• 한국지리정보학회지
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• 제15권2호
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• pp.23-34
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• 2012

본 연구의 목적은 도시계획사업의 일환인 도로건설사업으로 인한 문화시설에의 접근성 변화를 산정하고, 이를 존별 소득계층에 기반하여 비교함으로써 도시계획사업의 공간적 형평성을 분석하는 것이다. 분석을 위하여 대전광역시의 76개 존을 기초생활수급자 비율에 따라 고소득지역과 저소득지역으로 구분하였다. 2000년 이후 준공된 주요 간선도로인 대전천 하상도로와 갑천 도시고속화 도로의 건설에 따른 주요 문화시설에의 접근성 지수 개선효과를 분석한 결과, 시설 유형별 및 개개 시설의 규모별 가중치를 반영하지 않은 경우에는 0.26%, 이들 가중치를 반영한 경우에는 0.73%의 접근성 지수 개선 효과가 있었다. 그러나 이를 소득수준별로 구분하여 분석한 결과, 가중치를 반영하지 않은 경우에는 각각 0.30%와 0.21%, 그리고 가중치를 반영한 경우에는 0.89%와 0.54%로 고소득지역과 저소득지역간의 접근성 지수 개선 효과의 차이를 확인하였다. 이는 이들 도로의 건설로 인하여 고소득자 거주지역이 보다 큰 효과를 본 것으로서 계획사업에 의하여 공간적 형평성이 개선되지 못하고 오히려 확대된 것이라 할 수 있다. 본 연구에서는 도시계획사업 중 도로건설사업에 따른 소득계층 간 영향을 분석하였지만 이와 같은 방법론은 다른 대부분의 공공재 공급에 대해 적용이 가능할 것으로 판단된다. 특히, 최근 발달된 고급 GIS 등의 분석기법을 활용하면 보다 광범위한 방법론의 개발과 적용이 가능하며, 이에 따라 계획의 결과로서 효율성과 형평성에 대한 논의가 보다 활발해 질 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8107-8112
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• 2016

Background and Aims: Colorectal cancer is the second most frequent cancer in Malaysia. We aimed to assess the validity and reliability of the Malaysian Chinese version of European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire core (QLQ-C30) in patients with colorectal cancer. Materials and Methods: Translated versions of the QLQ-C30 were obtained from the EORTC. A cross sectional study design was used to obtain data from patients receiving treatment at two teaching hospitals in Kuala Lumpur, Malaysia. The Malaysian Chinese version of QLQ-C30 was self-administered in 96 patients while the Karnofsky Performance Scales (KPS) was generated by attending surgeons. Statistical analysis included reliability, convergent, discriminate validity, and known-groups comparisons. Statistical significance was based on p value ${\leq}0.05$. Results: The internal consistencies of the Malaysian Chinese version were acceptable [Cronbach's alpha (${\alpha}{\geq}0.70$)] in the global health status/overall quality of life (GHS/QOL), functioning scales except cognitive scale (${\alpha}{\leq}0.32$) in all levels of analysis, and social/family functioning scale (${\alpha}=0.63$) in patients without a stoma. All questionnaire items fulfilled the criteria for convergent and discriminant validity except question number 5, with correlation with role (r = 0.62) and social/family (r = 0.41) functioning higher than with physical functioning scales (r = 0.34). The test-retest coefficients in the GHS/QOL, functioning scales and in most of the symptoms scales were moderate to high (r = 0.58 to 1.00). Patients with a stoma reported statistically significant lower physical functioning (p=0.015), social/family functioning (p=0.013), and higher constipation (p=0.010) and financial difficulty (p=0.037) compared to patients without stoma. There was no significant difference between patients with high and low KPS scores. Conclusions: Malaysian Chinese version of the QLQ-C30 is a valid and reliable measure of HRQOL in patients with colorectal cancer.

