• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.5
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• pp.2338-2348
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• 2013

This study was performed to determine the levels of physical functioning and to reveal its association with socio-demographic characteristics, health status and health related behaviors in the elderly people admitted long-term home care insurance. The interviews were performed, during the period from December 1, 2011 to March 31, 2012, to 618 home care elderlies admitted long-term care insurance dwelling in Daejeon city. As a results, the distribution of impaired ADL and IADL group of all subjects were 45.6% in ADL, and 48.4% in IADL. in consequently, the rate of impaired IADL group was higher than that of impaired ADL group. In logistic regression analysis, the adjusted odds ratio of the impaired ADL and IADL group were significantly increased in the group of male, living with spouse or family, bear for living expenses with son and daughter, health insurance, irregular exercise, seldom with frequency of going out, seldom with activity of hobbies, Subjective health status is good, and disability of body, visual acuity, hearing ability and mastication ability is good, and without urinary incontinence and amnesia. In conclusion, the level of physical functioning in the elderly people admitted long-term home care insurance was decreased in IADL than ADL. And the level of ADL and IADL were related with the various variables of socio-demographic characteristics, health status and health related behaviors.

• Proceedings of the KAIS Fall Conference
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• 2010.11b
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• pp.677-680
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• 2010

본 연구는 경기도 구리시의 2개 초등학교 5, 6학년 학생을 대상으로 시력 저하 실태 및 그와 관련된 요인들을 알아보고 시력 저하 예방교육의 기초자료로 활용하고자 시도 된 연구이다. 자료의 수집은 2009년 11월 1일부터 12월 10일까지 초등학교 5학년, 6학년 학생 793명(남 417명, 여 376명)이었고 2009학년도의 시력검사자료 분석과 문헌 및 기존의 조사도구를 토대로 개발한 자가 보고식 설문지를 이용하여 조사하였다. 자료 분석은 SPSS WIN 12.0(한글판)프로그램을 이용하여 빈도, 백분율, $x^2$-test 및 로지스틱 회귀분석의 통계적 방법으로 분석하였다. 시력저하에 유의한 영향요인으로 좌측시력을 종속변수로 한 경우 중 일반특성에 따른 변수인 부모 및 형제와 자매가 안경 및 렌즈 착용하는 경우, 경제적으로 어려울수록 시력 저하 자가 많았고, 환경특성에 따른 변수인 거실 및 방안밝기가 어두울수록, 컴퓨터 사용 시 실내밝기가 어두울수록, TV의 눈높이 및 컴퓨터 모니터의 눈높이가 높을수록 시력 저하 자가 많았다. 우측시력을 종속변수로 한 경우 중 일반특성에 따른 변수인 부모가 안경 및 렌즈를 착용할수록, 형제 와 자매가 안경 및 렌즈를 착용할수록, 경제적으로 어려울수록 시력 저하 자가 많았고, 환경특성에 따른 변수인 거실 및 방안밝기가 어두울수록, 컴퓨터 사용 시 실내밝기가 어두울수록, TV의 눈높이 및 컴퓨터 모니터의 눈높이가 높을수록 시력 저하 자가 많았다. 안경 및 렌즈를 종속변수로 한 경우 중 일반특성에 따른 변수인 부모 및 형제와 자매가 안경 및 렌즈를 착용할수록, 경제적으로 어려울수록 시력 저하 자가 많았으며, 환경특성에 따른 변수인 거실 및 방안밝기의 실내밝기가 어두울수록, TV의 눈높이 및 컴퓨터 모니터의 눈높이가 높을수록 시력 저하 자가 많았다. 눈 건강상태를 종속변수로 한 경우 중 일반특성에 따른 변수인 경제적으로 어려울수록 시력 저하 자가 많았고, 건강행동특성에 따른 변수인 주관적인 건강상태가 나쁠수록, 눈 피로감이 있을수록 시력 저하 자가 많았으며 환경특성에 따른 변수인 거실 및 방안밝기의 실내 밝기가 어두울수록 시력 저하 자가 많았다. 시력저하관련 요인을 연구한 결과 학생들의 시력 저하 자가 매년 증가하고 있다는 것을 알 수 있었고, 유전적 요인에 의한 시력저하는 개인의 노력에 의하여 사전예방이 어렵지만 환경적 요인에 의한 시력저하는 노력과 관심으로 사전예방이 가능하므로 학생들의 시력건강증진을 위하여 학부모와 학교 및 전문 의료기관이 서로 연계적인 협조 하에 학생들 개개인에 맞는 효율적인 시력증진관리프로그램 개발하는 것이 필요하고, 현행학교시력검사의 정확성을 기하기 위하여 표준화된 시력검사 지침을 개발하여 사용할 필요가 있으며, 지역 및 환경적 배경이 다르다 보니 연구결과가 다르게 나타나는 경우가 있는데 객관적인 결과를 도출하기 위하여 여러 지역의 학생을 대상으로 다양하고 체계적인 연구를 해야 할 필요성이 있다고 생각한다.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.389-397
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• 2010

