• 한국방사선학회논문지
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• 제15권7호
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• pp.1021-1030
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• 2021

국내 결핵 환자 관리의 방안을 모색하고 결핵 정책의 기초자료를 제공하고자 2010년부터 2018년까지 통계청과 질병관리본부의 결핵 환자 통계 연보와 세계보건기구(WHO; World Health Organization)의 GLOBAL Tuberculosis Report 등의 자료를 수집하여, 국내 결핵 환자 현황을 분석하였다. 결과는 다음과 같다. 첫째, 국내 결핵 환자 발생 현황 결과는, 2018년 33,796명(65.9%), 신환자는 2018년 26,433명(51.5%)으로 약 21.3% 감소한 것으로 나타났다. 둘째, 국내 결핵 환자치료 현황은 과거 치료결과 불명확은 2018년 655명으로 2014년 대비 약 160% 증가한 것으로 나타났다. 셋째, 청소년 결핵환자 발생률은 10에서 14세는 2018년 1.8%, 15세에서 19세는 15.0%로 고등학생의 결핵 발생률이 높았다. 넷째, 나이별 결핵 환자 발생률을 보면 60대 이상의 대상자가 60% 이상의 결핵 유병률을 보였으며 특히 80세 이상의 노인결핵 환자가 증가하였다. 다섯째, 성별 결핵 환자발생률 현황은 2010년 대비 2018년에 남성이 여성보다 1.4배가 많은 것으로 나타났다. 여섯째, 전국적으로 결핵 유병률은 전남 1,419명(75.6%)이 가장 높았고, 세종 99명(33.4%)이 가장 낮았다. 일곱째, 국내 외국인 환자 수는 2012년 1,510명으로 지속적으로 늘어나 2016년에는 2,569명으로 증가한 것으로 나타났다. 이상의 결과에 따라 결핵 재발자, 고등학생, 60세 이상의 연령층, 80세 이상의 노인, 군대 등의 남성 집단, 외국인 대상의 신속하고 정확한 결핵 조기 검진정책과 관리가 필요하다.

• 한국노년학
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• 제40권1호
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• pp.33-49
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• 2020

본 연구는 사회적 배제의 잠재유형을 구분하고 노후의 경제적 불안에 미치는 영향을 실증적으로 분석하였다. 또한 주관적 계층의식에 따라 그 영향력이 달라지는지를 함께 살펴보고자 하였다. 이를 위해 2016년 한국종합사회조사(KGSS) 14차 자료를 사용하여, 조사 당시 기준 만 18세의 성인남녀 1,041명의 응답지를 분석하였다. STATA14와 MPLUS 7 통계프로그램을 이용하여 기술통계분석과 t-test, 잠재계층분석(LCA), 잠재집단에 대한 다항로지스틱분석을 실시하였다. 마지막으로 다중회귀분석을 실시하여 변수 간 영향관계 및 조절 효과를 확인하였다. 연구결과 사회적 배제의 유형은 3집단으로 나타났으며, 사회활동배제집단(49.3%), 다차원적 배제집단(30.9%), 사회 활동 적극집단(19.7%)의 순으로 나타났다. 사회활동배제집단은 경제, 고용, 건강 배제의 가능성이 가장 낮지만, 공식/비공식 사회활동의 배제가 두드러진 집단이며, 다차원적 배제집단은 모든 영역에서 배제를 경험할 가능성이 50% 이상인 집단으로 나타났다. 사회활동 적극집단은 비공식 사회활동에 매우 적극적으로 참여하는 것이 특징인 집단이다. 다항로지스틱 분석결과 사회활동배제집단은 다른 집단에 비해 청년층이 많이 포함되었으며, 다차원적 배제집단에는 배우자가 없는 여성노인이 많이 포함되어 있는 것으로 나타났다. 마지막으로 다중회귀분석 결과 사회적 배제 유형은 주관적 계층의식과 상호작용하여 노후의 경제적 불안에 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 노후의 경제적 불안을 예방하기 위한 정책적·실천적 방안을 제언하였다.

