• 정신신체의학
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• 제28권1호
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• pp.29-35
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• 2020

연구목적 치료받지 못한 우울증은 자살위험성을 높인다는 여러 선행 연구결과에도 불구하고, 청소년기에 발병한 기분 장애가 치료받지 못한 경우 자살 위험성 및 자살 시도와 어떻게 연관되는지에 관한 연구결과는 거의 없어서 이를 확인하고자 하였다. 방 법 본 연구는 2017년 5월부터 2018년 4월까지 수집된 자료를 바탕으로 한 단면연구로, unipolar 혹은 bipolar depression으로 진단된 260명이 최종 분석에 포함되었다. 자가보고형 검사도구를 이용해 사회인구학적 특성과 우울 및 자살 관련 특성을 평가하였다. 과거력 상 우울 삽화 치료 여부에 따라 untreated군과 treated 혹은 1st episode 군으로 분류하였으며, 두 집단의 사회인구학적 특성과 임상적 특성을 비교했다. 다중 선형 회귀분석 및 다중 로지스틱 회귀분석을 시행하여 자살 위험성 및 자살 시도의 예측 인자를 분석했다. 결 과 총 260명의 환자 중 untreated군 189명, treated 혹은 1st episode 군은 71명 이었으며 untreated군에서 자살 시도한 비율, 우울 점수, 자살 위험성 및 자살시도 횟수가 유의하게 높았다. 자살시도를 예측하는 인자로는 과거력 상 치료받지 못한 경우[Adjusted Odds Ratio (AOR)=4.19, 95% Confidence Interval (CI)=2.25~7.81, p<0.001]와 양극성 우울증의 진단(AOR=2.60, 95% CI=1.52~4.46, p<0.001)이었다. 결 론 본 연구를 통해 청소년기 우울증의 86.7%에서 치료를 받지 못했음이 확인되었고, 치료받지 못한 우울증은 높은 자살위험성과 연관되었다. 향후 청소년기 우울증의 조기 선별 뿐 아니라 적극적인 치료적 개입이 이루어 지도록 정책 수립이 필요하며 이와 관련한 후속 장기 추적관찰 연구가 기대된다.

• 치위생과학회지
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• 제19권4호
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• pp.245-253
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• 2019

Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p<0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders' oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.

• 임상간호연구
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• 제23권3호
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• pp.302-311
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• 2017

Purpose: The purpose of this study was to examine nursing organizational culture and resilience and their effects on quality of nursing service. Methods: A cross-sectional study was conducted. A convenience sampling method was used to collect data from 199 participants who worked in a tertiary hospital in G city. Demographic and work related variables, quality of nursing service, resilience, and nursing organizational culture were measured using validated self-report questionnaires. Results: All of the participants were women and the majority were staff nurses and single. A statistically significant difference in quality of nursing service was found for age, marital status, educational level, clinical career, position and perceived health status. Age, educational level, clinical career, position, resilience, innovation-oriented culture, relation-oriented culture, and hierarchy-oriented culture were significant predictors of quality of nursing service, explaining 47% of total variance. Among the predictors, resilience was the strongest predictor, followed by innovation-oriented culture, and hierarchy-oriented culture. Conclusion: Findings indicate that quality of nursing service can be improved by raising individual nurse's resilience and advancing nursing organizational culture. Considering the identified factors, researchers and administrators need to develop and provide clinical nurses with a variety of programs to improve the quality of their nursing service.

