• 지역사회간호학회지
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• 제29권1호
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• pp.108-119
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• 2018

Purpose: The purpose of this study is to estimate the prevalence of the metabolic syndrome in pre-menopausal housewives and to explore controllable and uncontrollable factors regarding metabolic syndrome. Methods: The study population of this cross-sectional survey was from the Korean Health and Nutrition Examination Survey (KHANES) 2010 through 2015, including the fifth and sixth population-based studies. The criteria for metabolic syndrome include waist circumference, blood pressure, fasting plasma glucose, triglyceride, high-density lipoprotein (HDL) based on Korean Clinical Practice Guideline for Metabolic Syndrome by the Korean Academy of Family Medicine 2015. Results: Among the 2,498 subjects, 247 subjects had metabolic syndrome and the prevalence was estimated to be 9.9%. The number of subjects who met the criterion of HDL was 936 (36.2%), which was the most prevalent among the criteria for metabolic syndrome. Statistically significant (p<.05) factors include age, livinghood benefit group, perceived health status, obesity, family history of DM, sleeping time, awareness of stress,leukocyte, and erythrocyte count. The odds ratio of obesity in the BMI ${\geq}25$ group was 12.59 times as high as that of the BMI <25 group (p<.001) for metabolic syndrome. Conclusion: The prevalence of metabolic syndrome in pre-menopausal housewives in the survey was not low, and it is necessary to develop and apply comprehensive health habit management programs to improve controllable factors including exercise and food intake.

• 지역사회간호학회지
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• 제29권1호
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• pp.120-132
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• 2018

Purpose: This study is a systematic review and meta-analysis designed to investigate effects of alcohol management programs for Korean university students. Methods: Research results published until October 14, 2016 were systematically collected in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). A total of 12 papers were selected for the meta-analysis. To estimate the effect size, meta-analysis of the studies was performed with the Comprehensive Meta-Analysis 3.0. Results: The mean effect size of 12 studies in total (Hedges' g=-0.36; 95% Confidence Interval [CI]: -0.76~0.05) was not significant statistically. In a study of college students classified as problematic drinking (total of 9), the drinking program showed a median effect size of Hedges' g=-0.57(95% CI: -0.96~-0.18). Results of the drinking-related outcome variables showed a significant effect size (Hedges' g=-0.61; 95% CI: -1.10~-0.13), but psychosocial related outcome variables were not significant (Hedges' g=-0.50; 95% CI: -1.24~0.23). Conclusion: It can be seen that the alcohol management program for college students has a significant effect on controlling the problem drinking of college students. In addition, application of a differentiated drinking program with problem drinkers selected as a risk group will be effective in controlling drinking and drinking related factors.

• 한국융합학회논문지
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• 제2권1호
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• pp.21-29
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• 2011

이 연구의 목적은 2005년 우리나라 1개광역도 1개 군지역 2개면 5개리에 거주하는 주민에서의 우울증 요병율과 우울증 관련요인을 분석코자 시행되었다. 본 연구결과 전체 조사대상자의 15.0%가 우울증인 것으로 나타났다. 여자의 우울증 유병율이 19.3%로 남자의 우울증 유병율 8.4%보다 높게 나타났다. 다변수분석 결과 우울증과 관련이 있는 변수로는 일상생활에서 받는 스트레스 수준으로 즉, 스트레스를 많이 받는 사람에 비하여 보통인 사람이 0.11배 적게 받는 사람이 0.10배 유의하게 낮게 우울이 발생하는 것으로 나타났다 (p<0.01). 또한 65세이상 노인에서 다변량 로지스틱 회귀분석 실시결과, 직업이 농업인 경우에 비하여 무직이거나 기타 직종에 종사하고 있는 경우 우울증 발생이 9.58배 높았다. 또한 스트레스 정도에서는 스트레스를 일상생활 중 많이 느끼는 노인에 비하여 보통이나 적게 느끼는 경우 각각 0.05배, 0.11배 낮은 우울발생을 보였으며, 이는 통계적으로 유의하였다 (p<0.01).

• Journal of Gastric Cancer
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• 제16권3호
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• pp.152-160
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• 2016