• 대한간호학회지
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• 제37권6호
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• pp.1013-1019
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• 2007

Purpose: This study was to determine the current trend of nursing research as exploring both quantitative and qualitative methodologies, and to provide the explicit direction to improve the quality of published papers. Methods: Total of 366 articles published between 2004 and 2006 was reviewed using the criteria of analysis. Results: There was more number of quantitative studies than qualitative studies. More studies were conducted with subjects who had health problems, and studies that targeted women and elderly population have been significantly increased. In quantitative methodology, utilization of experimental and quasi-experimental designs has been increased, however descriptive study was dominant as yet. In qualitative methodology, studies using grounded theory and phenomenology were frequently published. It was noted that theoretical framework and rational for sample size were rarely presented in quantitative study. Philosophical position and the process of preparation for study, which guided the research, were not clearly described in qualitative study. Conclusion: The findings of this review suggest that published studies have been improved and diversified, however, detailed and clear evaluation tool that assesses study process and method should be developed as a way to further improve the quality of published papers.

• The Journal of Korean Physical Therapy
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• 제18권2호
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• pp.17-24
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• 2006

Purpose: This study was aimed for service to clinical data of physical therapy necessity of bone complication through analysis method of BMD (bone mineral density) used DEXA (dual energy X-ray absorptiometry) to their skeletal system for physical therapy assesement and intervention program in type II diabetic patients. Methods: Experimental group of 75 subjects and comparison group of 62 subjects were participated in type II diabetic patients(40-80 ages). BMD was measured by DEXA. BMD change of BMI score and BMD comparison of age and sex would be known. Results: This study was found that decreased BMD and increased osteopenea in type II diabetes. In particular, women were lower BMD and higher incidence of osteopenea than men. Men showed significant difference in normal group. Influence of type II diabetes was great on change of BMD in men. however, it showed no significant difference from normal group. Conclusion: it was found that skeletal system complication by type II diabetes had some relations. Because reduction of BMD had a great danger to induce trauma by fall or degenerative disease of system, evaluation of proper physical therapy for its prevention and improvement and intervention program are needed. In addition, it would be important to divide type II diabetic patients into osteopenea and osteoporosis changes of skeletal system at comprehensive aspect of physical therapy.

• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.195-209
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• 2015

본 연구는 노인의 주관적 안녕감의 국내 연구를 분석하여 주관적 안녕감의 성별차이를 밝히고자 노인 대상의 연구가 활발하게 시작된 2000년 이후부터 2013년까지의 연구들을 메타 분석하였다. 노인의 주관적 안녕감에 대한 성에 따른 차이에 대해 아직까지 일관된 결과를 제시해 주고 있지 않기 때문에 그동안의 연구를 통합하여 분석하는 메타분석을 실시하였다. 선정기준에 적합한 총 74개의 논문을 대상으로 성별차이의 효과크기와 가중평균을 계산하고, 논문특성에 따른 분석을 위해 SPSS에서 메타분석 macro를 활용한 메타분석과 메타회귀분석을 수행하였다. 분석 결과, 남성노인의 주관적 안녕감이 여성노인보다 높은 것으로 밝혀졌고, 주관적 안녕감의 성별차이의 효과크기(es = .1157)는 95%의 신뢰구간 .0528에서 .1787로 통계적으로 유의하였다. 조절변인으로서의 논문의 특성에 따라 성별효과크기의 차이가 통계적으로 유의하지 않음이 밝혀졌다. 다수의 연구가 건강과 사회적 관계의 영향요인을 분석하였으나 성별차이와의 상호작용을 검증한 논문은 극히 일부였다. 이러한 연구결과를 바탕으로 함의점을 제시하였다.

• 기본간호학회지
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• 제17권4호
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• pp.575-587
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• 2010

Purpose: The purpose of this study was to analyze the research on adherence for secondary prevention in patients with coronary artery disease (CAD) in Korea, and to identify the strategies for improvement that should be included in future studies. Methods: Electric literature searches were conducted for Pubmed, CINAHL, RISS4U, KISTI, DBpia, KoreaMed, National Assembly Library, and National Library of Korea. A total of forty two articles published between 1986 and 2009 were selected based on established inclusion criteria. Results: Forty research papers were related to nursing, and there was only one research paper focused 011 elderly people with CAD. There were no papers using concept analysis, qualitative study. or randomized controlled clinical trial. Almost all definitions of adherence were adopted from outdated compliance definitions with the attribute of 'paternalistic obligation', Measurement tools were not based on theoretical framework of adherence but borrowed from tools for measuring self-care, health behavior, or self-efficacy. Overall patient's adherence was analyzed in most studies, except for a few studies which focused on diet and exercise only. Educational strategy was the main strategy used in intervention studies. Conclusions: The concept of adherence and measurement tools need to be clarified, along with development of the specific adherence interventions according to the type of adherence in patients with CAD.

