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The Effect of Sleep Duration on Obesity in Korean Adults (한국 성인남녀의 비만과 수면시간과의 연관성)

  • Lee, Soo-Hyun;Lee, Mi-Joon;Seo, Bum-Jeun
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.219-230
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    • 2022
  • This study aims to evaluate the effect of sleep duration on obesity in Korean adult using data from the 8th Korea National Health And Nutrition Examination Survey in 2019. The study subjects were 5,213, and we performed frequency analysis, descriptive statistics, and multivariate regression analysis using the SPSS Win 27.0 program. The average sleep duration of the subjects was 6.8 hours per day, and the average body mass index (BMI) was 23.9 kg/m2. As a result of bivariate analysis of factors affecting sleep duration, age, education level, stress, depression, diabetes, hypertension, and arthritis were significantly associated with sleep duration. The body mass index (BMI) of the group with less than 6 hours of sleep duration was 24.4, which was higher than that of other groups, and there was a significant negative correlation between sleep duration and BMI (B=-0.247; 95% CI=-0.334~ -0.160). In conclusion, in order to prevent obesity in adults, various efforts from the country and local communities are needed to increase sleep duration.

Combined Reconstruction of Posterior Cruciate Ligament and Posterolateral Corner with a Fresh Frozen Achilles Tendon Allograft (한 개의 신선동결 동종아킬레스건을 이용한 후방십자인대 및 후외방구조의 동시 재건술)

  • Kyung, Hee-Soo;Oh, Chang-Wug;Lee, Hyun-Joo;Ihn, Joo-Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.8 no.2
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    • pp.102-108
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    • 2009
  • Purpose: The purpose of this study is to report a result of the technique that reconstruct posterior cruciate ligament (PCL) and posterolateral corner (PLC) simultaneously using a fresh-frozen Achilles tendon allograft. Materials and Methods: Forty two patients (45 legs) underwent PCL and PLC reconstruction were included. There were 38 males and 4 females. Mean age was 39 years. Used graft was a fresh frozen Achilles tendon allograft, which was divided by two size, larger one (${\emptyset}$ 10 mm) for PCL reconstruction and smaller one (${\emptyset}$ 8 mm) for PLC reconstruction. Arthroscopic reconstruction of the PCL was performed using transtibial, single incision, and single bundle technique with 10mm fresh frozen Achilles allograft tendon first. After PCL reconstruction, reconstruction procedure for posterolateral instability was performed using modified figure of "8" technique using smaller gtaft. For clinical evaluation, range of motion, posterior drawer test, varus stress test, prone external rotation (dial) test, Lysholm score, Tegner activity scale and posterior stress radiograph were used. Mean follow up period was 25 months. Results: Preoperatively posterior drawer test was 5 cases in grade II and 40 cases in grade III posterior instability. At final follow-up 22 cases returned within normal condition, 18 cases grade I and 5 cases grade II posterior instability. Though all patients showed positive result over 10 degrees in dial and varus stress test preoperatively, but only 9 cases showed positive both test at final follow-up. The range of motion deficit over $10^{\circ}$ flexion was 3 cases. Lysholm score was improved from mean 50 preoperatively to mean 83(p<0.05) and Tegner activity scale improved from mean 2.1 preoperatively to mean 4.6(p<0.05). In posterior stress radiographs, posterior displacement was improve from mean 16mm preoperatively to 4.1mm after treatment(p<0.05). All patients had improved compared to their pre-operative status as measured by physical examination such as posterior drawer test, varus stress test, dial test. Conclusion: We had successful results by combined reconstruction of the PCL & PLC with a fresh frozen Achilles tendon allograft in patients with PCL and posterolateral rotatory instability at a time.

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A Study on the Factors Affecting Health Promoting Lifestyles of Workers in the Small Scale Industries (소형 사업장 근로자들의 건강증진 생활양식에 영향을 미치는 요인)

