• Safety and Health at Work
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• 제4권1호
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• pp.27-36
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• 2013

Objectives: Mental health has been shown to be linked with certain underlying physiological mechanisms. The objective of this cross sectional study was to investigate the relationship between depressive symptoms and brachial artery reactivity (BAR) in an understudied population: police officers. Methods: Participants were 351 police officers who were clinically examined in the Buffalo Cardio-Metabolic Police Stress (BCOPS) study. BAR was performed using standard B-Mode ultrasound procedures. Depressive symptoms were measured using the Center for Epidemiological Studies Depression (CES-D) scale. Mean values of the difference between the baseline and maximum diameters of the brachial artery were determined across three categories of CES-D score using the analysis of variance and the analysis of covariance. p-values for linear trends were obtained from linear regression models. Results: The mean age (${\pm}$ standard deviation) of all officers was $40.9{\pm}7.2$ years. Women had a slightly higher mean CES-D score than men ($8.9{\pm}8.9$ vs. $7.4{\pm}6.4$) and a slightly higher percentage increase of BAR than men (6.90 vs. 5.26%). Smoking status significantly modified the associations between depressive symptoms and BAR. Among current smokers, mean absolute values of BAR significantly decreased as depressive symptoms increased after adjustment for age, gender, race/ethnicity, hypertension, and diabetes; the multivariate-adjusted p-values were 0.033 (absolute) and 0.040 (%). Associations between depressive symptoms and BAR were not statistically significant among former smokers or never smokers. Conclusion: Depressive symptoms were inversely associated with BAR among police officers who were current smokers and together may be considered a risk factor for cardiovascular disease among police officers. Further prospective research is warranted.

• 기술혁신연구
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• 제23권4호
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• pp.33-61
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• 2015

국가가 새로운 경제체제로 들어서게 되면서 겪는 어려움과 피해는 생각보다 크다. 지금까지 경제 패러다임이 바뀌면서 국가들이 겪었던 과정을 거치며 경제의 성장과 수렴을 일으킨 여러 가지 요인이 있었다. 특히 혁신과 제도는 그간의 경제성장에 있어서 중요한 요소임에도 횡단면 분석이나 경제적 모형측면에서만 다루어졌던 한계성이 있다. 본 연구에서는 국가혁신역량의 다양성과 제도의 질이 국가의 경제성장에 미치는 요인을 살펴보려고 한다. 또한 최근 경제성장의 주요요인으로 다루어지고 있는 인적자본역량과 해외직접투자와의 관계도 살펴보며, 경제성장 모형에 대한 심층적 고찰을 한다. 경제수준에 따라서 총 4개의 국가그룹으로 64개 국가를 대상으로 분석하였으며, 1995년부터 2011년까지의 데이터를 기반으로 패널모형을 사용해 연구문제에 대해 구조적인 측면의 시사점을 살펴보았다. 연구결과, 국가의 경제수준에 따라서 연구개발 비중과 혁신역량의 다양성은 경제성장에 의미있는 변화를 주었으며, 해외직접투자는 모든 소득그룹에서 경제성장에 긍정적인 효과를 보였다. 국가혁신역량에 있어서는 확산성과 개방성이 경제성장에 가장 의미있는 변수였으며, 이는 경제수준이 높은 국가들의 혁신역량이 경제성장에 미치는 영향이 크기 때문이라고 보인다. 반대로, 경제수준이 낮을수록 혁신역량 및 제도의 수준이 경제성장에 부정적인 영향을 미친다. 개별 국가의 제도의 질 및 경제수준에 따라서 차별적이기에 모호한 측면이 있다고 판단된다. 본 연구를 통해서 국가의 경제수준에 따른 혁신 요소 및 제도적 요인의 적절한 투입과 정책수립에 중요하다는 시사점을 줄 수 있다고 보인다.