• 한국구조물진단유지관리공학회 논문집
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• 제21권5호
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• pp.94-100
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• 2017

기존의 예인식으로 운용하는 사이드스캔소나의 경우 조사 시 사용자가 원하는 단면 조사에 어려움이 있어 수중구조물 전동 지그가 개발되었지만, 전동지그를 사용한 음파촬영방법의 경우 보트와 소나가 일체 거동하기 때문에 파랑에 의한 보트 롤링현상, 보트운전자의 운용미숙 등으로 인한 음파영상의 흔들림발생 등, 작업환경에 따른 여러 가지 문제로 인하여 데이터의 왜곡이 발생하였다. 따라서 본 연구에서는 기존 사이드스캔소나의 수중조사를 위한 장비운용 시 발생하는 영상의 흔들림을 해결하기 위해, 흔들림 보정센서를 부착하고 흔들림 보정 알고리즘을 개발하여 흔들림보정이 가능하도록 프로그램을 보완하였다. 또한, 소나 데이터 해상도의 향상 정도를 검증하기 위하여, 현장조사를 통해 흔들림 보정 전 후 음파영상을 수집하고 손상 의심부에 잠수사를 투입하여 실제 손상길이 및 수심을 측정하여 취득한 음파영상 데이터의 분석을 수행하였다. 본 연구는 향후 사이드스캔소나를 활용한 구조물의 수중부 및 하상면 음파영상 촬영기법의 발전에 기여할 것으로 판단된다.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4723-4733
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• 2015

본 연구는 재가노인의 지각된 건강상태, 자아존중감, 삶의 질이 생활만족도에 미치는 영향을 파악하기 위해 시도되었다. 연구방법은 G시 3곳의 노인대학을 다니는 노인 269명을 대상으로 한 횡단적 서술적 조사연구로, 2014년 3월 23일부터 2014년 4월 15일까지 자료를 수집하였다. 연구 통계방법은 SPSS WIN 21.0 프로그램으로 t-test, ANOVA, 피어슨 상관관계분석 그리고 다중회귀분석을 이용하였다. 그 결과, 연구대상자들의 생활만족도에 대한 평균점수는 27.05점 이었고, 연구대상자들의 자아존중감은 생활만족도와 통계적으로 유의한 양의 상관관계가 있었으며(r=.676, p<.001), 지각된 건강상태(r=-.602, p<.001)와 삶의 질(r=-.536, p<.001)과는 통계적으로 유의한 음의 상관관계가 있는 것으로 나타났다. 그리고 연구대상자의 생활만족도에 영향을 미치는 요인을 다중 회귀분석한 결과, 지각된 건강상태, 자아존중감, 삶의 질이 생활만족도에 영향을 미치는 요인으로 설명력은 59.3%로 나타났다. 이상의 본 연구 결과를 토대로 지각된 건강상태, 자아존중감, 삶의 질이 생활만족도에 영향을 미치는 것을 확인할 수 있었다. 그러므로 지역사회 재가노인의 지각된 건강상태를 긍정적으로, 자아존중감과 삶의 질을 증가시켜 생활만족도를 향상시킬 수 있는 프로그램 개발이 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2549-2554
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• 2016

Background: Early detection remains the cornerstone of breast cancer control in terms of outcome and survival. Thus far the only breast cancer screening method proven effective is mammography. The awareness of female health care workers (HCW) about breast cancer prevention is of vital importance, as their beliefs and behavior may have a major impact on other women. This study was designed to assess mammography screening uptake among female healthcare workers at primary healthcare centers, and to identify the primary motivators and barriers that affect uptake results. Materials and Methods: A cross sectional study design was used to assess mammography screening by 299 female healthcare workers who completed a self-administered questionnaire that assessed demographics, screening uptake, motivators and barriers. Results: The mean age was 46 years (within age of risk). The majority (95.1%) demonstrated adequate knowledge about breast cancer and mammography screening and 50% of the participants reported having at least one mammogram; however only 21% of them had regularly scheduled mammograms. The most frequent reported motivator was the perceived benefit that early detection of breast cancer is important for its management (89.6%), followed by the belief that mammography can detect breast cancer before its symptoms appear (84.4%). On the other hand, the most frequent barrier reported was being busy (46.7%), followed by the lack of perceived susceptibility (41.5%). Conclusions: Mammography screening was found to be sub-optimal in a population of HCW's with 50 % stating that they received a mammogram at least once, and a minority reported regular screening. There is a pressing need for educational programs aimed at removing the barriers that limit compliance with recommendations for mammography screening, and to emphasize the importance of early detection in breast cancer treatment. Ensuring the availability and accessibility of screening services, particularly for healthcare workers within their work settings are other important factors that would improve the acceptance and compliance for mammography screening programs.

