• 대한지역사회영양학회지
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• 제15권5호
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• pp.694-703
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• 2010

Recent studies have reported that a subset of obese individuals who were metabolically healthy but obese had more favorable clinical outcomes than obese subjects with metabolic disturbances. The purpose of this study was to evaluate the distribution and agreement of obesity subtypes according to body mass index (BMI) and metabolic syndrome (MS). Furthermore, we examined the differences of nutrient intake among the groups. Data was analyzed for 1,095 female subjects older than 40 years using Korean National Health and Nutrition Survey in 2008. The degree of obesity was classified by two methods, using BMI (obese ${\geq}\;25\;kg/m^2$, not obese < $25\;kg/m^2$) and MS (meet ${\geq}\;3$ criteria among 5 index: waist circumference, triglyceride, glucose, HDL-cholesterol and blood pressure). Subjects were divided into 4 groups according to $2{\times}2$ cross table: non-obese without MS, non-obese with MS, obese without MS and obese with MS. Nutrient intakes were compared among 4 groups. The results showed that the proportions of non-obese without MS, non-obese with MS, obese without MS and obese with MS were 47.6%, 13.6%, 16.6%, and 22.2% of total subjects, respectively. The agreement (kappa value) of two methods was 0.354 (fair) in total subjects, 0.365 (fair) in 40-60 year old subjects and 0.304 (fair) in ${\geq}\;61$ year old subjects. In ${\geq}\;61$ years old subjects, intakes of percentage energy from carbohydrate, percentage of energy from fat, calcium, phosphorous, sodium, vitamin A, carotene, thiamine, riboflavin and niacin were significantly different among the groups. In contrast, the subjects of 40-60 years old, no differences in nutrient intakes were observed. In conclusion, there were differences in nutrient intakes among the groups subdivided by obesity and MS, especially in elderly female subjects. Individualized dietary guideline for subtype of obesity will be needed to treat metabolic disturbance of obesity.

• Proceedings of the National Institute of Ecology of the Republic of Korea
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• 제2권3호
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• pp.153-165
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• 2021

The objective of this study was to provide basic data for the conservation of wetland ecosystems in the Civilian Control Zone and the management of Yongyangbo wetlands in South Korea. Yongyangbo wetlands have been designated as protected areas. A field survey was conducted across five sessions between April 2019 and August of 2019. A total of 248 taxa were identified during the survey, including 72 families, 163 genera, 230 species, 4 subspecies, and 14 varieties. Their life-forms were Th (therophytes) - R₅ (non-clonal form) - D₄ (clitochores) - e (erect form), with a disturbance index of 33.8%. Three taxa of rare plants were detected: Silene capitata Kom. and Polygonatum stenophyllum Maxim. known to be endangered species, and Aristolochia contorta Bunge, a least-concern species. S. capitata is a legally protected species designated as a Class II endangered species in South Korea. A total of 26 taxa of naturalized plants were observed, with a naturalization index of 10.5%. There was one endemic plant taxon (Salix koriyanagi Kimura ex Goerz). In terms of floristic target species, there was one taxon in class V, one taxon in Class IV, three taxa in Class III, five taxa in Class II, and seven taxa in Class I. Three invasive alien species (Ambrosia trifida L., Ambrosia artemisiifolia L., and Humulus japonicus Siebold & Zucc) were observed. For continuous conservation of Yongyangbo Wetlands, it is necessary to remove invasive alien plants and block the inflow of non-point pollutants.