  • Jang Yong-Nam;Lee Eun-Kyoung;Chong Myong-Soo;Jun Sun-Young;Kim Sang-Deok;Jeoung Jae-Yul;Jahng Doo-Sub;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.5 no.1
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    • pp.10-30
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    • 2001
  • Oriental medicine needs to be armed with theories on health-improvement concept under it and basic data matching its views, in order to participate in the health-improvement service in industrial work places. The Orient medicine health-improvement program defines factors that determine individuals' lifestyle, and provides information and technologies for workers to practice in life. To that end, this research compares and analyzes health-improvement concept and health care, defines relations between individuals' health state and their lifestyle as the basic data needed to perform health-improvement business for workers. 1. The subjects employed for this research is categorized into; by gender, males 52.1% and females 47.9% with no big difference between them; and by age, 20s, 6.1%, 30s. 33.9%, 40s, 34.1%, and 50s, 24.8% with 30-50 accounting for most of it. By marriage status, unmarried represents 7.1%, and married 79.1% with most of them married; by revenue, under one million won represents 3.0%, 1-2 million won 26.4%, 2-2.49 million won 11.2%, above 2.5 million won 11.2%, and 1-2.5 million won a majority. By living location, owned houses represents 65.4%, rented houses 14.7%, monthly-rented 9.5%; and by education, elementary and middle school represent 16.9%, high school and its dropouts 22.6%, and junior college and higher 51.6%, with high school and higher occupying most of the group. 2. By job, office workers and managerial workers represent 12.3%, part-timers 21.0%, manual workers 11.4%, jobless 0.6%, professionals 35.6%, service 0.6%, housewives 8.4%, and equipment/machinery operation/assemblers 10.1%. Of this, jobless and part-timers, totaling three, are dropped from this research. By years worked, 0-3.9 years represents 9.7%, 4-7.9 years 6.7%, 8-14.9 years 18.4%, above 15 years 28.7%, and no respondents 36.5%. 3. The degree of the subjects practicing life-improvement lifestyle, on a scale of 1 to 4, is an average of 2.69, personal relations 3.04, self-realization 2.92, stress management 2.76, nutritional state 2.73, responsibility for health 2.47, and athletic activities 2.18, with personal relations earning the highest points and athletic activities the lowest. As for factors influencing health-improvement lifestyle, there is no significant difference between gender, age, and marriage status. Meanwhile, there is significant difference between revenue, dwelling pattern, education level, etc. That is, higher income-bracket, owned houses, rented houses, monthly-rented houses, and higher-educated, in this order, show higher average in health-enhancement lifestyle. By job, housewives, manual workers, office workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order show higher points, while there is no difference with significance by years worked. 4. Factors that affect health-improvement lifestyle are shown below. Self-realization is influenced by age, marriage status, type of dwellings, and level of education; responsibility for health by type of dwellings; athletic activities by gender and age; nutrition by age, marriage status and type of dwellings; personal relations by marriage status; and stress management by type of dwellings. 5. Areas with high points by job show this: in self-realization, office workers, manual workers, housewives, professionals, equipment/ machinery operation/ assemblers, in this order, show difference with significance; in the area of responsibility for health, manual workers, housewives, equipment/ machinery operation/ assemblers, professionals, office workers and part-timers, in this order, do. In athletic activities, manual workers, housewives, office workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order, show difference with significance; in nutrition, housewives, office workers, manual workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order do; and in stress, housewives, office workers, manual workers, professionals, equipment/ machinery operation/ assemblers, part-timers, in this order do. By years worked, more years showed higher points in the area of responsibility for health and nutrition; in the area of athletic activities, above 15 years, 4-8 years, below 4 years and 8-14 years, in this order, show higher points; and no difference shows in realization, personal relation, and stress area. 6. To look at correlation between overall and divisional health-improvement practice degree, this researcher has analyzed it using Person's correlation coefficient. Self-realization, responsibility for health, athletic activities, nutrition, support for personal relations, and stress management show significant correlation with the sub-divisions, while all health-improvement lifestyle shows significant correlation with the six sub-divisions.

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The Relevance of Chronic Disease Management and Mental Health (만성질환관리와 정신건강과의 관련성)

  • Choi, Ryoung;Hwang, Byung-Deog
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.306-315
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    • 2014
  • The purpose of this study in the case of stress recognition, the lower the age was, as they had a spouse, the higher they got educated, and the worse their subjective health state was, the higher the stress recognition appeared. this study selected 6,227 adults over the age of 19 from the 5th first-year data of Korean National Health and Nutrition Examination Survey(KNHNES)conducted by KCDC(Korea Centers for Disease Control and Prevention)in 2010. In the case of experience of depression symptoms, female subjects experienced more depression symptoms than male ones; study subjects aged between 19 and 54 years experienced more; the worse their subjective health state was, the more they experienced; and in the case of non-education about diabetics, those who did physical activity more than four days experienced more symptoms. In the case of suicide ideation, female subjects ideation suicide more than male ones; as they had no spouse, the lower they got educated, the worse their subjective health state was, and as they never did physical activity, they more experienced suicide ideation. Then, it is expected that the results of this study can contribute to chronic-disease patients'leading a much healthier life in the future.