• 사물인터넷융복합논문지
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• 제6권1호
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• pp.45-53
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• 2020

본 연구는 일 종합병원 간호사의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식과 사전의료의향서 작성에 대한 교육요구도의 상관관계를 확인하는데 그 목적이 있다. 연구의 대상자는 서울시 소재 일 종합병원에 근무하는 임상경력 3개월 이상의 간호사 169명이다. 자료수집기간은 2018년 7월 19일부터 7월 26일까지였고, 수집된 자료는 SPSS/WIN 23.0을 이용하여 분석되었다. 간호사의 임종기 치료에 대한 지식은 8.56±1.61점(11점 만점), 연명치료에 대한 지식은 5.11±0.94점(6점 만점), 사전의료의향서에 대한 지식은 8.02±1.33점(9점 만점)이었고, 사전의료의향서 작성에 대한 교육요구도는 4.31±0.58점(5점 만점)이었다. 사전의료의향서 작성에 대한 교육요구도는 연명치료에 대한 지식수준이 높을수록 높았고(r=.182, p=.018), 사전의료의향서에 대한 지식수준이 높을수록 높은 것으로 나타났다(r=.234, p=.002). 본 연구결과는 향후 사전의료의향서 교육프로그램 개발을 위한 기초자료를 제공하는데 그 의의가 있다.

• 대한지역사회영양학회지
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• 제7권5호
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• pp.639-653
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• 2002

The purpose of this study was to investigate the regional 야fferences in dietary supplement use and related factors among college students participating in nutritional education programs via the internet. The subjects in this study were 797 college students (male: 518, female: 279). A cross-sectional survey was conducted using a self-administered questionnaire about dietary supplement use, demographic characteristics, health-related lifestyles, nutrient intake, and data were collected via the internet and by mail. Dietary supplements were taken by 82.2% of subjects (males: 76.3%, females: 85.3%). There was a significant regional difference in supplement use (p<0.01). The supplements, used most frequent by male students in the Seoul and Incheon areas were lactic acid beverages and gagogi, in that order. Male students in the Kyunggi area used gagogi and lactic acid beverages in that order. Lactic acid beverages and Chinese medicine were used most frequently by male students in the Chungcheong area. Male students in the Kyungsang area used lactic acid beverages and water-soluble vitamins, in that order. Male students in Seoul and Kyungsang areas showed significantly higher percentage of keep on taking supplements compared to other areas (p<0.05). Both male and female students in the Seoul area had more frequent medical examinations, in comparison to students in other areas (p<0.05). Male students in the Kyungsang and Seoul areas took significantly more calcium (p<0.05) and iron (p<0.05), in comparison to students in other areas. Female students id the Kyunsang area took significantly more Vitamin A, phosphorous and iron (p<0.05), while those in the Seoul area took significantly more Vitamin C (p <0.01) and calcium (p<0.05) . Male students in the Chungcheong area took significantly less seaweed, in comparison to students in other areas (p<0.05) . Male students in the Seoul area had the highest amount of animal fat and oil, while those in the Incheon area ate the lowest amount of animal oil and fat (p<0.05). Female students in the Kyunggi area ate the highest amount of fruit, while those in the Incheon area ate the lowest amount of fruit (p< 0.05) , Female students in the Incheon area ate the highest amount of seaweed, while those in the Kyunggi area ate the lowest amount of seaweed (p<0.01). Therefore, it can be concluded that it is necessary to develop dietary supplements to optimize the nutritional status of college students in different areas of Korea.

