• 제목/요약/키워드: 10 Years Longitudinal Study

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A Longitudinal Study on the Prevalence of Major Adult Chronic Disease in Korean Employees between 2001 and 2010

  • Lee, Gyu-Jang;Kim, Soon-Ki;Kim, Hye-Young;Lee, Chang-Kyou;Lee, Seung-Gwan;Cho, Kyung-Jin
    • 대한임상검사과학회지
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    • 제44권1호
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    • pp.7-16
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    • 2012
  • The Korean GDP per capita doubled during the last 10 years. As the GDP increases, Korean health behaviors such as, eating, drinking, smoking, and exercise habits changed as well. Compared to the remarkably advanced diagnostic technologies and therapeutics during the last decade, the leading causes of death in Korea scarcely changed. Among the leading causes of death, cerebrovascular disease, heart disease, diabetes, liver disease and hypertension are closely related to health behaviors. Using the database of medical check-up between 2001 and 2010, the authors performed a longitudinal study for the prevalence rates and the trends of major chronic adult diseases among the 2,721 workers along with their health behavior. Among the diagnostic test items, fasting blood sugar, cholesterol and BMI levels showed steady increase and these three test items all showed linear trends (p<0.001). The average blood sugar and cholesterol levels were near worrying levels. Moreover, the average BMI of males was found to be at the overweight level, intimating the possibility reaching thee Obese Class I level soon if there are no aggressive counter measures. Fasting blood sugar and cholesterol levels were higher in a drinking group as compared to a non-drinking group, and the BMI levels were also higher in the drinking group and the smoking group as compared to the non-drinking and the non-smoking group (p<0.001). Finally, the authors believe that the fasting blood sugar, cholesterol and BMI levels should be designated as target monitoring test items in the medical check-up for Korean employees.

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다운증후군아동의 건강지도를 위한 발육차트의 작성 (Growth Chart for Growth-Assesment of Down Syndrome in Korea)

  • 박천만
    • 보건교육건강증진학회지
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    • 제15권1호
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    • pp.97-114
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    • 1998
  • This study's purpose is to clarify the growth pattern of Down Syndrome cases -particulary centering on the adolescent growth pattern - and to draw up a standard growth chart on body height and weight which is one estimation of physical growth for the effective caring of their health. I sampled 269 Down syndrome cases (Male 151, Female 118) whose ages ranged from 6 years of age to adulthood and 348 normal control cases (Male 175, Female 173) who were in same age group with Down Syndrome. We also picked 124 Down syndromes cases(Male 70, Female 54) and gathered 8 year longitudinal data on their body height and weight. The results were that, I found Down syndrome cases' height to be short and their weight to be overweight. As far as age at peak height velocity was concerned, boys were at 11-12 years of age and girls were at 10-11 years of age, showing that girls were about one year faster. Peak height velocity was 6.8cm/yr for boys and 5.4cm/yr for girls. The age at peak weight velocity were 12-13 years for age for boys and 10-11 years of age for girls. Peak weight velocity was 5.7kg/yr for boys and 4.3kg/yr for girls. The menarche age of girls with Down syndrome was anticipated to come about 2 years after peak height velocity and peak weight velocity. Finally, we drew up a standard growth chart and compared it with that of the NCHS, which caused us to come to the conclusion that the Standard Growth Chart for Down syndrome cases in Korea that came out of this study was appropriate for the growth-assesment of Down syndrome.

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중년기 여가생활이 행복과 건강에 미치는 영향에 대한 종단 연구 (The Longitudinal Effect of Leisure on Happiness and Health in Midlife)

  • 류승아 ;김경미 ;최인철
    • 한국심리학회지 : 문화 및 사회문제
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    • 제17권4호
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    • pp.415-434
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    • 2011
  • 여가생활은 우리의 삶의 질을 향상시키는 중요한 역할을 한다. 그러나 기존 연구들은 여가가 미치는 영향력을 종단적으로 살펴보지 못하여 그 인과관계를 정확히 확인할 수 없었다. 특히나 평균 수명이 80세에 달하는 오늘날 중년기는 노년기 못지않게 새로운 관심 영역으로 떠오르고 있다. 이에 본 연구에서는 중년기의 여가생활이 행복과 건강에 미치는 영향력을 종단적으로 알아보았다. 연구에 참여한 사람들은 총 145명으로 서울지역에 거주하는 40세에서 65세 사이의 중년기에 해당하였다. 설문은 10개월을 간격으로 재실시 되었으며, 여가생활에 관한 질문은 여가만족도와 여가참여시간을 조사하였다. 행복과 건강에 관한 설문 내용은 주관적 행복감, 심리적 건강 불편증상, 신체적 건강 불편증상, 및 수면의 질 등으로 구성되었다. 분석방법은 위계적 회귀 분석을 이용하여 1차 조사 시기의 여가만족도와 여가참여시간이 1차 때의 각 종속변인을 통제한 후에도 여전히 2차 시기의 종속변인에 영향력을 미치는지를 조사하였다. 분석 결과, 여가만족도는 10개월 후의 주관적 행복감, 심리적 건강 불편 증상, 그리고 수면의 질에 유의미한 영향을 미치는 것으로 나타났고, 여가참여시간은 주관적 행복감, 심리적 및 신체적 건강 불편증상에 유의미하게 영향을 주었다. 이러한 연구 결과를 바탕으로 중년기 여가 활성화를 위한 방안과 본 연구의 시사점을 논의하였다.

