• 한국사회복지학
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• 제37권
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• pp.171-193
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• 1999

본 연구는 1990년대 들어 점차 심각해지고 있는 산재장애인의 재취업실태를 살펴보고, 재취업에 영향을 미치는 요인을 밝혀, 산재보험 재활서비스 체계의 강화하기 위한 개입방안을 제시하고자 하는 데 목적이 있다. 조사대상자는 1996년과 1997년 산재보험 장해보상금 종결자 중 신규장해판정자 1,060명이며 조사방법을 전화면접조사를 사용하였다. 본 연구를 통해 밝혀진 주요 결과를 보면, 첫째, 산재장애인의 재취업율은 자영업을 합쳐 약 28.6%로 전체 응답자의 약 1/3에도 못미치는 낮은 수준이었다. 둘째, 신체적 손실을 나타내는 장해등급 뿐만 아니라 일상생활능력정도 역시 재취업에 유의한 영향을 미치는 것으로 나타났는데, 이는 재취업에 있어 신체적 손상을 보완해 줄 수 있는 재활공학서비스의 중요성을 보여준다. 셋째, 재취업에 있어 신체적인 요인뿐만 아니라 자신의 장애를 수용하는 시기나 자신의 장애를 인식하는 점도 등과 같은 심리적인 요인도 유의한 영향을 미치는 것으로 나타나 재취업에 있어 사회심리적 재활프로그램의 필요성울 확인할 수 있었다. 넷째, 직업재활서비스 이용여부는 재취업에 유리한 영향을 미치지 못하는 것으로 나타났는데, 이는 현재 장애인 직업재활프로그램의 비효과성 측면과 더불어 직업재활프로그램의 저조한 참여에서 기인한 결과로 보인다. 이러한 결과를 통해 얻을 수 있는 함의는, 우선적으로 현재의 산재보험에서 투자하는 재활사업비를 확대하는 방안이 필요하며, 재활공학서비스의 연구개발사업을 활성화시키고, 현재의 산재보험 직업재활훈련체계를 재정립하고 프로그램 개발하는 등의 노력과, 사회심리재활서비스의 산재보험 수가화를 통한 확대, 개별상담원 도입 등의 방안 등을 적극적으로 검토해야 할 필요가 있다는 점이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3035-3039
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• 2014

Background: Lung cancer is one of the most prevalent malignancies in the world and both incidence and mortality rates are continuing to rise in Pakistan. However, epidemiological studies to identify common lung cancer determinants in the Pakistani population have been limited. Materials and Methods: In this retrospective case-control study, 400 cases and 800 controls were enrolled from different hospitals of all provinces of Pakistan. Information about socio-demographic, occupational, lifestyle and dietary variables was extracted by questionnaire from all subjects. Odd ratios (ORs) and 95% confidence intervals (CIs) were calculated. and dose-response associations were also assessed for suitable factors. Results: Strong associations were observed for smoking (OR=9.4, 95%CI=6.9-12.8), pesticide exposure (OR=5.1, 95%CI=3.1-8.3), exposure to diesel exhaust (OR=3.1, 95%CI=2.1-4.5), red meat consumption (OR=2.9, 95%CI=1.8-4.7) and chicken consumption (OR=2.8, 95%CI=1.7-49). Other associated factors observed were welding fumes (OR=2.5, 95%CI=1.0-6.5), sedentary living (OR=2.0, 95%CI=1.6-2.6), family history (OR=2.0, 95%CI=0.8-4.9), wood dust (OR=1.9, 95%CI=1.2-3.1), tea consumption (OR=1.8, 95%CI=1.2-2.6), coffee consumption (OR=1.8, 95%CI=1.1-2.8), alcoholism (OR=1.7, 95%CI=1.1-2.5) and asbestos exposure(OR=1.5, 95%CI=0.5-4.4). Consumption of vegetables (OR=0.3, 95%CI=0.2-0.4), juices (OR=0.3, 95%CI=0.3-0.4), fruits (OR=0.7, 95%CI=0.5-0.9) and milk (OR=0.6, 95%CI=0.5-0.8) showed reduction in risk of lung cancer. Strongest dose-response relationships were observed for smoking ($X^2=333.8$, $p{\leq}0.0000001$), pesticide exposure ($X^2=50.9$, $p{\leq}0.0000001$) and exposure to diesel exhaust ($X^2=51.8$, $p{\leq}0.0000001$). Conclusions: Smoking, pesticide exposure, diesel exhaust and meat consumption are main lung cancer determinants in Pakistan. Consuming vegetables, fruits, milk and juices can reduce the risk of lung cancer risk, as in other countries.