• 한국운동역학회지
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• 제12권1호
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• pp.233-249
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• 2002

The purpose of this study was to employing MRI in the estimation of the biomechanical body segment parameters of Korean adults. for this purpose MRI study on 19 Korean living subjects were used to measurement. All the parameters that was concerned were inertial characteristics of human body mass of each segment, center of mass of them and the length of radius of gyration of them. The cross sectional images and saggital images of every 1cm interval were got using the 0.5 Tesla MRI from the top of head to the bottom of foot, whole body. And then, by tracing the images of the film and scanning them, got the area which the several tissues occupied in the image of slice. By summing the area of slice of each segment which were calculating and by multipling the density of the tissues, got the mass of segment and other inertial characteristics. The ratios of radius of gyration in both transverse axis and longitudinal axis though the segmental mass and segment length are as follow: male A : head($0.229\pm0.0029$), neck($0.256\pm0.0095$), thorax($0.374\pm0.0059$) abdomen($0.245\pm0.0020$), pelvis($0.368\pm0.0106$), thigh($0.288\pm0.0030$) shank($0.280\pm0.0043$), foot($0.277\pm0.0195$), upperarm($0.311\pm0.0074$) forearm($0.286\pm0.0051$), hand($0.253\pm0.0095$) female A : head($0.214\pm0.0032$), neck($0.254\pm0.0112$), thorax($0.295\pm0.0061$) abdomen($0.289\pm0.0021$), pelvis($0.329\pm0.0108$), thigh($0.288\pm0.0036$) shank($0.280\pm0.0047$), foot($0.243\pm0.0206$), upperarm($0.279\pm0.0083$) forearm($0.286\pm0.0048$), hand($0.229\pm0.0097$) male B : head($0.532\pm0.0006$), neck($0.533\pm0.0006$), thorax($0.658\pm0.0008$) abdomen($1.350\pm0.0022$), pelvis($0.875\pm0.0002$), thigh($0.213\pm0.0001$) shank($0.160\pm0.0001$), foot($0.152\pm0.0002$), upperarm($0.136\pm0.0002$) forearm($0.202\pm0.0002$), hand($0.273\pm0.0006$) female B : head($0.198\pm0.0002$), neck($0.335\pm0.0011$), thorax($0.238\pm0.0001$) abdomen($0.888\pm0.0001$), pelvis($1.318\pm0.0117$), thigh($0.095\pm0.0001$) shank($0.075\pm0.0001$), foot($0.181\pm0.0006$), upperarm($0.0.062\pm0.0001$) forearm($0.083\pm0.0001$), hand($0.105\pm0.0007$).

• 대한한의학회지
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• 제30권2호
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• pp.56-62
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• 2009

Objectives: We tried to clarify the relationship between lifestyle and plasma homocysteine concentration. We analyzed the data of patients with acute ischemic stroke from the Hanbang stroke registry supported by the Ministry of Science and Technology of Korea. Methods: 458 subjects were recruited from the patients admitted to the Internal Medical Department of Kyunghee University oriental medical center, Dongguk University Ilsan oriental medical center, Kyungwon University Songpa oriental medical center and Kyungwon University Incheon oriental medical center from April 2007 to August 2008. We divided the subjects into four groups by quartiles of plasma homocysteine concentrations and compared the first and last quartile groups. Results: 1. In univariate analysis, the high homocysteine concentration group showed higher rate of older age, male gender, smoking, drinking and lower values in vitamin B12, folic acid, creatinine than the control group with statistical significance. 2. In multivariate analysis, older age, male gender smoking and folic acid showed a close relationship with statistical significance (each OR=3.620, OR=4.218, OR=3.558, OR=0.789). Conclusions: According to the analysis, the relationship between high homocysteine concentration and smoking in patients with acute ischemic stroke were clarified. We hope to standardize and establish criteria on homocysteine in Korea by large epidemiological survey. These study results could be utilized in the future as a basis material.