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Comparison of total energy intakes estimated by 24-hour diet recall with total energy expenditure measured by the doubly labeled water method in adults

  • Kim, Eun-Kyung;Fenyi, Justice Otoo;Kim, Jae-Hee;Kim, Myung-Hee;Yean, Seo-Eun;Park, Kye-Wol;Oh, Kyungwon;Yoon, Sungha;Ishikawa-Takata, Kazuko;Park, Jonghoon;Kim, Jung-Hyun;Yoon, Jin-Sook
    • Nutrition Research and Practice
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    • v.16 no.5
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    • pp.646-657
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    • 2022
  • BACKGROUND/OBJECTIVES: The doubly labeled water (DLW) method is the gold standard for estimating total energy expenditure (TEE) and is also useful for verifying the validities of dietary evaluation tools. In this study, we compared the accuracy of total energy intakes (TEI) estimated by the 24-h diet recall method with TEE obtained using the doubly labeled water method. SUBJECTS/METHODS: This study involved 71 subjects aged 20-49 yrs. Over a 14-day period, three 24-h diet recalls per subject (2 weekdays and 1 weekend day) were used to estimate energy intakes, while TEE was measured using the DLW method. The paired t-test was used to determine the significance of differences between TEI and TEE results, and the accuracy of the 24-h recall method was determined by accuracy predictions percentage, root mean square error, and bias. RESULTS: Average study subject age was 33.4 ± 8.6 yrs. The association between TEI and TEE was positive and significant (r = 0.463, P < 0.001), and the difference between TEI (2,084.3 ± 684.2 kcal/day) and TEE (2,401.7 ± 480.3 kcal/day) was also significant (P < 0.001). In all study subjects, mean TEI was 12.0% (307.5 ± 629.3 kcal/day) less than mean TEE, and 12.2% (349.4 ± 632.5 kcal/day) less in men and 11.8% (266.7 ± 632.5 kcal/day) less in women. Rates of TEI underprediction for all study subjects, men, and women, were 60.5%, 51.4%, and 66.7%, respectively. CONCLUSIONS: This study shows that 24-h diet recall underreports energy intakes. More research is needed to corroborate our findings and evaluate the accuracy of 24-h recall with respect to additional demographics.

Cadmium Exposure and Renal Damage in Individuals with Low Socioeconomic Status in Environmentally Vulnerable Areas (환경보건 취약지역에 거주하는 저소득 집단의 카드뮴 노출과 신장질환 영향)

  • Yong Min Cho;Hohyun Jin;Jiyun Kang;Chahun Kim;Dahee Han;Su Hyeon Kim;Seohui Han;Young-Seoub Hong;Ki-Tae Kim
    • Journal of Environmental Health Sciences
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    • v.49 no.1
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    • pp.48-56
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    • 2023
  • Background: Few studies have assessed exposure to chemicals in the context of environmental vulnerability with a focus on exposure among populations living in certain geographical areas. Objectives: This study aimed to investigate cadmium exposure levels and kidney damage indices in environmentally and socioeconomically vulnerable populations, with further subgrouping according to economic status. Methods: Four areas were selected to represent geographical vulnerability (two environmentally vulnerable populations and two socioeconomically vulnerable populations). Among them, population groups with lower socioeconomic status (SES) were separately classified. Urinary cadmium (UCd), beta2-microglobulin (β2-MG), and N-acetyl-β-D-glucosaminidase (NAG) levels were analyzed in samples from 245 residents of these four areas. Results: Geometric means of concentrations of UCd (0.97~2.02 ㎍/g creatinine) in all selected populations (N, 245; mean age, 67.8~70.9 years old) were higher than the national reference values (0.39 for adults and 0.78 ㎍/g creatinine for people in their 60s). Participants with a lower SES had higher UCd and NAG concentrations than did non-low SES participants. In the lower SES group, there was a significant association between UCd and NAG concentrations; however, there was no such correlation in the non-low SES group. Conclusions: Consistent with the findings of previous studies evaluating chemical exposure and associated health effects in specific populations, the findings of this study suggest that individuals with a low SES may be more vulnerable to exposure and related health effects.