• Journal of Korean Biological Nursing Science
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• 제16권4호
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• pp.309-317
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• 2014

Purpose: The purpose of this study was to understand sleep circadian rhythm and sleep quality between normal-weight and obese group according to Body Mass Index to develop education and nursing intervention programs for the obese. Methods: This study involved 186 subjects who visited at S hospital obesity clinic, K province. They were divided into 2 groups: normal-weight group 91 and obese group 95. Data were collected from October 18th to November 12th in 2013. Data were analyzed with frequency, percentage, ${\chi}^2$-test, Mann-Whitney U test, ANCOVA, t-test and ANOVA with using SPSS version 20.0. Results: The results showed that morning type 1.1%, middle type 91.2% and evening type 7.7% of sleep circadian rhythm in normal-weight group and middle type 92.6% and evening type 7.4% of sleep circadian rhythm in obese group. There were statistically significant results on sleep quality with covariance sex and stress, sleep duration, habitual sleep efficiency and sleep disturbance between normal-weight and obese group. There were statistically significant results on sleep quality, sleep duration, habitual sleep efficiency and sleep disturbance in middle type of sleep circadian rhythm between normal-weight and obese group. Conclusion: Therefore, it is necessary to consider subject's sleep pattern to develop education and nursing intervention programs for the obese.

• Journal of Oral Medicine and Pain
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• 제40권4호
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• pp.155-162
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• 2015

Purpose: The association between pain and sleep is described as a vicious cycle and psychological distress is well known as comorbid condition in the patients with pain and sleep problems. The aim of the study was to evaluate the prevalence of self-reported sleep disturbance and its relationship to clinical and psychological profiles in temporomandibular disorder (TMD) patients. Methods: The sample consisted of 123 TMD patients (90 women and 33 men), with a mean age of $39.9{\pm}15.4years$. Self-report measures of sleep quality, pain and psychological profile were conducted via the Pittsburgh Sleep Quality Index (PSQI), the Brief Pain Inventory and the Symptom Checklist-90-Revision at the initial visit. The primary diagnosis of TMD were categorized as TMD with internal derangement without pain, TMD with joint pain, TMD with muscle pain and TMD with joint-muscle combined pain. The chi-square test, independent t-test, oneway ANOVA and multiple linear regression analysis were used for statistics. Results: The patients was grouped as good sleepers (n=32, scores of 5 and lower) and poor sleepers (n=91, scores of 6 and higher) according to the recommended cutoff point of the global PSQI score (>5). TMD patients with pain showed poor sleep quality than TMD patients with internal derangement without pain. Poor sleepers had high pain interference and elevated psychological distress. Among them, pain interference and depression were significant predictors to sleep quality. Conclusions: The results suggest that sleep disturbance is a prevalent complaint in TMD patients, and sleep problems in TMD patients are associated with pain and psychological distress.

• 대한간호학회지
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• 제27권3호
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• pp.588-600
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• 1997

Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs the maternal-infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Many clinicians and researchers realiza there is a need to develop a postpartum depression scale. Thus, this study has been designed to development of a postpartum depression scale. Data were collected through a survey over a period of three months. Subjects who participated in the study were 167 Korean mothers in their postpartum period. The author used a convenience sampling method. The analysis of the data was done with SPSS PC/sup ＋/ for descriptive statistics, item analysis and factor analysis. Initially 62 items were generated from the interview data of eight postpartum depression patients and from a literature review. This preliminary scale was analyzed for reliability and validity. The results of this analysis are as follows. 1. Initially 62 items were analyzed through the Index of Content Validity(CVI) and 48 items were selected. 2. Seven factors were extracted through the principal component analysis, and these contributed 61% of the variance in the total score. Finally 46 items in the scale loaded .41∼ .84 on one of seven factors. 3. Each factor was labeled. Factor 1 was labeled 'emotional phenomena-emotional upset' and included 13 items, factor 2 was labeled' cognitive phenomena-self concept disturbance' and included seven items, factor 3 was labeled 'relationship to baby-negative feeling' and included six items, factor 4 was labeled 'relationship to baby- overload' and included eight items, factor 5 was labeled 'negative maternal identity' and included five items, factor 6 was labeled 'biophysiological phenomena-disturbance of physical functioning' and included four items, and factor 7 was labeled' interpersonal relationship phenomena-blamed others' and included three items. 4. Cronbach Coefficient Alpha for internal consistency was .95 for the total 46 items. Finally, the author suggests that this scale could be adequately applied in assessing the postpartum depression of mothers during the postpartum period. The results of this study can contribute to designing an appropriate postpartum depression prevention strategy.