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한국산의류제품에 대한 중국소비자의 인식 변화: 종단적 연구 (Changes in Chinese Consumers' Perception toward Korean Apparel Products: A Longitudinal Study)

  • 유혜경
    • 한국의류학회지
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    • 제32권12호
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    • pp.1878-1890
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    • 2008
  • 이 연구에서는 주요 목적으로 중국소비자의 한국산의류제품에 대한 인식의 변화를 살피고자 하였다. 구체적으로 한국산의류를 구매할 때의 구매동기, 정보원, 구매기준과 한국산의류제품에 대한 평가를 조사하였다. 자료는 2002, 2003, 2005, 2007년 중국 북경의 젊은 여성을 대상으로 6월과 7월 중에 수집되었다. 총 603부의 설문지가 수집되었으며 그 중 578부가 최종분석에 사용되었다. 연도와 한국산의류구매경험을 포함한 이원변량분석을 실시한 결과, 전반적으로 구매동기와 여러 정보원의 중요도는 시간에 따라 상당히 변화하였으나 한국산의류제품에 대한 평가는 대부분 변하지 않은 것으로 나타났다. 이와 같은 시간에 따른 변화에 비하여, 중국소비자들의 한국산의류제품에 대한 인식은 구입경험에 따라 대부분의 변수에서 유의한 차이가 없는 것으로 나타났다.

A Case Study of Concrete Pavement Deterioration by Alkali-Silica Reaction in Korea

  • Hong, Seung-Ho;Han, Seung-Hwan;Yun, Kyong-Ku
    • International Journal of Concrete Structures and Materials
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    • 제1권1호
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    • pp.75-81
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    • 2007
  • The concrete pavement of the Seohae Highway in Korea has suffered from serious distress, only four to seven years after construction. Deterioration due to Alkali-Silica Reaction (ASR) has seldom been reported per se in Korea, because the aggregate used for the cement concrete has been considered safe against alkali-silica reaction so far. The purpose of this study is to examine the deterioration caused by an alkali-silica reaction of concrete pavement in Korea. The investigation methods included visual inspection and Automatic Road Analyzer (ARAN) analysis of surface cracks, coring for internal cracks, stereo microscopic analysis, scanning electronic microscope (SEM) analysis, and electron dispersive X-ray spectrometer (EDX) analysis. The results are presented as follows: the crack pattern of the concrete pavement in Korea was longitudinal cracking, map cracking or D-cracking. Local areas of damage were noticed four to five years after construction. The cracks started from edges or joints and spread out to slabs. The most intensive cracking was observed at the intersection of the transverse and longitudinal joints. Where cracking was the most intense, pieces of concrete and aggregate had spalled away from top surface and joint interface area. The progress of deterioration was very fast. The reaction product of alkali-silica gel was clearly identified by its generally colorless, white, or very pale yellow hue seen through a stereo optical microscopy. The typical locations of the reaction product were at the interface between aggregate and cement paste in a shape of a rim, within aggregate particles in the cracks, and in the large void in the cement paste. Most of the white products were found at interface or internal aggregates. SEM and EDX analysis confirmed that the white gel was a typical reaction product of ASR. The ASR gel in Korea mainly consisted of Silicate (Si) and Potassium (K) from the cement. The crack in the concrete pavement was caused by ASR. It seems that Korea is no longer safe from alkali-silica reaction.