• Asian Pacific Journal of Cancer Prevention
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• 제16권10호
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• pp.4451-4456
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• 2015

Background: The aim of our present study was to compare quality of life (QoL) between intermediate-stage (BCLC-B) HCC patients who had undergone either liver resection or transcatheter arterial chemoembolization (TACE). Materials and Methods: A total of 102 intermediate-stage HCC patients participated in our study, including 58 who had undergone liver resection and 44 who had undergone TACE. Baseline demographic characteristics, tumor characteristics, and long-term outcomes, such as tumor recurrence, were compared and analyzed. QoL was assessed using the Short Form (SF)-36 health survey questionnaire with the mental and physical component scales (SF-36 MCS and PCS). This questionnaire was filled out at HCC diagnosis and 1, 3, 6, 12, 24 months after surgery. Results: For the preoperative QoL evaluation, the 8 domains related to QoL were comparable between the two groups. The PCS and MCS scores were significantly decreased in both the TACE and resection groups at1 month after surgery, and this decrease was greater in the resection group. These scores were significantly lower in the resection group compared with the TACE group (P<0.05). However, these differences disappeared at 3 and 6 months following surgery. One year after surgery, the resection group showed much higher PCS scores than the TACE patients (P=0.018), and at 2 years after surgery, the PCS and MCS scores for the resection group were significantly higher than those for the TACE group (P<0.05). Eleven patients (19.0%) in the resection group and 17 (38.6%) in the TACE group suffered HCC recurrence (P<0.05). Univariate and multivariate analyses indicated that tumor recurrence (HR=1.211, 95%CI: 1.086-1.415, P=0.012) was a significant risk factor for poorpostoperative QoL in the HCC patients.Conclusions: Due to its effects on reducing HCC recurrence and improving long-term QoL, liver resection should be the first choice for the treatment of patients with intermediate-stage HCC.

• Asian Pacific Journal of Cancer Prevention
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• 제16권10호
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• pp.4429-4434
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• 2015

Background: Public awareness/knowledge on oral and pharyngeal cancer (OPC), potentially malignant disorders (PMODs) and their risk factors is crucial for prevention and early detection of OPC and PMODs. Yet, there are no published data available on the awareness and knowledge of OPC and PMODs among people living in Far North Queensland, Australia. Materials and Methods: This study was conducted as a cross sectional survey. A self-administered questionnaire was designed and consisted of relevant questions to ascertain socio-demographic information, awareness and knowledge of OPC, PMODs and risk factors and questions on participant's exposure to risk factors and dietary history were also included. Survey was carried out at the Dental Clinic of the James Cook University School of Dentistry (JCU Dental), Cairns, Australia. Subjects above the age of 20 years (n=366) were randomly selected during the period from 31st July to 6th September 2013 and questionnaire was distributed to complete while they are waiting for treatment. Data analysis was carried out using SPSS version 21 and the chi -squared test was employed to compare groups. P<0.05 was considered statistically significant. Results: The study revealed that 52.3% of the respondents were aware of the existence of OPC but only 19.0% were aware of PMODs. Of those who were aware of oral cancer, 92% agreed or strongly agreed that smoking is a strong risk factor for OPC. Similarly a relatively high proportion of the respondents agreed or strongly agreed that tobacco chewing (84%), tobacco chewing with areca nut (68%), chewing areca nut alone (51%) and exposure to actinic radiation (71%) as risk factors. However, the results for alcohol intake, age, and HPV infection were found to be relatively poor with proportions 33%, 34%, and 23% respectively. Conclusions: This study revealed an alarming lack of awareness and knowledge of OPC and PMODs.

• 한국콘텐츠학회논문지
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• 제11권10호
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• pp.416-424
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• 2011

본 연구는 브랜드개성에 따른 한식 시장세분화를 통해 세분집단 간 한식소비행동과 만족도 및 충성도를 살펴보고자 하였다. 국내 거주 일본인과 한국방문 일본관광객들을 연구대상으로 설문조사를 실시하였다. 통계분석은 한글 SPSSWIN 19.0 프로그램을 이용하여 빈도분석, 요인분석, 군집분석, 분산분석, $x^2$ 등을 실시하였다. 실증분석결과는 다음과 같다. 첫째, 한식 브랜드개성은 진실성, 강인성, 능력성, 세련성, 흥미성 등 다섯개 차원으로 도출되었다. 이를 기초로 유형화한 결과 흥미추구집단(18.7%), 세련성추구집단(59.7%), 능력 진실성추구집단(21.6%) 등 세 개의 집단으로 분류되었다. 둘째, 세분집단 간 인구 통계적 특성과 한식 소비행동에 유의한 차이가 있는 것으로 나타났다. 셋째, 세분 집단 간 한식만족도와 충성도에도 유의한 차이가 있는 것으로 나타났다. 특히, 타 집단보다도 능력 진실성추구집단이 만족도와 충성도가 가장 높은 것으로 나타났다. 따라서 각 세분집단에 적합한 한식마케팅전략이 실행되어야 할 것이다.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.263-273
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• 2016