• 환경정책연구
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• 제8권2호
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• pp.63-82
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• 2009

도로, 철도, 공항을 포함하는 교통시설에 의한 교통소음으로 인하여 많은 사람들이 신체적 및 정신적인 피해를 받고 있는 가운데 선진국의 경우 교통소음에 노출된 인체 건강의 위험성을 인지하고 그것을 해결하기 위한 많은 연구가 수행되고 있다. 이러한 연구흐름에 따라 본 연구에서는 교통소음의 건강영향에 대한 국내외 연구결과를 바탕으로 하여 국내 교통소음에 의한 건강위해성을 평가할 수 있는 기본적인 방안을 모색해 보고자 한다. 교통소음의 건강영향에 대한 평가방법 중에서 많은 연구가 진행되고 있는 교통소음에 의한 성가심 및 수면방해 연구는 교통소음의 측정자료 및 설문조사결과를 바탕으로 소음지표에 대한 불쾌감 및 수면방해 호소비율의 관계를 보여주고 있다. 이에 대한 국내외의 노출-반응 예측결과를 비교해 보면 우리나라 사람들이 다른 나라 사람들보다 교통소음에 대해 대체로 더 높은 소음성 불쾌감 및 수면방해를 호소하는 것을 알 수 있다. 교통소음의 건강영향에 대한 연구결과 및 외국의 사례를 바탕으로 교통소음의 건강위해성을 평가할 수 있는 기본적인 방안을 제시하였는데 그에 대한 내용은 국내 교통소음 건강영향 예측모델의 개선을 통한 객관적인 평가기준 마련과 아울러 교통소음에 대한 사람들의 인식정도나 소음환경의 질을 향상시킬 수 있는 저감방안 마련을 포함한다.

• 한국물환경학회지
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• 제21권4호
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• pp.368-378
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• 2005

Inorganic matters originated from stone quarries and manufacturing plants could alter the ecological characteristics of adjacent aquatic systems, especially the structure and function of benthic macroinvertebrate community. In such situation, the locality of stone quarry and the quantity of inorganic matters would be important factors that determined the disturbing strength to the benthic macroinvertebrate community. Locality patterns of stone quarries were classified into 3 types in relation to the stream ecosystem; stream-proximity, upstream-inclusion and tributary-inclusion type. In the result of species:abundance analysis, stone quarry B (upstream-inclusion type) showed geometric distribution, while others showed broken-stick distribution pattern. The benthic macroinvertebrate communities closer to stone quarries showed smaller species numbers and standing crops among all types of stone quarries. However the values of species evenness index were not seriously different between controls and directly affected sites. These results indicated that the effect of inorganic disturbance would differ from those of organic pollution that induced the highly dominant state occupied by tolerant species. Number of occurred species, standing crops, community indices and biotic indices indicated that the community of upstream-inclusion type was the most seriously damaged from the inorganic disturbance, and the community would be very simple and unstable. Tributary-inclusion stone quarry heavily damaged to tributary system in biologically, but influence to the main stream seemed to be depended on the scale of main stream. Among 3 types of stone quarry localities, stream-proximity type induced the least damages to benthic macroinvertebrate community, though the degrees of damage were different along with distances between stream and stone quarry.