• Journal of Preventive Medicine and Public Health
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• 제42권5호
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• pp.331-336
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• 2009

Objectives : The objectives of this study were to determine the relationship between lifestyle-implementation and metabolic syndrome in an electronics research and development company, and to provide a foundation for health providers of health management programs for setting priorities. Methods : From July 1 to July 16, 2008 we carried out a descriptive cross-sectional survey. Consecutive workers of one R & D company in Seoul, Korea (N=2,079) were enrolled in study. A checklist for lifestyle (from the National Health Insurance Corporation) consisted of questions regarding diet, drinking, smoking and exercise. After the survey, researchers obtained data from health profiles for metabolic syndrome(waist-circumference, triglycerides, HDL cholesterol, blood pressure and fasting blood sugar level). Lifestyle was recorded as good or not good. Statistical analysis of metabolic syndrome and the lifestyle of subjects was done using multiple logistic regression analysis. Results : The prevalence of metabolic syndrome in our study gropu was 13.3% (N=277). After adjustment for age, the adjusted odds ratios (odds ratio, 95% confidence intervals) for metabolic syndrome increased in proportion to the number of bad habits: two (1.72, 1.23-2.44), three (2.47, 1.73-3.56), and four (3.63, 2.03-6.34). Relative to subjects eating both vegetables and meat', the OR for 'meat' eaters was 1.66 (1.18-2.31). Compared with 'nonsmokers and ever-smoker', the OR for 'current-smoker' was 1.62 (1.25-2.10). Compared with 'Healthy drinker', the OR for 'unhealthy drinker' was 1.38 (1.05-1.83). Conclusions : Poor lifestyle was associated with an increased likelihood of metabolic syndrome. These findings suggest that lifestyle-based occupational health interventions for young employees should include a specific diet, smoking cessation, and healthy-drinking programs.

• International Journal of Advanced Culture Technology
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• 제6권3호
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• pp.59-68
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• 2018

This study was a cross-sectional descriptive study of the effects of emotional happiness on aging preparation for 45-60 year olds. Participants of this study were 312 volunteers and data was collected online, the collection period was from May 15, 2018 to May 31, 2018. The tools used in the research were the emotional happiness developed by Watson et al (1988) et al., the aging preparation developed by JH Lee (2009). Analysis was done using t-test, ANOVA, Pearson correlation, and regression by SPSS 18.0. As a result of the analysis, 84.0% of participants felt physically healthy and 89.8% felt mental health. The spouses of participants were physically 83.4% healthy and mentally 82.7% healthy. The correlation between emotional happiness, health cognition and aging preparation showed that physical health had a correlation with mental health (r = .482, p <0.01) and emotional happiness (r = .369, p <0.01), economic aging preparation (r = .411, p <0.01), social aging preparation (r = .119, p <0.01). Mental health was correlated with emotional happiness (r = .491, p <0.01), economic aging preparation (r = .411, p <0.01) and social aging preparation. Difference between emotional happiness and retirement preparation according to presence or absence of disease, emotional happiness (t = -4.503, p <0.01) and economic aging preparation (t = -4.960, p <0.01) were statistically significant. Emotional happiness affects the preparation of old age, emotional happiness affects to physical aging preparation under statistical significance (F=25.191, p<0.01), economic aging preparation (F=1131.783, p<0.01), and social aging preparation (F=147.672, p<0.01) which were sub components of aging preparation. Emotional happiness showed a 7.5% effect on the preparation of physical aging, 78.4% on economic aging preparation and 32.3% on social aging preparation. Based on the above results, it can be concluded that physical health and mental health are related to emotional happiness, economic aging preparation, and social aging preparation. And also these results can be inferred that the illness causes emotional less feeling of happiness and economic difficulty. Based on the results of this study, emotional well - being influences the retirement preparation significantly at statistical significance. Therefore, if the concept of emotional happiness is introduced to the old-age preparation program, it will be more client centered program.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup3호
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• pp.263-268
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• 2016

Cervical cancer is the fourth common cancer among women worldwide. Pap smear screening has resulted in deceasing incidence of cervical cancer in developed countries but low uptake of Pap smear screening among women in developing countries is still a public health challenge. The aim of this cross-sectional study was to assess the relationship between self-efficacy and timely uptake of Pap smear among Iranian women. A total of 580 married women referred to primary health care centers covered administratively by Shahid Beheshti University of Medical Sciences in Tehran were administered a questionnaire by trained staff. Data were analyzed with SPSS (version 16) software, using univariate and multivariate logistic regression. The mean age for participants was $33.1{\pm}8.8years$. There was a significant association between self-efficacy and Pap smear screening (P<0.01). There was also a positive correlation between duration of marriage and husband's education with Pap smear uptake (P<0.01). In univariate analysis, there was a significant association between Pap smear uptake and level of selfefficacy (OR = 15.3 for intermediate and OR=7.4 for good level), duration of marriage (OR = 5.7 for 5-14 years and OR=10.4 for more than 15), age (OR =2.7 for 27-34 years and OR=7.4 for more than 35 years) and husband education level (OR=2.3 for more than 12 years of education). In multivariate analysis, significant associations persisted between Pap smear uptake and self-efficacy (OR = 23.8; 95% CI: 8.7, 65.5), duration of marriage (OR = 5.9; 95% CI: 2.8, 12.2), age (OR = 3.9; 95% CI: 1.2, 12.9) and husband's education (OR = 2.5; 95% CI: 2.0, 10.3). Efforts are needed to increase women's knowledge about cervical cancer and improve their self-efficacy and perceptions of the Pap smear screening in order to reduce cervical cancer incidence and mortality rates.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5111-5116
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• 2013