House dust mite-specific immunoglobulin E and longitudinal exhaled nitric oxide measurements in children with atopic asthma

  • Lee, Youn Kyung;Yang, Sohyoung;Park, Joohyun;Kim, Heon;Hahn, Youn-Soo
    • Clinical and Experimental Pediatrics
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    • 제58권3호
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    • pp.89-95
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    • 2015
  • Purpose: House dust mite (HDM) has been suggested to be the most important aeroallergen responsible for atopic asthma in Korea. We aimed to investigate that specific IgE antibodies to HDM and other common indoor aeroallergens contribute differently to total serum IgE and show different relationships with longitudinal fractional exhaled nitric oxide (FeNO) measurements in Korean atopic asthmatic patients. Methods: A total of 193 children aged 8 to 16 years with intermittent or mild persistent atopic asthma were recruited. Sera were assayed for total IgE and specific IgE antibodies to HDM and other common indoor allergens. FeNO was serially measured 10 times or more over 2 years when subjects were not receiving controller medications. Results: In 152 children who completed the study, IgE antibodies to specific HDM were more prevalent than those to other common indoor aeroallergens. In addition, IgE antibody titers to HDM were the strongest contributor to total IgE increases. Furthermore, only HDM-specific IgE antibody titer significantly correlated with maximum FeNO (r=0.21, P=0.029) and the rate of FeNO higher than 21 parts per billion (ppb) (r=0.30, P=0.002). Eight patients (5%) were found to have maximum FeNO of 21 ppb or less, suggesting the presence of a low FeNO phenotype among atopic asthmatic patients. Conclusion: The quantity of HDM-specific IgE antibody provides a possible explanation for increases of total IgE and significantly correlates with the amount and frequency of FeNO increases in Korean atopic asthmatic patients.

Single Stage Circumferential Cervical Surgery (Selective Anterior Cervical Corpectomy with Fusion and Laminoplasty) for Multilevel Ossification of the Posterior Longitudinal Ligament with Spinal Cord Ischemia on MRI

  • Son, Seong;Lee, Sang-Gu;Yoo, Chan-Jong;Park, Chan-Woo;Kim, Woo-Kyung
    • Journal of Korean Neurosurgical Society
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    • 제48권4호
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    • pp.335-341
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    • 2010
  • Objective : Anterior cervical corpectomy with fusion (ACF) or laminoplasty may be associated with substantial number of complications for treating multilevel cervical ossification of the posterior longitudinal ligament (OPLL) with significant cord compression. For more safe decompression and stabilization in multilevel cervical OPLL with prominent cord compression, we propose circumferential cervical surgery (selective ACF and laminoplasty) based on our favorable experience. Methods : Twelve patients with cervical myelopathy underwent circumferential cervical surgery and all patients showed multilevel OPLL with Signal change of the spinal cord on magnetic resonance imaging (MRI). A retrospective review of clinical, radiological. and surgical data was conducted. Results : There were 9 men and 3 women with mean age of 56.7 years and a mean follow up period of 15.6 months. The average corpectomy level was 1.16 and laminoplasty level was 4.58. The average Japanese Orthopedic Association score for recovery was 5.1 points and good clinical results were obtained in 11 patients (92%) (p < 0.05). The average space available for the cord improved from 58.2% to 87.9% and the average Cobb's angle changed from 7.63 to 12.27 at 6 months after operation without failure of fusion (p < 0.05). Average operation time was 8.36 hours, with an estimated blood loss of 760 mL and duration of bed rest of 2.0 days. There were no incidences of significant surgical complications, including wound infection. Conclusion : Although the current study examined a small sample with relatively short-term follow-up periods, our study results demonstrate that circumferential cervical surgery is considered favorable for safety and effectiveness in multilevel OPLL with prominent cord compression.

두류식품의 지역 이름 브랜드화의 효과: 한국 소비자의 종적 데이터 분석을 중심으로 (The Effects of Regional Branding on Soybean Products: Evidence from Consumer Longitudinal Data in Korea)

  • 김태경;정구현
    • 유통과학연구
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    • 제14권10호
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    • pp.109-116
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    • 2016
  • Purpose - This study investigates the purchase pattern relating to soybean products in Korea. Specifically, the effect of branding based on a regional name was analyzed in terms of consumer purchase frequencies. The primary purpose of this study is to understand why family characteristics affect product selection for a regional brand in the soybean food category. Research design, data, and methodology - We used data collected by the Rural Development Administration (RDA) of Korea. The RDA has monitored agricultural food consumers for years in order to obtain purchase records. Panel participants live in regions near the capital city of Seoul, Korea. Examining data from January 2010 to May 2016, 667 families were selected for analysis. The final data set was 1,335,402. Each purchase item by each individual family was aggregated to a countable weekly observation. To analyze the data set quantitatively, zero-inflation regression was adopted, which was appropriate to avoid biases from overly dispersed observations. Results - We hypothesized the effects of regional branding from the viewpoint of the family characteristics. The first hypothesis was that the number of children would be positively associated with the purchase of a regional brand of soybean products. The result strongly supported this hypothesis. The second hypothesis was that the number of family members would be negatively associated with the purchase of the soybean products of a regional brand. Based on empirical analysis, we concluded that this hypothesis was partially supported. The third hypothesis was the presence of an interaction effect between the number of children and the family size, which was supported by the results. As a supplementary analysis, we also tested mean-variance differences in terms of categories and regional branding with corporate branding. Conclusion - The results of this study provide insights for regional branding strategies in agricultural food management. This study appears to be one of the seminal studies trying to analyze purchase patterns from longitudinal observations. In addition, this study adopted variables characterizing family lifestyle. This study confirmed that children and family size should be considered when soybean product brands are introduced.