• 성인간호학회지
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• 제27권6호
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• pp.718-727
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• 2015

Purpose: The purpose of this study was to identify the levels of physical activity and its relationships with depression, health-related quality of life (QoL), sleep disturbance, and physiological indicators in hemodialysis patients. Methods: The participants in this study were 139 patients undergoing hemodialysis in the hospitals in Busan and Yangsan-si. Data were collected using hematologic tests and questionnaires that contained items about individual characteristics, International Physical Activity Questionnaires (IPAQ), Center For Epidemiological Studies Depression Scale (CES-D), a 12-item Short-Form Health Survey (SF-12), and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive statistics, one way ANOVA, and correlation. Results: Mean age of the participants was $59.91{\pm}12.63$ and mean physical activity levels were $1,660.35{\pm}1,654.17$. Patients who performed higher physical activities during their daily activities reported lower levels of depression (F=4.16, p=.018) and higher levels of QOL (PCS: F=5.00, p=.008, MCS: F=8.66, p<.001) than those of the others who did not perform physical activities. Conclusion: This study showed that the levels of physical activity among hemodialysis patients was significantly associated with their depression and QOL. Developing strategies for enhancing physical activity is warranted to improve depression and QOL among hemodialysis patients.

• 대한응급의학회지
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• 제29권5호
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• pp.437-448
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• 2018

Objective: Acute ischemic stroke (AIS) requires time-dependent reperfusion therapy, and early recognition of AIS is important to patient outcomes. This study was conducted to identify the clinical features and risk factors of AIS patients that are missed during the early stages of diagnosis. Methods: We retrospectively reviewed AIS patients admitted to a hospital through the emergency department. AIS patients were defined as ischemic stroke patients who visited the emergency department within 6 hours of symptom onset. Patients were classified into two groups: an activation group (A group), in which patients were identified as AIS and the stroke team was activated, and a non-activation group (NA group), for whom the stroke team was not activated. Results: The stroke team was activated for 213 of a total of 262 AIS patients (81.3%), while it was not activated for the remaining 49 (18.7%). The NA group was found to be younger, have lower initial National Institutes of Health Stroke Scale scores, lower incidence of previous hypertension, and a greater incidence of cerebellum and cardio-embolic infarcts than the A group. The chief complaints in the A group were traditional stroke symptoms, side weakness (61.0%), and speech disturbance (17.8%), whereas the NA group had non-traditional symptoms, dizziness (32.7%), and decreased levels of consciousness (22.4%). Independent factors associated with missed stroke team activation were nystagmus, nausea/vomiting, dizziness, gait disturbance, and general weakness. Conclusion: A high index of AIS suspicion is required to identify such patients with these findings. Education on focused neurological examinations and the development of clinical decision tools that could differentiate non-stroke and stroke are needed.

• 한국환경생태학회지
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• 제28권4호
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• pp.472-483
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• 2014

도시림 개선을 위한 노력은 꾸준하게 진행되어 왔으나 사회적인 욕구를 제대로 반영하였는지에 대한 평가가 없어 향후 지속적인 개선 및 관리의 방향을 제안하기는 어려운 상태이다. 사회환경과 생물환경이 어우러진 도시림을 효율적으로 개선하기 위해서는 양적 증대 뿐만아니라 생물의 분포 및 서식, 인간의 이용성을 평가할 수 있는 연결성, 건전성, 접근성 등 질적인 측면을 동시에 고려할 수 있는 생태적 건전성에 대한 평가지표의 필요성에 따라 연구를 진행하였다. 연구는 생태적 건전성 평가시 중요한 항목에 대한 상대적 중요도 평가, 문헌고찰을 통한 세부 지표 선정, 타당성 검토의 체계를 갖는다. 결과적으로 도시림은 자연림과는 다른 기능이 존재한다는 전제로, 도시림 평가는 고유의 기능인 생태성 뿐만아니라 인간의 간섭을 고려할 수 있는 사회성, 관리성이 충분하게 고려되어야 하나 중요도에 대한 설문조사 결과 생태성이 다른 가치에 우선하는 것으로 나타났다. 이에 생태적 건전성을 평가할 수 있는 세부지표를 선정하였는데, 식생관련 지표로는 희귀성, 훼손잠재성, 자연성, 면적, 다양성, 발생기간, 야생조류관련 지표로는 숲 발달정도, 면적을 추출하여 분산분석을 실시한 결과 안정성, 자연성, 다양성, 잠재성, 서식가능성이 평가지표로 선정되었다.