The Discriminant Analysis of Blood Pressure - Including the Risk Factors - (혈압 판별 분석 -위험요인을 중심으로-)

  • 오현수;서화숙
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.256-269
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    • 1998
  • The purpose of this study was to evaluate the usefulness of variables which were known to be related to blood pressure for discriminating between hypertensive and normotensive groups. Variables were obesity, serum lipids, life style-related variables such as smoking, alcohol, exercise, and stress, and demographic variables such as age, economical status, and education. The data were collected from 400 male clients who visited one university hospital located in Incheon, Republic of Korea, from May 1996 to December 1996 for a regular physical examination. Variables which showed significance for discriminating systolic blood pressure in this study were age, serum lipids, education, HDL, exercise, total cholesterol, body fat percent, alcohol, stress, and smoking(in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-systolic pressure group was 2%, predicting a normal-systolic pressure group was 70.3%, and total Hit Ratio was 70%. Variables which showed significance for discriminating diastolic blood pressure were exercise, triglyceride, alcohol, smoking, economical status, age, and BMI (in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-diastolic pressure group was 71.2%, predicting a normal-diastolic pressure group was 71.3%, and total Hit Ratio was 71.3%. Multiple regression analysis was performed to examine the association of systolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the systolic blood pressure was statistically significant (p=.000) and adjusted $R^2$was 0.09. Adding the variable obesity on demographic variables resulted in raising adjusted $R^2$to 0.11 (p=.000) : therefore, the contribution rate of obesity on the systolic blood pressure was 2.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising adjusted R2 to 0.12(P=.000) : therefore, the contribution rate of serum lipid on the systolic pressure was 1.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted $R^2$to 0.18(p=.000) ; therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 6.0%. Multiple regression analysis was also performed to examine the association of diastolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the diastolic blood pressure was statistically significant (p=.01) and adjusted $R^2$was 0.03. Adding the variable obesity on demographic variables resulted in raising adjusted $R^2$to 0.06 (p=.000) ; therefore, the contribution rate of obesity on the diastolic blood pressure was 3.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising the adjusted $R^2$ to 0.09(p=.000) ; therefore, the contribution rate of serum lipid on the diastolic pressure was 3.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted $R^2$ to 0.12 (p=.000) : therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 3.0%.

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Anterior Knee Pain Syndrome & Shin Splint (전방 슬관절 동통 증후군 및 경부목)

  • Kim, Yeung-Jin;Chun, Churl-Hong;Lee, Ji-Wan;Choo, Ji-Woong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.1
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    • pp.7-15
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    • 2010
  • Anterior knee pain syndrome would best be defined as a painful condition that arises in or around the patellofemoral joint and is insidious in onset and bilateral, with an enigmatic entity with multiple causes. Although its etiology is uncertain, the cause is often considered to be abnormal lower limb biomechanics, pathology of extensor mechanism, disorder of patellofemoral joint, malalignment or lateral tracking of the patella, soft tissue tightness, muscle weakness. The measurement of patellar alignment has come to be accepted as an integral part of the examination of anterior knee pain syndrome. Various measurement techniques exist, both clinical and radiological, and these have been frequently used in the diagnosis and treatment of the condition.?Treatment depends on the underlying cause of anterior knee pain and should be directed to the cause rather than to the results. Most often, this involves non-surgical measures, such as anti-inflammatory medications, quadriceps exercises, and hamstring stretching. Shin splint, or medial tibial stress syndrome refers a syndrome of pain running along the inner distal 2/3 of tibia shaft. Shin splint is a common problem for athletes whose sport involves a repeated, jarring impact to the leg. A major factor determining the efficacy of the treatment is that correct diagnosis be made of the problem. The varied etiology has led to the development of several theories as to the cause, treatment, rehabilitation and prevention of shin splint. The management is rest, ice massages, pain relief by medication, and muscle strengthening exercise. Proper rehabilitation and preventative measures can ensure that there is no further recurrence.