• 한국의료질향상학회지
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• 제11권1호
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• pp.32-45
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• 2004

Objective : The aim of this study were to measure quality of life(QOL) in liver transplant recipients, to compare QOL between living donor liver transplant recipients and cadaveric liver transplant recipients and to investigate whether SF-36 may be used as a disease-specific instrument in liver transplant recipients. Methods : We conducted a single-center cross-sectional study of 133 LT recipients ages 13 to 65 years, all of whom had had Liver Transplantation(LT) at least 1 months previously. QOL was assessed using a self-completion questionnaire consisting of the Bang Whal Ran(1991) instruments and the 36-Item Short-Form Health Survey(SF-36) health status profile measure. We investigated whether the SF-36 instrument may be used as a disease-specific instrument in LT recipients. Individual scale scores range from 0 to 100, with higher score reflecting better health. Data on demographics, clinical status at pre transplantation 1 day, post transplantation clinical status, and graft function were collected to identify predictors of post transplantation QOL. Results : Standard measures for test-retest reliability, internal consistency, and discriminant and concurrent validity were examined. The reliability of the SF-36, as measured by test-retest correlation(Pearson coefficients: 0.729, p=0.002) and by internal consistency(Cronbach's alpha: 0.9431) exceeded conventional acceptability criteria. The correlation between domain scores of SF-36 and the Bang Whal Ran(l991) was clear and logical in that the clinical characteristics of SF-36 strongly correlated with the clinical component summary score of the Bang Whal Ran(l991)(r = 0.8155, P<.01). SF-36 scale scores were compared between Cadaveric Liver Transplant recipients and Living Donor Liver Transplant recipients. Donor types of post LT did not influence HRQOL(p>0.05). 87% of the liver transplant recipients were satisfied to get LT. Satisfaction of post LT showed significantly greater HRQOL(p<0.001). Conclusion : SF-36 is found reliable and valid. This study indicates thet Donor Type did not influence HRQOL after LT. The information gained from this study will help us to better define expectations and the clinical course after liver transplantation to patients and their families.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.6863-6870
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• 2015

Background: Breast cancer accounted for almost 25% of all cancers in women globally in 2012. Although breast cancer is the most prevalent cancer in India, there is no organised national breast cancer screening programme. Local studies on the burden of breast cancer are essential to develop effective context-specific strategies for an early detection breast cancer programme, considering the cultural and ethnic heterogeneity in India. This study examined the knowledge, attitudes, and practices about breast cancer in rural women in Central India. Materials and Methods: This community-based cross sectional study was conducted in Wardha district, located in Maharashtra state in Central India in 2013. The sample included 1000 women (609 rural, 391 urban) aged 13-50 years, selected as representative from each of the eight development blocks in the district, using stratified cluster sampling. Trained social workers interviewed women and collected demographic and socio-economic data. The instrument also assessed respondents' knowledge about breast cancer and its symptoms, risks, methods of screening, diagnosis and treatment, as well as their attitudes towards breast cancer and selfreported practices of breast cancer screening. Chi-square and t-test were applied to assess differences in the levels of knowledge, attitude, and practice (the outcome variables) between urban and rural respondents. Multivariable linear regression was conducted to analyse the relationship between socio-demographic factors and the outcome variables. Results: While about two-thirds of rural and urban women were aware of breast cancer, less than 7% in rural and urban areas had heard about breast self-examination. Knowledge about breast cancer, its symptoms, risk factors, diagnostic modalities, and treatment was similarly poor in both rural and urban women. Urban women demonstrated more positive attitudes towards breast cancer screening practices than their rural counterparts. Better knowledge of breast cancer symptoms, risk factors, diagnosis, and treatment correlated significantly with older age, higher levels of education, and being office workers or in business. Conclusions: Women in rural Central India have poor knowledge about breast cancer, its symptoms and risk factors. Breast self-examination is hardly practiced, though the willingness to learn is high. Positive attitudes towards screening provide an opportunity to promote breast self-examination.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8183-8189
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• 2014

Background: A comparative cross-sectional study involving oral cancer patients and healthy individuals was designed to investigate associations between retinol, ${\alpha}$-tocopherol and ${\beta}$-carotene with the risk of oral cancer. Materials and Methods: This study included a total of 240 matched cases and controls where subjects were selected from the Malaysian Oral Cancer Database and Tissue Bank System (MOCDTBS). Retinol, ${\alpha}$-tocopherol and ${\beta}$-carotene levels and intake were examined by high-performance liquid chromatography (HPLC) and food frequency questionnaire (FFQ) respectively. Results: It was found that results from the two methods applied did not correlate, so that further analysis was done using the HPLC method utilising blood serum. Serum levels of retinol and ${\alpha}$-tocopherol among cases ($0.177{\pm}0.081$, $1.649{\pm}1.670{\mu}g/ml$) were significantly lower than in controls ($0.264{\pm}0.137$, $3.225{\pm}2.054{\mu}g/ml$) (p<0.005). Although serum level of ${\beta}$-carotene among cases ($0.106{\pm}0.159{\mu}g/ml$) were lower compared to controls ($0.134{\pm}0.131{\mu}g/ml$), statistical significance was not observed. Logistic regression analysis showed that high serum level of retinol (OR=0.501, 95% CI=0.254-0.992, p<0.05) and ${\alpha}$-tocopherol (OR=0.184, 95% CI=0.091-0.370, p<0.05) was significantly related to lower risk of oral cancer, whereas no relationship was observed between ${\beta}$-carotene and oral cancer risk. Conclusions: High serum levels of retinol and ${\alpha}$-tocopherol confer protection against oral cancer risk.