A study on fundamental basis of four-constitution medicine from the principle of Yeokgyeong (사상의학(四象醫學)의 역철학적(易哲學的) 기초(基礎)에 관한 연구)

  • Kim, Yeong-Mok
    • Journal of Korean Medical classics
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    • v.21 no.2
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    • pp.151-172
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    • 2008
  • This study searched fundamental basis of four-constitution medicine from the principle of "Yeokgyeong(易經)" that is scientific foundations of Dongmu(東武) Ijema(李濟馬)'s four-constitution medicine based on system of "Yeokgyeong(易經)" and looked into the principle of our-constitution medicine ontologically. That is to say, the translation of five phase(五行) that represented in "Hwangjenaegyeong(黃帝內經)" regulated that substance of five phase is spleen-earth(脾土). But four-constitution medicine mentions the substance as heart-earth(心土) in place of spleen-earth. Because of it's standpoint, the differences on meanings between spleen-earth and heart-earth on the substance of five-phase becomes motive to interpret scientific system of four-constitution medicine fundamental wrongly. For that reason, the research of this title is needed. The results was summarized as follows. First, in ontological view point of structure of four-constitution, five phase is substance and phenomenon, in other words it includes earth of unrevealed substance and wood, fire, metal and water of self-manifestation of existence. Second, in axiological view point, the four-constitution represent principles and contents of four virtues of human nature. And so the innate four virtues ontologically based on four-constitution of heaven. Therefore a human being is endowed innately benevolence, courtesy, justice, intelligence of four virtues. Third, the concept of greater and lesser of Eum(陰, yin) and Yang(陽, yang) in Dongmu(東武)'s four-constitution medicine is four-constitution in "Yeokgyeong(易經)". Greater principle(太極) and four-constitution is a relation of substance and phenomenon. Fourth, the origin and structure of four-constitution medicine includes the structure and principle of natural philosophical Eumyang and four-constitution, the human-centric theory and sciences of human nature and natural laws and medical experience of traditional oriental medicine and medical principle.

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A Comparative Study on International Convention and National Legislation Relating to the Liability of the Air Carrier

  • Lee, Kang-Bin
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.40
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    • pp.97-144
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    • 2008
  • The purpose of this paper is to review the text of national legislation relating to the carrier's liability in respect of the carriage of passengers, baggage and cargo by air in major states such as United Kingdom, Germany, France, Canada, Russia and China, and to compare the air carrier's liability under the national legislations of above states with them under the Warsaw System relating to the international carriage by air. Also this paper reviews the text of the draft legislation relating to the carrier's liability in respect of the carriage by air in Korea. The Warsaw Convention for the Unification of Certain Rules Relating to International Carriage was adopted in 1929. In 1999, the ICAO adopted the Montreal Convention for the Unification of Certain Rules for International Carriage by Air vastly modernizing the unification of private air law. The Montreal Convention replaced the instruments of the “Warsaw System”, and came into force on 4 November 2003. The Montreal Convention is not only an international convention. It has also exercised a considerable influence on national legislation. A the Convention, or certain of its principles, with the object of regulating their national air transport. The main feature of the liability regime of the air carrier under the Montreal Convention is the two-tier liability system for death or injury of the passenger with strict liability up to 100,000 SDR and presumptive liability with a reversed burden of proof without any limit above that threshold. The principles of the liability of the air carrier under the Montreal Convention have been adopted into national legislations by the United Kingdom, Germany, France, Canada, Russia and China. Now the Ministry of Justice of Korea is proceeding to make a new national legislation relating to the liability of the air carrier in respect of the carriage by air. The draft legislation of the Part VI the Carriage by Air of the Commercial Code of Korea has adopted the main principles of the liability of the air carrier under the Montreal Convention. In conclusion, the national legislation relating to the liability of the air carrier in Korea will contribute to settle efficiently the dispute on the carrier's liability in respect of the carriage of passengers, baggage and cargo by air.