본 연구의 목적은 노인의 사회적 배제가 자살에 미치는 영향에 대한 적응유연성의 조절효과를 검증하는 것이며, 연구결과는 다음과 같다. 첫째, 인구사회학적 특성에 따른 자살 생각에 영향을 미치는 요인으로 연령, 교육수준, 혼인상태, 자녀와의 동거유무가 차이가 있는 것으로 나타났다. 연령은 75세 이상 80세 미만이 자살 생각을 가장 많이 갖는 것으로 나타났으며, 교육수준은 학력이 낮아질수록 자살 생각이 증가하는 것으로 나타났다. 그리고, 이혼, 사별, 별거 등으로 혼자된 노인과 자녀와 비 동거 상태인 노인일수록 자살생각을 많이 갖는 것으로 나타났다. 둘째, 노인의 사회적 배제가 높을수록 자살생각이 높은 것으로 나타났다. 셋째, 노인의 사회적 배제가 자살생각에 미치는 영향에 대한 적응유연성의 조절효과가 있는 것으로 나타났다. 마지막으로 기울기 검정 결과는 사회적 배제가 높은 집단의 적응유연성이 낮은 것으로 나타났다. 본 연구결과 노인의 자살생각이 자살행위로 이전되기 전 예방을 위한 사회적 차원의 정책적 방향성을 제시하고자 함이며, 보호요인인 적응유연성에 대한 실천적 함의를 후속연구로 제언하고자 한다.

• 생물정신의학
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• 제20권4호
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• pp.144-150
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• 2013

Objectives The number of marriage immigrant women has been increasing in the past several years in Korea and their adaptations to the new environment have been an important social issue. The aims of this study were to evaluate the psychosocial and mental health statuses of Vietnamese marriage immigrant women (VMIW). We intended to compare the mental health of VMIW with married Vietnamese women living in Vietnam and reveal the demographic or psychosocial factors affecting their mental health. Method Subjects comprised one-hundred-forty-three VMIW who enrolled in multiculture family support centers in Chungbuk Province and forty-eight women from Vinh Phuc province in Vietnam. Marital satisfaction, domestic violence and social support were evaluated as psychosocial factors, and the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and General Health Questionnaire (GHQ) were used to evaluate mental health. Results VMIW had a larger age gap with their husbands but better psychosocial statuses. BDI (p = 0.20), BAI (p = 0.08), GHQ (p = 0.13) scores of VMIW were not significantly different compared to Vietnamese residents. Marriage duration of VMIW affects significantly their marital satisfaction, social support and depressive levels (p < 0.01). The level of domestic violence showed a significant difference according to the educational levels of their husbands, composition of family members and marriage process (p < 0.05). VMIW with older husbands and jobless VMIW had low levels of anxiety (p < 0.01). Conclusion The results suggest that VMIW have no difference in mental health compared to Vietnamese women living in Vietnam which is contrary to general expectations. However, various environmental factors, such as marriage duration, have an effect on the mental health of VMIW. As marriage duration is proven to be important factor on mental health of VMIW, more extended duration of care and interventions are needed to maintain good mental health. Networking system connecting mental health screenings by the multiculture family support center to the local mental healthcare center is needed to care those with poor screening outcomes.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.7078-7088
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• 2015