자원봉사활동과 고혈압 및 관련 현상과의 전향적 연구 (Volunteering, Hypertension Risks, and Related Phenomena: A Prospective Cohort Study)

  • 이현기
    • 한국노년학
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    • 제41권3호
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    • pp.397-420
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    • 2021
  • 본 논문은 전향적 설계를 통하여 중장년 및 노년기 성인 자원봉사와 고혈압 발생, 고혈압증세 호전, 일상생활활동 어려움발생, 약복용 및 치료 등과의 관계를 규명하고자 한다. 이를 위해 2008년~2018년까지 10년에 걸쳐 수집된 종단 패널데이터를 사용했으며 분석 코호트 약 5,867명을 표본 추출하여 멀티레벨 혼합효과일반화선형 모델로 통계분석을 수행했다. 분석결과 자원봉사를 적어도 연 200시간 이상 한 사람은 안했을 때 보다 고혈압발생위험이 3.4배 낮았고, 연 50~99시간 한 사람은 안했을 때 보다 고혈압 증세호전이 더 크게 증가하였으며, 연 200시간 이상 자원봉사를 한 사람은 안했을 때 보다 활동어려움 발생확률이 7.7배 낮았으며, 그리고 연 50~99시간 자원봉사를 한 사람은 안했을 때 보다 약 복용 및 치료 발생 확률이 2.5배 낮은 것으로 나타났다. 이 결과는 중장년 및 노년기 성인의 자원봉사는 고혈압 및 관련 현상에 유익한 개선 효과가 있다는 것을 함의한다. 그리고 연구 한계점, 추후 연구방향, 실천함의를 논의했다.

Modeling Survival in Patients With Brain Stroke in the Presence of Competing Risks

  • Norouzi, Solmaz;Jafarabadi, Mohammad Asghari;Shamshirgaran, Seyed Morteza;Farzipoor, Farshid;Fallah, Ramazan
    • Journal of Preventive Medicine and Public Health
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    • 제54권1호
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    • pp.55-62
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    • 2021
  • Objectives: After heart disease, brain stroke (BS) is the second most common cause of death worldwide, underscoring the importance of understanding preventable and treatable risk factors for the outcomes of BS. This study aimed to model the survival of patients with BS in the presence of competing risks. Methods: This longitudinal study was conducted on 332 patients with a definitive diagnosis of BS. Demographic characteristics and risk factors were collected by a validated checklist. Patients' mortality status was investigated by telephone follow-up to identify deaths that may be have been caused by stroke or other factors (heart disease, diabetes, high cholesterol, etc.). Data were analyzed by the Lunn-McNeil approach at alpha=0.1. Results: Older age at diagnosis (59-68 years: adjusted hazard ratio [aHR], 2.19; 90% confidence interval [CI], 1.38 to 3.48; 69-75 years: aHR, 5.04; 90% CI, 3.25 to 7.80; ≥76 years: aHR, 5.30; 90% CI, 3.40 to 8.44), having heart disease (aHR, 1.65; 90% CI, 1.23 to 2.23), oral contraceptive pill use (women only) (aHR, 0.44; 90% CI, 0.24 to 0.78) and ischemic stroke (aHR, 0.52; 90% CI, 0.36 to 0.74) were directly related to death from BS. Older age at diagnosis (59-68 years: aHR, 21.42; 90% CI, 3.52 to 130.39; 75-69 years: aHR, 16.48; 90% CI, 2.75 to 98.69; ≥76 years: aHR, 26.03; 90% CI, 4.06 to 166.93) and rural residence (aHR, 2.30; 90% CI, 1.15 to 4.60) were directly related to death from other causes. Significant risk factors were found for both causes of death. Conclusions: BS-specific and non-BS-specific mortality had different risk factors. These findings could be utilized to prescribe optimal and specific treatment.