPSS/WIN 26.0. Results: The factors influencing job satisfaction of participants were team structure (β=.32, p<.001), role conflict regarding nursing practice (β=-.24, p<.001), mutual support (β=.23, p<.001), master's degree or higher(β=.16, p=.004), and spousal presence (β=.15, p=.005). Conclusion The findings of this study suggest that the tasks and roles of team members should be clarified, and a supportive team culture of mutual cooperation should be fostered to improve the job satisfaction of nurses working in the integrated nursing ward. In addition, it is necessary to reduce role conflict by providing support focused on allocating tasks that can strengthen the role of professional nurses.

Objectives: Cognitive behavioral therapy for insomnia (CBT-I) is the first line treatment for insomnia. However, many patients remain with sleep disturbances even after undergoing CBT-I, and those with short sleep durations have shown fewer gains. Acceptance and commitment therapy (ACT) is one of the third wave of behavioral therapies, and it is useful in helping patients get flexibility of mind. Therefore, we incorporated its components into CBT-I, came up with an advanced CBT-I program that involves cognitive behavior therapy based on ACT, and examined its efficacy in comparison to that of CBT-I. Methods: Patients with chronic primary insomnia were recruited at the memory center of CHA University Hospital from June to August 2020. To examine the efficacy of advanced CBT-I compared to that of CBT-I, the patients (n=16) were assigned to two groups (CBT-I: n=6; advanced CBT-I: n=10). The patients in each group were treated for 4 weeks (8 sessions). The quality of sleep, severity of insomnia, sleepiness, depression, anxiety, acceptance, efforts to sleep, and dysfunctional beliefs concerning sleep were assessed with self-report questionnaires. Results: The severity of insomnia, quality of sleep, depression, anxiety, acceptance, efforts to sleep, and dysfunctional beliefs concerning sleep improved after both CBT-I and advanced CBT-I treatment. Conclusions This study examined the efficacy of advanced CBT-I in improving the severity of insomnia, sleep quality, and other symptoms related to sleep. The results suggest that components of ACT were useful for insomnia.

Objectives: Cognitive behavioral therapy for insomnia (CBT-I) is the first line treatment for insomnia. However, many patients remain with sleep disturbances even after undergoing CBT-I, and those with short sleep durations have shown fewer gains. Acceptance and commitment therapy (ACT) is one of the third wave of behavioral therapies, and it is useful in helping patients get flexibility of mind. Therefore, we incorporated its components into CBT-I, came up with an advanced CBT-I program that involves cognitive behavior therapy based on ACT, and examined its efficacy in comparison to that of CBT-I. Methods: Patients with chronic primary insomnia were recruited at the memory center of CHA University Hospital from June to August 2020. To examine the efficacy of advanced CBT-I compared to that of CBT-I, the patients (n=16) were assigned to two groups (CBT-I: n=6; advanced CBT-I: n=10). The patients in each group were treated for 4 weeks (8 sessions). The quality of sleep, severity of insomnia, sleepiness, depression, anxiety, acceptance, efforts to sleep, and dysfunctional beliefs concerning sleep were assessed with self-report questionnaires. Results: The severity of insomnia, quality of sleep, depression, anxiety, acceptance, efforts to sleep, and dysfunctional beliefs concerning sleep improved after both CBT-I and advanced CBT-I treatment. Conclusions This study examined the efficacy of advanced CBT-I in improving the severity of insomnia, sleep quality, and other symptoms related to sleep. The results suggest that components of ACT were useful for insomnia.