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Kureishi's The Buddha of Suburbia and the Issue of Re-ethnicization (쿠레이쉬의 『교외의 부처』와 "재인종화"문제)

  • Rhee, Suk Koo
    • Journal of English Language & Literature
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    • v.54 no.2
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    • pp.263-279
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    • 2008
  • Arif Dirlik in Postmodernity's Histories sees the issue of re-ethnicization in the case of John Huang, China's alleged attempt at lobbying the Clinton administration. In this view, Americans with Chinese surnames were suspected by the US Justice Department to be possible spies working for Beijing. Reethnicization here seems to serve the mainstream society in reducing an ethnic minority to a group of aliens operating for their countries of origin. However, re-ethnicization is not necessarily a one-way oppressive operation; it is often made use of by the ethnic minorities in their efforts to adapt to their country of arrival. Haroon and Karim, the protagonists of Hanif Kureishi's The Buddha of Suburbia, are cases in point. They are portrayed as winning social recognition and securing a place of their own within the hostile host society through a strategic use of re-ethnicization, that is, masquerading as 'genuine Orientals.' This study brings to light possible fallacies or misguided expectations concerning the political position of first- and second-generation immigrants. One of the fallacies is found in the racist metropolis, which regards the ethnic minorities as a sort of resident aliens, no matter what immigrant generation the latter belongs to. Another fallacy is found in the kind of postcolonial criticism that automatically regards an anti-racist critique advanced by people like Kureishi as something motivated by a confrontational tactic, that is, an attempt at subverting the colonial power relations. The conclusion of this study is that Kureishi's agenda, as presented in The Buddha of Suburbia, is neither the preservation of an ethnic identity nor the subversion of colonial power relations but survival in the metropolis. On this account Kureish's agenda can be called a micro-politics.

An Ethical Appraisal of Informed Consent in the Clinical Setting (의료현장에서의 설명동의에 대한 윤리적 고찰)

  • Kong, Byung Hye;Lee, Won Hee;Kim, In Sook;Kim, Sue;Lee, Sun Hee
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.556-566
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    • 2007
  • Purpose: This study attempted to analyze problems of informed consent in the clinical setting and appraise ethical aspects inherent in such issues in order to boost awareness of informed consent and its implementation among healthcare professionals. Methods: Study methods included identifying ethical meanings of informed consent in the clinical setting based on the principal ethics, and exploring the process of informed consent utilizing communicative ethics and feminine care ethics Results: The ethical basis of informed consent encompasses not only respect for autonomy but also prohibiting malice, practicing beneficience, and establishing justice. These principles, however, are limited in illustrating the ethical aspects of communicative ethics and care ethics that are entailed in informed consent within clinical settings. The ethical meaning of informed consent involves a communicative and caring process between healthcare professionals, patients, and family built on mutual respect. Conclusion: Healthcare professionals must fully understand the ethical meanings of informed consent and in turn respect and protect the clients' right to know and making decisions. Nurses especially, must take on the role of mediator and advocate throughout the process of obtaining informed consent, and practice ethical caring by facilitating communication grounded in mutual understanding among the physician, patient, and family members.

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A Study of the Effect of Corrective Counseling Programs for Domestic Violence Offenders and Its Content Analysis (가정폭력 가해자 교정상담 프로그램 효과와 내용 분석에 관한 연구)