Purpose: Endoscopic diagnosis of gastric cancer (GC) that emerges after eradication of Helicobacter pylori may be affected by unique morphological changes. Using comprehensive endoscopic imaging, which can reveal biological alterations in gastric mucosa after eradication, previous studies demonstrated that Congo red chromoendoscopy (CRE) might clearly show an acid non-secretory area (ANA) with malignant potential, while autofluorescence imaging (AFI) without drug injection or dyeing may achieve early detection or prediction of GC. We aimed to determine whether AFI might be an alternative to CRE for identification of high-risk areas of gastric carcinogenesis after eradication. Materials and Methods: We included 27 sequential patients with metachronous GC detected during endoscopic surveillance for a mean of 82.8 months after curative endoscopic resection for primary GC and eradication. After their H. pylori infection status was evaluated by clinical interviews and $^{13}C$-urea breath tests, the consistency in the extension of corpus atrophy (e.g., open-type or closed-type atrophy) between AFI and CRE was investigated as a primary endpoint. Results: Inconsistencies in atrophic extension between AFI and CRE were observed in 6 of 27 patients, although CRE revealed all GC cases in the ANA. Interobserver and intraobserver agreements in the evaluation of atrophic extension by AFI were significantly less than those for CRE. Conclusions: We demonstrated that AFI findings might be less reliable for the evaluation of gastric mucosa with malignant potential after eradication than CRE findings. Therefore, special attention should be paid when we clinically evaluate AFI findings of background gastric mucosa after eradication (University Hospital Medical Information Network Center registration number: UMIN000020849).

• 동서간호학연구지
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• 제26권1호
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• pp.1-16
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• 2020

Purpose: The purpose of this study was to evaluate the effectiveness of non-pharmacologic interventions for chronic nonspecific low back pain (CLBP) in adults aged 18-64 years. Methods: We searched for potentially relevant randomized controlled trials and non-randomized controlled trials through five Korean electronic databases (i.e., Korean Studies Information Service System, Research Information Sharing Service, Korean Medical Database, KoreaMed, and National Assembly Library) published from January 2010 to May 2019. Two investigators independently selected the studies based on the criteria and assessed risk of bias in the included studies. We estimated the effect size of interventions using Comprehensive Meta Analysis 3.3. Results: Of 10,151 studies, 26 studies met the inclusion criteria and 15 studies were included in the meta-analysis. Exercise reduced low back pain (Hedges's g=-1.53, 95% CI: -2.22 to -0.85) and pain-related disabilities (Hedges's g=-0.92, 95% CI: -1.40 to -0.45). We found that taping was effective in decreasing low back pain (Hedges's g=-1.12, 95% CI: -1.51 to -0.73) and pain-related disabilities (Hedges's g=-0.50, 95% CI: -0.93 to -0.07). Manual therapy yielded a marginally significant reduction in low back pain (Hedges's g=-2.32, 95% CI: -4.64 to 0.00), the therapy was not effective in decreasing pain-related disabilities. Conclusion: Although there was little evidence for the effectiveness of manual therapy in adults with CLBP, exercise and taping were effective to relieve pain and pain-related disabilities. Based on these findings, we suggest the development of non-pharmacologic interventions or a nursing intervention protocol for the CLBP management. Also, nurses should consider implementation of effective non-pharmacologic interventions for CLBP.

• 생물정신의학
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• 제22권1호
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• pp.1-6
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• 2015

Suicide, the fourth leading cause of death in Korea, is a serious national problem. The Korea National Suicide Survey (KNSS) is the result of the first legislation to address this issue, "Article 11 of THE ACT FOR THE PREVENTION OF SUICIDE AND THE CREATION OF A CULTURE OF RESPECT FOR LIFE" (the "Act for the Prevention of Suicide"). To overcome the limitations of previous studies, the KNSS was designed by collaborators from a variety of fields : psychology, epidemiology, social welfare, and psychiatry. The KNSS was composed of four substudies that addressed the multifaceted process involved in suicide-related behavior over time, exploring general attitudes toward suicide and suicidal ideation, suicide planning, suicide attempts, and completed suicides. Study 1 examined the risk factors for suicide based on data regarding completed suicides ; Study 2 adopted the approach of a psychological autopsy ; Study 3 focused on suicide attempters ; and Study 4 explored attitudes toward suicide in the general population. The KNSS was designed to provide a comprehensive understanding of suicide from a longitudinal, multifaceted perspective to serve as a basis for policies aimed at suicide prevention.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1105-1109
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• 2012

Breast cancer is the second most common cancer in women in India and the disease burden is increasing annually. The lack of awareness initiatives, structured screening, and affordable treatment facilities continue to result in poor survival. We present a breast cancer survival scenario, in urban population in India, where standardised care is distributed equitably and free of charge through an employees' healthcare scheme. We studied 99 patients who were treated at our hospital during the period 2005 to 2010 and our follow-up rates were 95.95%. Patients received evidence-based standardised care in line with the tertiary cancer centre in Mumbai. One-, three- and five-year survival rates were calculated using Kaplan-Meier method. Socio-demographic, reproductive and tumor factors, relevant to survival, were analysed. Mortality hazard ratios (HR) were calculated using Cox proportional hazard method. Survival in this series was compared to that in registries across India and discrepancies were discussed. Patients mean age was 56 years, mean tumor size was 3.2 cms, 85% of the tumors belonged to T1 and T2 stages, and 45% of the patients belonged to the composite stages I and IIA. Overall 5-year survival was 74.9%. Patients who presented with large-sized tumors (HR 3.06; 95% CI 0.4-9.0), higher composite stage (HR 1.91; 0.55-6.58) and undergone mastectomy (HR 2.94; 0.63-13.62) had a higher risk of mortality than women who had higher levels of education (HR 0.25; 0.05-1.16), although none of these results reached the significant statistical level. We observed 25% better survival compared to other Indian populations. Our results are comparable to those from the European Union and North America, owing to early presentation, equitable access to standardised free healthcare and complete follow-up ensured under the scheme. This emphasises that equitable and affordable delivery of standardised healthcare can translate into early presentation and better survival in India.