Traditional morphometrics uses ratios between measured values such as the cranial index and the upper facial index. However, with these ratios alone, it is impossible to represent the shape of the entire cranium in a three-dimensional space because ratio does not express coordinate data. This methodological limitation of traditional morphometrics makes it difficult to evaluate relations between cranial parts. However, it is important to assess relations between cranial parts because cranial parts change their shapes in an integrated way. Therefore, this study adopted geometric morphometrics to overcome the limitations of traditional morphometrics and provide a more enhanced visual analysis of the cranial shape. Using geometric morphometrics, this study focused on variations of cranial shapes in a population from Joseon Dynasty to obtain their specific characteristics. This study investigated variations of cranial shapes in 57 individuals from Seoul Gyeonggi province who lived in the 15th to the early 20th centuries. The coordinates of the crania were collected by MicroScribe G2X (Immersion Corporation, USA) and statistically analyzed using principal component analysis. The results showed that the variations in cranial shapes of females were reflected mostly in width, length of cranium, position of bregma, shape of posterior part of cranium, and length of facial bone. The cranial shapes of the males varied mostly in length, width, height of cranium, size of mastoid process, and length of facial bones. The cranial length became shorter when the cranial width became broader in both sexes. However, cranial height and facial length showed different variations between the two sexes. In addition, the variation in females only showed evidence of static allometry. The results of this research provide basic information about cranial shapes in a population from Joseon Dynasty and will be useful in future studies such as analysis on between-group differences. By identifying within-group variations first, researchers focusing on between-group differences will likely avoid erroneous conclusions.
Facial Bones ; Female ; Gyeonggi-do ; Humans ; Male ; Mastoid ; Principal Component Analysis ; Seoul ; Skull

OBJECTIVES: Schizophrenia patients have deficits of prediction and learning related to dopaminergic dysfunction. It is hypothesized that there would be different characteristics in associative learning of reward approach and loss aversion between controls and patients. METHODS: Participants were 23 healthy participants and 20 out-patients fulfilling criteria for schizophrenia according DSM-IV-TR. Using a monetary incentive contingency reversal task, successful learning rates, numbers of trials and errors till learning, numbers of trials of maintaining learning, response times were measured. Characteristics of learning were compared between controls and patients. RESULTS: Physical anhedonia and PANSS negative symptom scores correlated with the number of trials while loss aversion was maintained. Overall correct response rates were decreased in patient group, particularly during reward approach learning. Patients required more trials and errors to learn reward approach than controls. There were no significant differences in learning performance and reaction times between groups during loss avoidance learning. CONCLUSION: These results support previous reports of deficits in reward-driven learning in schizophrenia. However, anhedonia and negative symptoms were associated with the preserved function of loss avoidance learning.
Anhedonia ; Avoidance Learning ; Humans ; Learning ; Motivation ; Outpatients ; Reaction Time ; Reinforcement (Psychology) ; Reward ; Schizophrenia

Background/Aims: Frailty is mainly due to an age-related decrease in the physiological reserves needed to maintain biological homeostasis, but it can also occur as a result of chronic diseases. The purpose of this study was to identify illnesses associated with frailty in Korean community-dwelling older adults. Methods: This was a cross-sectional study that included 2,936 older adults aged between 70 and 84 years who had completed both interviews and physical function assessments for the Korean Frailty and Aging Cohort Study. Current illnesses diagnosed by physicians were included in the analysis. The definition of frailty was derived from the Fried frailty phenotype. Results: The prevalence of hypertension, diabetes mellitus (DM), arthritis, osteoporosis, urinary incontinence, and lung disease (including asthma, chronic obstructive pulmonary disease, and chronic bronchitis) was higher in the frail group (p < 0.05). After adjusting for age, sex, physical activity, alcohol, smoking, education, and presence of a spouse, the odds ratios for DM and urinary incontinence in frailty were 1.51 (95% confidence interval [CI], 1.10 to 2.01; p = 0.01) and 1.88 (95% CI, 1.11 to 3.18; p = 0.02). Conclusions In Korean community-dwelling older adults, DM and urinary incontinence were associated with frailty after adjusting for various factors. In the future, the list of comorbid diseases that are appropriate for Korean population- specific frailty assessment should be inventoried.