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Posterior cruciate ligament reconstruction using fresh-frozen Achilles tendon allograft with preservation of ligament remnant (남아 있는 인대를 보존하고 신선 동결 동종 아킬레스건을 이용한 후방십자인대 재건술)

  • Kim, Yeung Jin;Chae, Soo Uk;Kim, Jong Yun;Kim, Byung Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.54-60
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    • 2011
  • Puropse: To evaluate the outcome of arthroscopic posterior cruciate ligament (PCL) reconstruction using fresh-frozen achilles allograft tendon with preservation of ligament remnant or elongated ligament. Materials and Methods: From October 2004 to March 2010, we performed PCL reconstruction with Achilles tendon allografts in 22 complete rupture patients. Mean age was 31.5 years. 14 cases were male and 8 cases were female. Average follow-up period was 3 years and 7 months, range from 1 year to 6 years and 4 months. Subjective and objective parameters were utilized in analyses, such as the mean range of motion, post. drawer test, Lysholm knee score, Tegner activity score, IKDC score, and second look arthroscopic examination. Results: Postoperative Lysholm knee score, IKDC scores, Tegner activity scale, and posterior displacement by the Telos stress test demonstrated statistically significant improvement compared to the preoperative state. Conclusion: Arthroscopic PCL reconstruction using fresh-frozen achilles allograft tendon with preservation of ligament remnant showed good clinical results and posterior stability.

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Important significant factors of health-related quality of life(EQ-5D) by age group in Korea based on KNHANES(2014) (한국인의 연령대에 따른 건강관련 삶의 질(EQ-5D)에 대한 주요 요인 분석)

  • Oh, Hyun Sook
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.3
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    • pp.573-584
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    • 2017
  • The main purpose of this study is to investigate the important impacting factors of health-related quality of life (HRQOL) by different age groups. The subjects of this study were 5,976 adults over 19 based on data from the 2014 Korea National Health and Nutrition Examination Survey and EQ-5D index score was used for the measurement of HRQOL. Three age groups were considered of young (19-39), middle (40-65), and old (over 66) and for each age group Bayesian ordered probit model analysis was fitted to identify significant factors and their effects on HRQOL. Sex, subjective awareness of health, stress and diseases have been identified to be common important factors for all age groups. HRQOL of women is more likely to be lower than that of men. Subjective awareness of health affect positively but stress and diseases affect negatively on HRQOL. For middle age group, occupational activities have been found to be important positive factors on HRQOL. On the other hand, obesity is more important factor influencing on HRQOL negatively and frequent walking is recommended for old age group.

Experimental Studies on the Structural Safety of Pipe-Houses (파이프하우스의 구조안전에 관한 실험적 연구)

  • 김문기;남상운
    • Journal of Bio-Environment Control
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    • v.4 no.1
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    • pp.17-24
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    • 1995
  • This study was carried out to make fundamental data for structural safety test of pipe- houses. Experiment on the stress distribution of pipe- houses was conducted to find suitable structural analysis model by examination of end support conditions of pipe. Besides, the loading test and the pile driving test were done to find pull-out capacity and bearing capacity of pipe on the assumption that pipe is pile foundation. For single span pipe - house, the theoretical results assuming the end support condition of pipe is fixed under ground agreed closely with the experimental results of stress distribution. On the other hand for double span pipe -house, the end support conditions of pipe were fixed support when vertical load is applied, and hinged one when horizontal load is applied. The pull - out capacity and allowable bearing capacity of the pipe portion that was buried in the grounds that were soft soil of paddy field and medium or hard soils of dry field derived from experimental results.

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Analysis of behavior a River Levee based on the Earthquake Scenario (지진 시나리오 기반 하천 제방의 거동 변화 분석)

  • Kim, Jin-Man;Jin, Yoon-Hwa;Han, Heui-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.481-487
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    • 2020
  • This study examined the behavior change of river levees during an earthquake by numerical analysis. Unlike conventional research using artificial earthquake waves, earthquake analysis was performed using real earthquake waves. The behavior of a river levee before and after an earthquake was compared and analyzed quantitatively. Studies show that the river levee has a safety factor of approximately 28.5% due to an earthquake. On the other hand, the minimum standard safety factor is satisfied. Vertical effective stress has decreased by 81.8% due to excess pore-water pressure generated by the earthquake. In addition, liquefaction occurs in most of the foundation soil. An examination of the stress-displacement behavior due to the earthquake revealed a large amount of settlement in the backfill layer. Most of the foundation soil yielded. Therefore, the target river levee is quite vulnerable to earthquakes. Through the results of this study, the necessity of refreshing the seismic design standards for river levees is required. This study can be used as basic data for estimating the approximate damage level and vulnerable areas.