• 한국항만경제학회지
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• 제33권1호
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• pp.75-87
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• 2017

본 연구의 목적은 시스템 다이내믹스를 활용하여 선박 연료유 가격의 중장기 예측분석을 수행하는 것이다. 연료유 가격의 정확한 예측을 위해 가격 결정에 영향을 미치는 다양한 변수들 간의 인과적 관계를 바탕으로 정량화된 모델을 구축하였다. 연료유 가격 결정에는 유가에 영향을 미치는 원유 소비와 생산, 경제변화에 영향을 미치는 GDP, 환율 등과 함께 해운물류시장의 수요와 공급에 의해 결정되는 해상운임 등 다양한 구성변수들을 기반으로 시스템 다이내믹스를 활용한 연료유 가격을 예측하고 MAPEs 등을 통한 객관성을 검증하였다. 본 연구의 분석 결과 2029년까지의 연료유 가격은 2016년 대비 소폭 상승세를 보일 것으로 예상되지만 지난 2012년과 같은 급등세는 나타나지 않을 것으로 전망되었다. 본 연구는 각종 변수들 간의 동적인 인과관계를 활용하여 연료유 가격을 예측하여 합리적 추정결과를 유도할 수 있었다는 점과 가격 결정에 영향을 미치는 다양한 변수들의 구조적 관계를 손쉽게 파악함으로써 연료유 가격 변화에 대한 종합적인 위험 관리가 가능하여 해운기업의 효율적인 선대관리를 지원하는데 가치를 가지고 있다.

• Journal of Ginseng Research
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• 제34권2호
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• pp.77-88
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• 2010

Ginseng has been reported to reduce the risk of cancer in diverse organs, including the lip, oral cavity, pharynx, larynx, esophagus, lung, liver, pancreas, ovary, colon, rectum, and stomach, as demonstrated in clinical and epidemiological studies. studies, base on which findings, Panax ginseng has been classified as a "non-organ-specific cancer preventive." However, the recent keen interest in traditional medicinal herbs has been frequently questioned, about exact mode of action and the use of panaceic compounds has been a prime issue discussed in terms of complementary and alternative medicine. Several in vitro and in vivo studies have shown the mitigating effects of Korean red ginseng on Helicobacter pylori (H. pylori)-associated atrophic changes and carcinogenesis; However, evidence-based medicine, consisting of large-scale or well designed clinical studies, is still warranted whether Korean red ginseng is to be recognized as an essential therapeutic strategy regarding a "H. pylori-associated gastric cancer preventive." Specifically, comprehensive clinical trials of Korean red ginseng are needed to demonstrate that mucosal regeneration in patients with atrophic gastritis is feasible using Korean red ginseng supplements after the eradication of H. pylori infection. Ginseng is a good example of a natural herb and its ubiquitous properties may include the reduction or delay of inflammation carcinogenesis. Korean red ginseng contains ample amounts of active ginsenosides and we have demonstrated their effects in in vitro and in vivo studies with positive outcomes. In this review, the quantitative and qualitative benefits of Korean red ginseng in the treatment of H. pylori infection are described.

• 암석학회지
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• 제25권4호
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• pp.325-334
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• 2016

한반도에서는 크고 작은 지진이 꾸준히 발생하고 있음을 역사문헌과 계기지진 관측 자료를 통해 알 수 있다. 본 연구에서는 역사지진과 계기지진 자료를 이용해 지리정보시스템(GIS)의 공간분석 결과, 북한의 평양지역이 지진으로부터 가장 위험한 지역으로 결정되었다. 평양은 북한의 수도로서 인구와 구조물의 밀집도가 높아 지진뿐만 아니라 재해로 인해 큰 위험에 처할 수 있다. 502년 평양에서 발생한 규모 6.7의 지진을 토대로 지진동 지도를 작성한 결과, 0.24 g보다 높은 지진동을 느낄 수 있는 지역이 평양지역의 약 51.1%를 차지한다. 또한 통계청 자료에 의하면 북한은 우리나라보다 재해로부터 열악한 환경에 처해 있음을 확인할 수 있었다. 이번 연구결과는 향후 북한을 포함한 우리나라의 포괄적인 지진재해예측 연구에 유용한 정보로 사용될 수 있다.