Background/Aims: We aimed to assess validity of the Korean Frailty Index (KFI) and the modified KFI (mKFI) in nationwide Korean population as screening measures for frailty status in older adults. Methods: Analysis was performed in the records of baseline assessments of 2,886 participants in the Korean Frailty Aging Cohort study from 2016 to 2017. The KFI included eight items on a history of hospitalization, self-reported health status, polypharmacy, weight loss, mood, incontinence, sensory problems, and timed up and go test. In mKFI, timed up and go test was replaced with a question whether a person can walk around a schoolyard. Cardiovascular Health Study (CHS) frailty scale was used as a gold standard. Results: In study population (mean age, 76; 47.6% men), score of the KFI correlated with the CHS scale. The KFI correlated with common geriatric parameters including Activities of Daily Living, nutritional status, cognitive performance, and mood. As a construct validity, items of KFI correlated with CHS scale. As a criterion validity, sensitivity was 81.6%, specificity was 67.0% to predict frailty by CHS scale with the score of 3 or higher in KFI. The KFI and mKFI correlated with each other (R2 = 0.88), and prediction ability for frailty by CHS scale was not significantly differed between KFI and mKFI. Conclusions The KFI and mKFI are valid instruments for frailty screening and might be useful as simple frailty screening tools to identify older adults who might benefit from comprehensive geriatric assessment and integrated, multidisciplinary geriatric care services.

Background: Occupational accidents occur for a variety of reasons, such as unsafe behaviors of workers and insufficient safety equipment at the workplace, but there are also various economic and social factors that can impact working conditions and working environment. This study analyzed the relationship between changes in economic factors and the occurrence of occupational accidents in Korea. Methods: Multilinear regression analysis was used as the analysis model. The general to specific method was also used, which consecutively removes statistically insignificant variables from a general model that includes dependent variables and lagged variables of dependent variables. Results: The frequency of occupational accidents was found to have a statistically significant relationship to economic indicators. The monthly number of cases of occupational injury and disease and fatal occupational injuries were found to be closely related to manufacturing capacity utilization, differences in the production index in the services sector, and commencements of building construction. The increase in equipment investment indicators was found to reduce fatal occupational injuries. Conclusion The results of this study may be used to develop occupational accident trends or leading indicators, which in turn can be used by organizations that manage and monitor occupational accidents toward taking administrative action designed to reduce occupational accidents. The results also imply that short-term and mid- to long-term economic and social changes that can impact workers, workplaces and working conditions, and workplace organizations must be taken into account if more effective government policies are to be established and implemented toward further prevention of occupational accidents.

Purpose: This study examined the degree of self-leadership, emotional intelligence, nursing professionalism, and nursing performance of intensive care unit (ICU) nurses, and aimed to identify factors influencing nursing performance. Methods: In this descriptive study, the study participants were 121 nurses with over 6 months of experience working at a tertiary general hospital in Seoul. Data were analyzed using descriptive statistics, the independent t-test and one-way analysis of variance, the Scheffé test, Pearson correlation coefficients, and stepwise multiple regression analysis. Results: The average scores for self-leadership, emotional intelligence, nursing professionalism, and nursing performance were 3.66±0.40, 5.06±0.62, 3.59±0.37, and 3.11±0.29, respectively. In this study nursing performance showed statistically significant differences according to gender (t=2.39, p=.018), age (F=20.62, p<.001), marital status (t=-2.94, p=.004), educational background (t=-4.05, p<.001), total experience (F=11.95, p<.001), ICU experience (F=12.44, p<.001), and work department (F=3.33, p=.026). Self-leadership (r=.41, p<.001), emotional intelligence (r=.31, p<.001), and nursing professionalism (r=.24, p=.007) were positively correlated with nursing performance. Factors affecting nursing performance were ICU experience (β=-.42, p<.001), self-leadership (β=.30, p=.001), and emotional intelligence (β=.17, p=.046), with a total explanatory power of approximately 35%. Conclusion ICU career experience, self-leadership, and emotional intelligence predicted higher nursing performance among ICU nurses.