  • Byun, Sang-Hae
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.6 no.3
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    • pp.131-146
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    • 2011
  • This dissertation analyzed the satisfaction of corrective counseling programs for Korean domestic violence offenders. I conducted a survey of Korean domestic violence offenders scattered throughout the country. The survey period was between Mar Feb. 20, 2006 and Apr. 29, 2006. The specific objects of the survey are the 250 domestic violence offenders who got counseling in the Goyang branch office of the Justice Ministry-affiliated Uijeongbu Probation & Parole Center, Ansan Citizen Welfare Society's domestic violence counseling center, Korea Domestic Violence Counseling Center Association, Korea Women's Hot Line, Korea Family Law Counseling Center and its branch offices throughout the country, and the counseling centers commissioned by the court for domestic violence offenders. The study was based on a poll on 182 of the 250 offenders. The research result includes: First, the satisfaction of corrective counseling programs for offenders varies depending upon the age, educational background, location, job, income, and childhood abuse of offenders. In particular, the less experience of childhood abuse leads to greater effect of education. Second, of the types of corrective counseling programs for offenders, the satisfaction for those in couple counseling is the greatest. This is because couple counseling is more influential than individual in the professional education that helps to share and understand couple problems.

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The Effect of Character Strength and Self-Efficacy on Subjective Happiness of Adult Learners of Distance Nursing Education (원격간호교육 성인학습자의 성격강점, 자기효능감이 주관적 행복감에 미치는 영향)

  • Kim, Jeong-Hee;Park, Young Suk
    • Journal of Digital Convergence
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    • v.16 no.3
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    • pp.353-362
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    • 2018
  • The purpose of this study was to investigate the effect of character strength and self-efficacy on subjective happiness of adult learners of distance nursing education. The subjects were 261 adult learners of Bachelor Science in nursing course for Registered Nurse of a national open university. The mean score of subjective happiness of subjects was a little lower. 'Transcendence and Humanity' among Character Strength was the highest and 'Justice' was the lowest. Multiple regressions showed that positive integrity, hardiness, and perceived health status explained 38.0% of subjective happiness and positive integrity was the main influencing factor. The learning supporting strategies focusing on reinforcing these factors are needed to improve the subjective happiness of nurses who are continuing their learning through distance education.

Moral Turn in Geography Education: Moral Concepts, Skills, Values/Virtues (지리교육에서의 도덕적 전환 -도덕적 개념, 기능, 가치/덕목-)

  • Cho, Chul-Ki
    • Journal of the Korean Geographical Society
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    • v.48 no.1
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    • pp.128-150
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    • 2013
  • This paper is to examine the interrelationship between morality (or ethics) and geography and education in terms of the moral and ethical dimension embedded moral turn in geography. Since the 1970s, the geography have morally turned with stressing realization of social relevance and justice through interest on moral issues such as the spatial inequality and human welfare in the world of difference. This moral turn in geography has formed the area of moral geography, and emphasized the ethics of care and responsibility of human and nature with warning of immoral geographies of others and nature in the world of difference with the recent trend of postmodernism. For morally careful geography teaching, it is now good time that geography educators need to think the moral turn in geography education. If geography education is willing to contribute to make a better world, it needs to reflect more morally on geography curriculum and instruction in terms of the ethics of care and responsibility.

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Conceptual Exploratory on Security Martial Arts' Spirit (경호무도 정신특성의 개념 탐색)

  • Kim, Dong-Hyun
    • Journal of the Society of Disaster Information
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    • v.8 no.3
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    • pp.213-222
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    • 2012
  • The purpose of this study was to extract the spiritual characteristic factors of the security martial arts qualitatively which are emphasized in guard situation. To get the purpose of this study, 216 people who are students majored in security service, security service professionals, specialists of practical and theoretical security martial arts were selected as participants for this study. The results of this study were as follows. There were divided 4 sub-factors and 20 detailed factors. The spiritual characteristics of the security martial arts were named psychological spirit which was consisted of concentration, self-confidence, self-management, flow, and self-esteem, ethical spirit which was consisted of sacrifice, justice, royalty, peace, and sense of duty, martial arts' spirit which was consisted of courtesy, toughness, defense, balance of mind and body, and bravery, and practical spirit which was consisted of responsibility, cooperation, modesty, determination, and professionalism.