Background: Early in the 21st century, cancers are the second cause of death worldwide. Colon cancer is third most common cancer and one of the few amenable to early diagnosis and treatment. Evaluation of factors affecting this cancer is important to increase survival time. Some of these factors affecting all diseases including cancer are social determinants of health. According to the importance of this disease and relation with these factors, this study was conducted to assess the relationship between social determinants of health and colon cancer survival. Materials and Methods: This was a cross-sectional, descriptive study for patients with colon cancer registered in the Cancer Research Center of Shahid Beheshti University of Medical Science, from April 2005 to November 2006, performed using questionnaires filled by telephone interview with patients (if patients had died, with family members). Data was analyzed with SPSS software (version 19) for descriptive analysis and STATA software for survival analysis including log rank test and three step Cox Proportional Hazard regression. Results: Five hundred fifty nine patients with ages ranging from 23 to 88 years with mean${\pm}$standard deviation of $63{\pm}11.8$ years were included in the study. The five year survival was 68.3%( 387 patients were alive and 172 patients were dead by the end of the study). The Cox proportional hazard regression showed 5-year survival was related to age (HR=0.53, p=0.042 for>50 years versus<50 years old) in first step, gender (HR=0.60, p=0.006 for female versus male) in second step, job (HR=1.7, p=0.001 for manual versus non manual jobs), region of residency (HR=3.49, p=0.018 for west versus south regions), parents in childhood (HR=2.87, p=0.012 for having both parents versus not having), anatomical cancer location (HR=2.16, p<0.033 for colon versus rectal cancer) and complete treatment (HR=5.96, p<0.001 for incomplete versus complete treatment). Conclusions: Social determinants of health such as job, city region residency and having parents during childhood have significant effects in 5-year survival of colon cancer and it may be better to consider these factors in addition to developing cancer treatment and to focus on these determinants of health in long-time planning.

• 한국산학기술학회논문지
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• 제18권12호
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• pp.93-99
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• 2017

지난해 국내에서 발생한 교통사고 사망자 수는 OECD 회원국 가운데 인구 10만명당 10명으로 35개국 중 6위를 기록하고 있고, 어린이나 노인과 같은 교통약자의 사고율도 높은 수준에 있다. 본 연구에서는 관련 문헌 검토, 교통사고분석시스템 자료를 이용한 사고요인분석 및 교통사고 특성 분석 등을 통하여 국내 비도심 지역 교통약자의 교통사고 저감을 위해 개발하고 있는 교통안전시설물을 소개하고자 한다. ICT기반 횡단보도용 교통안전 통합시설물은 어린이보호구역의 횡단보도를 우선 검토대상으로 하여 불법주차 차량을 배제하며, 보행자에게 횡단보도에 접근 차량이 있음을 알려주는 스마트 안전 휀스와 횡단보도 보행자가 있음을 인지하지 못한 운전자에게 경고하는 스마트 방지턱으로 구성하여 상호 작동하도록 설계하였다. 횡단보도용 교통안전시설물의 적정 형태 및 규모를 표준화하기 위하여 도로 기능, 보도 구분, 전력, 차로 수, 기학적 형태 등을 고려한 타입별 표준모델을 구축하였고, 시설물의 요구 기능을 정의하여 아이디어를 구체화하였다. 이에 따라, 교통약자의 교통사고를 저감하고, 태양광 전력공급, 기존 설치된 안전 휀스와의 호환성을 염두에 둔 디자인으로 유지관리비용 절감효과를 얻을 수 있을 것으로 기대한다.