• 한국의류산업학회지
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• 제15권2호
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• pp.268-276
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• 2013

This study identifies how people use bicycle wear, complaints about bicycle wear, and functions required for bicycle riding. This survey was conducted with bicycle club members (men and women) in their twenties to sixties who ride bicycles on a regular basis. A total of 373 subjects responded to questionnaires and 326 responses were used for further data analysis. The data was analyzed by descriptive analysis, multiple response analysis, crosstabulation analysis, factor analysis, reliability analysis, and one-way ANOVA. The results are as follow: First, the people surveyed were primarily men, young adults and middle-aged people. They ride bicycles mainly to participate in club activities, to exercise, and to spend their spare time with a well-being trend that focuses on leisure and health. Second, they often utilize bicycle wear when they ride bicycles. They are aware of bicycle wear brands. In addition, a majority have purchased bicycle wear that shows a very high awareness of bicycle wear. Third, as for complaints about bicycle wear worn when riding bicycles, a majority of people answered that the waist part of the top pulls up and they feel sore with the bottom part of the pants when riding bicycles for a long time. They also answered that it is inconvenient to put belongings in both tops and pants. Fourth, there is a high demand for safety-related functions for bicycle riding in regards to the functions required for bicycle wear. In addition, a majority of the members showed a customer awareness of functional bicycle wear and intended to purchase bicycle wear equipped with smart functions.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3647-3650
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• 2016

Background: Colorectal cancer is one of the major health problems worldwide. However, limited studies have been reported from ASEAN countries. This study was conducted to evaluate clinical characteristics and survival of colorectal cancer cases aged <65 years and ${\geq}65$ years in the central region of Thailand. Materials and Methods: Clinical information, histological features, endoscopic findings and treatment outcome were collected and reviewed from Thammasat University Hospital, Pathumthani, Thailand between November 2011 and October 2015. Results: A total of 121 colorectal cancer patients, comprising 69 men and 52 women with a mean age of 65.8 years, were included. There were 57 aged <65 years and 64 aged ${\geq}65$ years. Common presenting symptoms were abdominal pain (37%), weight loss (34%) and anemia (32%). Mean duration of symptoms prior to diagnosis was 173 days. However, longer diagnosis time was demonstrated in patients aged <65 years than age more than ${\geq}65$ years (119.4 vs 58.4 days, P-value=0.30). Colonic fungating mass was the most common endoscopic finding (64.4%) and the location was significantly more commonly left than right side of the colon, both in younger and elderly groups (87.7% vs 12.3%, P=0.02 and 70.3% vs 29.7%, P=0.02, respectively). Adenocarcinoma with moderated differentiated was the most common histology (67.3%). More than half of the patients presented with advanced stage (28.9% with TNM stage 3 and 38.8% TNM stage 4, respectively). Overall 1-year and 5-year survival rates were 76.9% and 5%. Conclusions: Most colorectal cancer patients in Thailand have adenocarcinomas and present at advanced stage with poor prognosis. Screening of high risk patients and early detection might be essential factors to improve the treatment outcome and overall survival rate of colon cancer patients in Thailand and other ASEAN countries.

• 대한간호학회지
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• 제50권2호
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• pp.191-199
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• 2020

Purpose: The purpose of this study was to compare sociodemographic characteristics of a normal cognitive group and mild cognitive impairment group, and establish prediction models of Mild Cognitive Impairment (MCI). Methods: This study was a secondary data analysis research using data from "the 4th Korea Longitudinal Study of Ageing" of the Korea Employment Information Service. A total of 6,405 individuals, including 1,329 individuals with MCI and 5,076 individuals with normal cognitive abilities, were part of the study. Based on the panel survey items, the research used 28 variables. The methods of analysis included a χ²-test, logistic regression analysis, decision tree analysis, predicted error rate, and an ROC curve calculated using SPSS 23.0 and SAS 13.2. Results: In the MCI group, the mean age was 71.4 and 65.8% of the participants was women. There were statistically significant differences in gender, age, and education in both groups. Predictors of MCI determined by using a logistic regression analysis were gender, age, education, instrumental activity of daily living (IADL), perceived health status, participation group, cultural activities, and life satisfaction. Decision tree analysis of predictors of MCI identified education, age, life satisfaction, and IADL as predictors. Conclusion: The accuracy of logistic regression model for MCI is slightly higher than that of decision tree model. The implementation of the prediction model for MCI established in this study may be utilized to identify middle-aged and elderly people with risks of MCI. Therefore, this study may contribute to the prevention and reduction of dementia.

• 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.