• 한국광물학회지
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• 제28권1호
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• pp.9-16
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• 2015

통영산 해수양식진주를 광택과 모양에 따라 광택이 좋고 둥근(LR; Luster Round) 진주, 광택이 나쁘고 둥근(LLR; LackLuster Round) 진주, 바로크(LLB; LackLuster Baroque) 진주, 이핵(LTN Lackluster Two Nucleus) 진주로 세분하여 비중 측정, 현미경관찰, X선 회절분석, 주사전자현미경관찰 등을 통해 진주의 광택에 영향을 미치는 요인에 대한 광물학적 연구를 수행하였다. 광택이 좋은 진주는 광택이 나쁜 진주에 비해 비중이 약간 낮았지만 모두 상업적인 진주의 비중 내에 포함된다. 진주층 단면의 두께는 광택이 좋고 둥근 진주는 0.3 mm 정도로 균질한 반면, 광택이 나쁘고 둥근 진주는 각각의 진주층 두께는 균일하나 광택이 좋고 둥근 진주에 비해 두께가 얇다. 이핵 진주와 바로크 진주는 한 진주 내에서도 진주층 두께 편차가 상당히 큰 경향을 보였다. 진주의 표면은 광택이 좋은 진주가 광택이 나쁜 진주에 비해 아라고나이트 결정의 성장선이 좁고 선명하다. 광택이 좋은 진주는 광택이 좋지 않은 진주보다 아라고나이트 결정층의 결함이 적으며 배열이 평행하며 두께가 더 얇고, 표면과 내부에서 두께 차이가 작다. 능주층이 있는 경우 능주층과 진주층에서 아라고나이트 이외에 방해석이 포함되며, 광택이 나쁜 경우 방해석 함량이 매우 높다. 능주층이 없는 진주에서는 광택 여부에 상관없이 방해석이 없고 모두 아라고나이트로 구성되어 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2565-2571
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• 2016

A cross-sectional survey was conducted among 730 participants from 4 rural districts of Nakhon Ratchasima province, Thailand, with a reported high incidence of liver fluke infection. This study was aimed to examine and evaluate the nutritional status in relation to Opisthorchis viverrini infection. Participants were purposive selected from Chum Phuang, Mueang Yang, Bua Yai, and Kaeng Sanam Nang districts. Stool samples were prepared by Kato Katz technique and then assessed by microscopy. Anthropometry was evaluated according to the body mass index from weight and height. Descriptive statistics and Spearman rank correlation coefficients were used to evaluate the association between the nutritional status and O. viverrini infection. Of 1.64% infected with O. viverrini the highest proportions were found in age groups ${\geq}61$ and 41-50 years old, Mueang Yang district. The majorities of participants had normal weight (32.2%), followed by class II obesity (28.1 %), class I obesity (21.8%), underweight (10.3%), and class III obesity (8.63%). Nutritional status with class II obesity (rS=0.639, p<0.01) and class I obesity (rS=0.582, p<0.05), had moderately statistical significant correlations with O. viverrini infection. Meanwhile, normal weight (rS=0.437, p<0.05) and class III obesity (rS=0.384, p<0.05) demonstrated lower statistical significance. These findings raise the possibility that infection with O. viverrini may contribute to fat deposition and thereby have long-term consequences on human health. Further studies are needed to better understand whether O. viverrini contributes directly to fat deposition and possible mechanisms.