• 대기
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• 제30권2호
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• pp.183-193
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• 2020

In this study, Yeongdong cold air damming (YCAD) cases that occur in winters have been selected using automatic weather station data of the Yeongdong region of Korea. The vertical and horizontal scales of YCAD were analyzed using rawinsonde and numerical weather model. YCAD occurred in two typical synoptic patterns such that low pressure and trough systems crossing and passing over Korea (low crossing type: LC and low passing type: LP). When the Siberian high does not expand enough to the Korean peninsula, low pressure and trough systems are likely to move over Korea. Eventually this could lead to surface temperature (3.1℃) higher during YCAD than the average in the winter season (1.6℃). The surface temperature during YCAD, however, was decrease by 1.3℃. The cold air layer was elevated around 120 m~450 m for LP-type. For LC-type, the cold layer were found at less than approximately 400 m and over 1,000 m, which could be thought of combined phenomena with synoptic and local weather forcing. The cross-sectional analysis results indicate the accumulation of cold air on the east mountain slope. Additionally, the north or northeasterly winds turned to the northwesterly wind near the coast in all cases. The horizontal wind turning point of LC-type was farther from the top of the mountain (52.2 km~71.5 km) than that of LP-type (20.0 km~43.0 km).

• 한국산림과학회지
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• 제86권1호
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• pp.46-55
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• 1997

이 연구는 산촌지역이 갖는 다양한 특성 중에서 인문환경적인 측면과 자연환경적인 측면의 변수를 이용하여 산촌지역이 갖는 입지적인 특성을 파악하고 그러한 특성에 기초해서 산촌지역의 유형을 분류함으로써 산촌정책을 수립하기 위한 기초자료를 제공하는데 목적이 있다. 1990년을 기준년도로 하여 전국의 읍면지역중 900개 읍면지역을 대상으로 입지적 특성과 관련한 11개 변수를 선정하고 그 특성을 구분지역간에 비교 분석하여 산촌지역의 입지적인 특성을 파악하였다. 그리고 이들 11개 입지적인 변수를 이용하여 입지유형을 분류함으로써 전국 읍면지역의 입지유형구분 및 산촌지역의 입지유형을 분류하였다. 연구결과 산촌지역은 인문환경적인 측면 즉, 사업체수, 일반가구수, 인구밀도 등이 다른 구분지역에 비하여 월등히 낮은 반면에 자연환경적인 측면 즉, 임야율, 경지중 밭비율, 중심도시까지의 거리, 농가율, 자연부락평균해발고 등에서는 다른 구분지역에 비하여 높게 나타나고 있다. 인자분석에 의하여 입지적 특성 변수에서 산업경제발달성, 산간성, 접근성의 대표인자를 추출하였고, 추출한 인자를 활용하여 군집분석을 실시한 결과, 산촌지역의 입지유형은 크게 5개 유형으로 대별되었다.

• 임상간호연구
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• 제23권1호
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• pp.9-19
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• 2017

Purpose: This study aimed to identify multidimensional factors influencing burnout in intensive care unit(ICU) nurses. Methods: A descriptive cross-sectional design was used. Data were collected during February 2016 from a convenience sample of 222 tertiary hospital ICU nurses and analyzed using t-test, ANOVA, correlation analysis, and multiple regression analysis. Results: Burnout correlated positively with compassion fatigue (CF)(r=.37, p<.001), and negatively with compassion satisfaction (CS)(r=-.66, p<.001). The regression model explained 57% of the variance in burnout. For individual characteristics in the model, perceived health status (${\beta}=-.27$, p<.001) and gender (${\beta}=.14$, p=.028) were the most influential factors for ICU nurses' burnout. In the model with added work-related characteristics, nursing environment (${\beta}=-.22$, p=.001), perceived health status (${\beta}= -.20$, p=.001), and satisfaction with department (${\beta}=-.19$, p=.007) were the most influential factors. Finally, for the model with psychological characteristics added, CS (${\beta}=-.56$, p<.001) and CF (${\beta}=.35$, p<.001) were the most influential factors. Conclusion: Results reveal that most ICU nurses have a moderate level of CF and a moderate to high level of CS and burnout, and that individual, work-related and psychological factors are relevant in ICU nurses' burnout. Programs or interventions to reduce burnout should be developed taking into account these multidimensional factors.