Purpose: This study was to investigate the changes of refractive error and astigmatism associated with age in Korean subjects between the ages of 6 and 80 years during 10-year period. Methods: 220 normal subjects (345 eyes) who visited ophthalmic clinic was recruited and followed for 10 years between 1999 and 2009, cycloplegic manifest refraction being performed annually. Visual acuity was tested on a Han's chart. Results: The mean 10-year change in the spherical equivalent refraction (SER) of age 6 to 10 years old and 10 to 20 years was -3.649D and -2.165D respectively. There was no change of refractive error in age 21 to 40 years. The myopic shift decreased with age from 41 up to 69 years but increased slightly in patients 70 years and older; the hyperopic shift showed the opposite trend. The distribution of refractive error over the 10 years in aged 6 to 10 and 11 to 20 years was shifted myopic. The incidence of medium (> -3.01D) to high myopia at age 6 to 10 years was 4.8% and after 10 years was 62.5%. The 10-year change of astigmatism axis was in "with the rule" direction for younger age group and in a "against the rule" direction for older subjects. Conclusions: This study has documented refractive error changes in Korean subjects and confirmed reported trends of myopic shift from age 6-20 years and hyperopic shift before age 70 years and a myopic shift thereafter. The axis of astigmatism turns to "against the rule" after 40's.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.3
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• pp.349-354
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• 2015

Purpose: To investigate the changes of corrective values of astigmatism caused by the position of circle of least confusion on retina in refining astigmatic test using cross cylinder. Methods: 62 subjects (115 eyes) aged $22.24{\pm}2.48$ years participated for this study. After astigmatic test using a radial chart, refining test was performed using a cross cylinder in a condition of maximum plus to maximum visual acuity (MPMVA). Astigmatic refining test was repeatedly performed in each condition of which S+0.75 D, S+0.50 D, S+0.25 D, S-0.25 D, S-0.50 D, and S-0.75 D are added to spherical lenses of MPMVA. The measured values were compared with the values in MPMVA condition. Results: As compared with values in condition of MPMVA, change of astigmatic axis was increased with add the power of (+) spherical lenses and (-) spherical lenses. In same spherical condition, change of astigmatic axis was decreased with increment of astigmatic power (p<0.05). The corrective power of astigmatism was reduced with increment of (+) spherical lenses (p<0.05), and was raised with increment of (-) spherical lenses compared with the power in MPMVA condition. In case of adding (+) spherical lenses, difference of astigmatic power increased with increment of corrective astigmatism power in same test condition. Conclusions: In order to obtain a proper values for corrective astigmatism, position of circle of least confusion should be accurately adjusted before the performing an astigmatism's refining test.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.3
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• pp.243-251
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• 2016

Purpose: This study evaluates the effectiveness of intermittent exotropia vision training through follow up of average 3 years using proprioceptive test (Maindot test). Methods: 35 people (18 men, 17 women) with mean age of 13.48 (${\pm}2.45$) with corrected visual acuity of 0.9 or higher and normal binocular vision and control were observed for changes between before, after, and 3 years following the vision training during the period from 2005 to 2009. Results: After training, the correlation between the changed amount of deviation and PRC(diplopia) value and symptoms was not significant (p>0.05). However, it showed a statistically significant (p<0.001) correlation that change of the binocular proprioceptive sense abilities is decreased subjective symptoms. Conclusions: Binocular proprioceptive sense may be used in variety of purposes and applications such as predictive evaluation of binocular symptoms, binocular function performance evaluation after vision training and prism treatment.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.3
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• pp.327-331
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• 2011