• Journal of Preventive Medicine and Public Health
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• 제38권3호
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• pp.291-297
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• 2005

Objectives : The effects of exercise on bone density have been found to be inconsistent in previous studies. We conducted a cross-sectional study in premenarcheal girls to test two hypotheses to explain these inconsistencies. Firstly,'the intensity of mechanical strain, in terms of the ground reaction force(GRF), has more important effects on the bone mass at a weight-bearing site', and secondly, 'calcium intake modifies the bone response to exercise'. Methods : The areal bone mineral density was measured at the Os calcis, using peripheral dual energy X-ray absorptiometry, in 91 premenarcheal girls aged between 9 and 12 years. The intensity of mechanical strain of exercise was assessed by a self-report questionnaire and scored by the GRF as multiples of body weight, irrespective of the frequency and duration of exercise. The energy and calcium intake were calculated from the 24-hour dietary recall. An analysis of covariance(ANCOVA) was used to determine the interaction and main effects of exercise and calcium on the bone density, after adjusting for age, weight, height and energy intake. Results : The difference in the bone density between moderate and low impact exercise was more pronounced in the high than low calcium intake group. The bone density for moderate impact exercise and high calcium intake was significantly higher than that for low impact exercise (p=0.046) and low calcium intake, after adjusting for age, weight, height and energy intake. Conclusions : Our study suggests that the bone density at a weight-bearing site is positively related to the intensity of mechanical loading exercise, and the calcium intake may modify the bone response to exercise at the loaded site in premenarcheal girls.

• 한국식품과학회지
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• 제52권5호
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• pp.510-515
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• 2020

본 연구에서는 글루텐 프리 쌀 빵의 품질을 개선하기 위해서 반죽 시 첨가되는 물의 양과 물의 온도 그리고 발효 시간을 다양하게 하여 글루텐 프리 쌀 빵의 품질을 비교해 보았다. 품질 비교를 위해서 빵의 단면적과 기공 개수, 기공의 면적, 부피, 빵의 경도 등을 측정해 보았으며, 그 결과 반죽 시 첨가되는 물의 온도 95℃가 0, 25℃에 비하여 단면적이 넓고, 기공의 개수가 많게 나타났으며, 발효시간이 2시간일 때 단면적이 가장 넓게 나타났다. 그리고 반죽 시 첨가되는 물의 양은 쌀가루 100 g에 130 g 이상의 물을 사용하였을 때 단면적의 넓이가 감소하는 것을 확인할 수 있었다. 결론적으로 95℃의 물을 50 g (쌀가루 50 g)을 사용하여 2시간 발효를 하였을 때 단면적이 가장 넓어지고, 기공의 개수가 많아 졌으며 경도도 낮아져서 부드러운 빵을 만들 수 있었다. 비록 밀가루를 사용한 빵보다 단면적의 크기가 작았지만, 기존의 방법을 이용하여 만든 글루텐 프리 쌀 빵과 비교하였을 때 부피와 단면적이 증가하였으며, 추후 부피 팽창에 도움을 줄 수 있는 증점제와 같은 첨가물 사용을 동시에 진행하게 된다면 더욱 품질이 좋을 글루텐 프리 쌀 빵을 만들 수 있을 것으로 기대된다.

• Clinical and Experimental Pediatrics
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• 제54권12호
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• pp.501-506
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• 2011

Purpose: A high level of air pollutants can increase the number of patients with allergy-related diseases such as asthma and allergic rhinitis (AR). To analyze the association between air pollution and allergic disease, we investigated 2 areas in Korea: Incheon, an industrial area, and Jeju, a non-industrialized area. Methods: Second grade students at elementary schools (11 schools in Incheon and 45 schools in Jeju) were examined in a cross-sectional study. A questionnaire was used and a skin prick test was performed. The levels of $NO_2$, $CO_2$, $O_3$, particulate matter (PM) $PM_{10/2.5}$, formaldehyde, tVOCs, and dust mites in the classrooms and grounds were determined. Results: The levels of outdoor CO, $PM_{10}$, and $PM_{2.5}$ were significantly higher in Incheon (P<0.01). The levels of indoor CO, $CO_2$, $PM_{10}$, $PM_{2.5}$ were significantly higher in Incheon (P<0.01). The prevalence rates of AR symptoms at any time, AR symptoms during the last 12 months, diagnosis of rhinitis at any time, and AR treatment during the last 12 months were significantly higher in Incheon (P<0.01). The prevalence rate of wheezing or whistling at any time, and wheezing during the last 12 months were significantly higher in Incheon (P<0.01). Conclusion: We found that the children living in Incheon, which was more polluted than Jeju, had a higher rate of AR and asthma symptoms compared to children in Jeju. To determine the effect of air pollution on the development of the AR and asthma, further studies are needed.