본 연구의 목적은 노인 고혈압 환자의 건강행태, 수면 관련 요인이 인지기능에 미치는 영향을 파악하는 것이다. 연구대상은 지역사회에 거주하는 65세 이상 노인 중 고혈압을 진단 받은 140명이었다. 자료 수집은 2013년 2월 5일부터 5월 1일까지로 일대일면접 설문조사로 시행되었다. 연구도구는 Pittsburgh Sleep Quality Index(PSQI), Epworth Sleepiness Scale(ESS)와 한국어판 노인용 간이정신상태 검사 도구를 사용하여 측정하였다. 연구결과, 노인고혈압 환자의 인지기능은 수면의 질 저하와 유의한 음의 상관관계를 나타냈다(r=-.29, p<.001). 수면시간은 체질량지수(r=-.18, p=.032) 및 수면의 질 저하(r=-.59, p<.001)와 유의한 음의 상관관계가 있었고, 주간졸음과는 유의한 양의 상관관계가 있었다(r=.22, p=.008). 위계적 회귀분석 결과, 노인 고혈압 환자의 연령, 교육수준, 거주유형은 인지기능과 유의한 관련성이 있으며(F=8.56, p<.001, Adjusted $R^2=.14$), 인구사회학적 특성과 건강행태를 통제한 상태에서 수면의 질 저하(${\beta}=-.27$, p=.008)는 인지기능에 유의한 영향을 미치며, 최종 모형의 설명력은 17%였다(F=4.09, p<.001). 그러므로 노인 고혈압 환자의 인지기능 향상전략은 연령, 교육수준, 거주유형을 고려하고, 낮은 수면의 질을 향상 시킬 수 있는 치료적인 중재가 도움이 될 것으로 사료된다.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.247-253
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• 2012

Purpose: Hemorrhage is a main cause of death in trauma patients. The goal of this study is to describe the characteristics of trauma patients with massive bleeding and to evaluate the prognostic factors concerning their survival. Methods: This study was performed retrospectively and included trauma patients with massive bleeding who had been treated from March 2007 to August 2012. The inclusion criterion was patients who received more than 10 U of packed red blood cells within the first 24 hours after visiting the emergency department. Based on their medical records, we collected data in terms of demographic findings, mechanisms of injury, initial clinical and laboratory findings, methods for hemostasis (emergency surgery and/or angioembolization), transfusion, injury severity score (ISS), revised trauma score (RTS) and trauma and injury severity score (TRISS). We used the Mann-Whitney U test and Fisher's exact test to compare the variables between the patients that survived and those that did not. We performed a logistic regression analysis with the significant variables from the univariate test. Results: Thirty-two(32) patients were enrolled. The main mechanisms of injury were falls and motor vehicle accidents. The mean transfusion amount of packed red blood cells (PRBC) was 17.4 U. The mean elapsed time for the first hemostasis (surgery or embolization) was 3.5 hours. The initial technical success rates were 83.3%(15/18) in angioembolization and 66.7%(8/12) in surgery. The overall mortality rate was 34.4%(11/32). The causes of death were bleeding, brain swelling and multiple organ failure. The ISS(25.5 vs 46.3, p=0.000), TRISS(73.6 vs 45.1, p=0.034) and base excess(<-12 mmol/L, p=0.020) were significantly different between the patients who survived and those who did not. Conclusion: The ISS was a prognostic factor for trauma patients with massive bleeding.

• 동의신경정신과학회지
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• 제23권4호
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• pp.133-152
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• 2012

Objectives : The purpose of this study is to investigate the effect of Sihogayonggolmoryeo-tang on the anxiety of Hwa-byung. Methods : In this randomized, double blinded, placebo-controlled study, we planned to give Sihogayonggolmoryeo-tang or controlled medication for anxiety of Hwa-byung. Hamilton Anxiety Scale (HAM-A) was measured as the 1st evaluative instrument, and Korean State-Trait Anxiety Inventory (STAI-K), Likert scale for major symptom of Hwa-byung, Hwa-Byung Scale Score, Korean Beck's Depression Inventory (BDI-K), Korean State-Trait Anger Expression Inventory (STAXI-K), Insomnia severity Index (ISI), Instrument of Oriental Medical Evaluation for Hwa-Byung, WHO Quality of Life Avvreviated (WHOQOL-BREF), genral self-Efficacy Scale (GSES), Rosenberg Self-Esteem Inventory (SRE) and Heart Rate Variability (HRV) were also measured as the 2nd evaluative instrument before treatment. Results : Clinical characteristics-vital signs and demographic characteristics showed no significant difference between both groups. The characteristics of disease-chief complaint, pattern Identification, period, etiological factor, and etc, also showed similarity of distribution in both groups. The results of Chest PA, EKG and clinicopathologic examination showed no significant difference between both groups. There were no significant difference between both groups in all valuation scales; HAM-A was measured as the first evaluative instrument, and STAI-K, Likert scale for major symptom of Hwa-byung, Hwa-Byung Scale Score, BDI-K, STAXI-K, ISI, Instrument of Oriental Medical Evaluation for Hwa-Byung, WHOQOL-BREF, GSES, SRE and HRV. Conclusions : We considered that establishment of the experimental group and controlled group was objective and worth conducting this research. In addition, this methodology is expected to be applied to the subsequent research. Further, we hope to make up for this study through various study and discussion.