Purpose: The purpose of this study was an accurate grasp of the astigmatic change due to eyes accommodation on near vision and suggested problems occurring accommodative astigmatism using near glasses. Methods: 154 subjects(308eyes) from 20 to 40 years selected for this study who had many opportunity of near vision. First, far vision corrective refraction measured using the phoropter, and then both eyes opened simultaneously for maintaining the function of binocular put away dot chart 40 cm. One eye was fogging and the other eye measured near vision astigmatism axis and degrees astigmatism using cross cylinder, and then compared with far astigmatism. Results: Increased degree of astigmatism persons on near vision more than decreased or did not changed degree of astigmatism persons, which could affect visual acuity more than 0.75 diopters in 30 eyes with an increase of 9.7% of total subjects. Direct astigmatism and oblique astigmatism were increased on near vision. Astigmatic axes were rotated base in direction on both eyes and 66.9% of subjects were more than ${\pm}$5$^{\circ}$ rotation. Due to the rotation axis of astigmatism, residual astigmatism is expected to occur and expect to adversely affect the eyes. Conclusions: Long-term using the glasses without correction of increased astigmatic and rotated axis on near vision should occur new residual astigmatism and increase the asthenopia also. Considered to be taken astigmatic change on near vision during near refraction examination.

• Pediatric Infection and Vaccine
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• v.27 no.3
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• pp.198-204
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• 2020

Cytomegalovirus (CMV) disease is rare in children who receive anticancer chemotherapy and have no history of stem cell transplantation (SCT). We report a case of CMV retinitis that developed during maintenance chemotherapy for acute leukemia. A 7-year-old boy developed decreased visual acuity and persistent pancytopenia during maintenance chemotherapy. Laboratory investigations initially showed significant CMV antigenemia (51 positive cells/200,000 leukocytes); however, antiviral therapy was not deemed necessary in this patient who had no history of SCT. CMV antigenemia worsened to 170 positive cells/200,000 leukocytes over 3 weeks. Ophthalmological examination revealed multiple bilateral retinal infiltrates and granular lesions. He was diagnosed with CMV retinitis and was treated with a 4-week course of intravenous ganciclovir and intravitreal injection of ganciclovir 6 times, followed by a 1-month course of orally administered valganciclovir. A CMV antigenemia assay showed negative results, and follow-up fundoscopy revealed lesser retinal infiltration after the sixth intravitreal ganciclovir injection. Future studies should focus on the development of standardized screening methods and preemptive therapeutic strategies for CMV disease in high-risk children.

• Journal of the Korean Society of Food Science and Nutrition
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• v.34 no.4
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• pp.466-475
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• 2005

Docosahexaenoic acid (22:6n-3, DHA) is highly enriched in membrane of brain and retina, and plays an important role in maintaining an optimal function of the central nervous system. We investigated the effect of n-3 fatty acid deficiency on rat brain, retina and liver fatty acyl composition at two different ages (3 wks and 15 wks) under DHA deficient condition. Rat pups born to dams fed a diet with $3.1\%$ of total fatty acids as $\alpha-linolenic$ acid (LNA) were fed using an artificial rearing system either an n-3 deficient (n-3 Def) or n-3 adequate (n-3 Adq) diet. Both diets contained $17.1\%$ linoleic acid (LA) but the n-3 Adq diet also contained $3.1\%$ LNA. Rats consuming the n-3 Def diet showed a lower brain $(50\%\;in\;13\;wks\;and\;70\%\;in\;15\;wks,\;p<0.05)$ and retinal $(50\%\;in\;13\;wks\;and\;63\%\;in\;15\;wks,\;p<0.05)$ DHA than those on the n-3 Adq diet, which was largely compensated for by an increase in docosapentaenoic acid (22:5n-6, DPAn-6). In the liver of the n-3 Def group, the percentage of DHA decreased by $97\%$ at 3 wks of age with an apparent increase in DPAn-6 relative to the n-3 Adq group (p<0.05), while there was a $65\%$ lower liver DHA in n-3 Def group at 15 wks of age than the n-3 Adq group (p<0.05). Liver arachidonic acid (20:4n-6, AA) was increased at 3 wks of age but decreased at 15 wks of age in the n-3 Def group compared with n-3 Adq group (p<0.05). In conclusion, the replacement of DHA by DPAn-6 in brain and retina fatty acid composition may be related to the suboptimal function in spatial learning, memory and visual acuity. This artificial rearing method presents a first generation model for n-3 deficiency that is similar to the case of human nutrition that commonly employed two generation model.