• 대한지역사회영양학회지
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• 제13권3호
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• pp.374-385
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• 2008

A study has been performed to provide the basic information about the current dietary habits, health related behaviors, and body indices and to bring forward the importance of this information to the people's attention based upon the relation between employee's life patterns and health conditions in their daily lives. Three hundred and five department store workers were examined from August 2006 to September 2006. With the average BMI values $23.9{\pm}2.2$ for males and $20.0{\pm}1.9$ for females, both gender groups were in normal, but 62.2% of the males were overweight and 15.4% of the females were under-weight. Regarding dietary and health related factors on how they perceive themselves, as normal were 204 (66.9%) the most and bad and very bad were respectively 43 (14.1%) and 5 (1.6%). Half of the subjects (43.2%) perceived sleeping hours to be insufficient, and 64.4% of them need to exercise regularly. As problems related to eating habits, they reported irregular meal times, overeating, preference of hot and spicy food, skipping meal, unbalanced meals. Regarding weight control they have attempted were the most (73.0%), after weight reduction, 51.2% of the subjects had side effects, such as gastrointestinal troubles, anemia, dizziness, sense of fatigue, constipation, physiological disorder, and diarrhea, etc. In the food habit score, it was shown that overall average score of the subjects was $62.63{\pm}9.86$ which is lower than other studies. Female ($62.76{\pm}10.15$) had better score than male ($61.67{\pm}8.06$). While the item with the highest point was eat all three meals of the day, that was the lowest point, exercise every day. The food habit score of the younger group had lower than older group, and also they preferred sweet foods to other group. The results suggest that nutrition education for workers at specific working fields needs to be more focused on the improvement of dietary habits and health status of workers.

• 동의생리병리학회지
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• 제20권6호
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• pp.1678-1727
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• 2006

This study was perfromed to develop the assessment guideline and endpoints for clinical trial with anticancer herbal medicine. The botanical products used to humans for long time may be applied to phase 3 clinical trial after submitting the evidences for safety and efficacy of them or completion of basic requirement of phase 1 and phase 2 for safety confirmation and dose determination. Syndrome improvement was chiefly evaluated by Zubrod and karnofsky(%) methods. We suggest the general clinical trial assessment with botanical products, by following assessment points, that is, tumor size for 50 points, survival fate for 10 points, major syndromes for 40 points. It is recommendable that the each symptom of Qi deficiency syndrome, blood deficiency syndrome and Qi stagnation syndrome was allocated by assessment points, Similarly, the each symptom was given the assessment points according to the severity of symptom, for example, slight for 3 points, moderate for 2 points and severe for 1 point in hepatocelluar carcinoma and lung cancer. Then, the efficacy of botanical products was evaluated by the difference between pre-treatment and post-treatment. Asking the neoplastic patients of questionnaire on physical, emotional, cognitive, social and role subjects availability, three more syndromes (Fatigue, Pain and Nausea/Vomit), quality of life(QOL) will be evaluated by GLM statistics. In addition, in case of lung cancer, 13 questions will be asked by the EORTC QLQ-C13 forms. As the assessment of endpoints for efficacy to reduce side effects induced by chemotherapy and radiotherapy, the data of image scanning and hemato-urinalysis can be usefully applied on immune response, weight loss, indigestion, hemopoietic damage and injury of liver and kidney, while the changes of syndromes of side effect can be evaluated by differentiation methods of Qi and blood and five viscera. However, it is still necessary to determine the ratio between scientific analytical method and Oriental differentiation method as well as confirm the Oriental assessment endpoints by clinical trial. In addition, we suggest the continuous development of assessment endpoints on other carcinomas except of hepatocelluar carcinoma and lung cancer in future.

• 한국학교보건학회지
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• 제20권1호
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• pp.91-101
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• 2007

Purpose: The present study intended to reveal the association between the physique of adolescent women and dysmenorrhea, and the factors related to the frequency of dysmenorrhea. Methods: The study subjects included 511 girls of a women's high school in Daejeon city and they were, during the period of March 1st through April 30th, 2005, given self-administered questionnaires about frequency of menstruation, age, physique, exercise, and such menstruation-related items as age of menarche, menstrual period and days, and amount. Results: As with the frequency of dysmenorrhea, 38.4% experienced it 「always」, 44.6% 「occasionally」, and 17.0% 「almost scarcely」, and those with dysmenorrhea accounted for 83.0% of the subjects. The frequency of dysmenorrhea was not significant difference according to the BMI and HPI. However, the lower the age of menarche and the greater the amount of menstrual flow, the more frequent dysmenorrhea. The symptoms of dysmenorrhea included the highest frequency of low back pain(68.5%) and it was followed by abdominal pain(65.9%), sensibility(54.0%), fatigue(51.7%), and nervousness(49.5%). These accompanied symptoms tended to be worse as the frequency of dysmenorrhea increased. The multiple logistic regression analysis revealed that the relative risk of frequency of dysmenorrhea is 2.2 times in age of 14, by a standard age of 15 as menarchial age, 2.2 in 13, and 3.1 in below 12. The menstrual days was 3.0 times in both below 2 days and over 8 days with the standard days of 3-7 days. The menstrual amount was 1.9 times in the group with a greater amount of menstrual bleeding and 1.5 times in the group with a less amount than the normal group, respectively. Conclusion: The above results suggest that the rate of experiencing dysmenorrhea was up to 83.0% and 38.4% from these had dysmenorrhea upon every menstruation. It is thought that dysmenorrhea could be a great disadvantage sufficient to impair optimal health to a larger body of school girls. Further, for quality of life, it is required that more fundamental strategies instead of pain killers or others for palliation of dysmenorrhea would be established among adolescents.

• 응용통계연구
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• 제34권3호
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• pp.375-388
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• 2021

본 연구는 대전광역시에서 나타난 확진자 증가 현상을 분석하여 COVID-19의 확산을 방지할 대책 마련에 도움이 되고자 계획되었다. 확진자 증가의 원인이 시민들의 잦은 이동과 장기간 지속한 사회적 거리두기로 인한 피로와 방심에 있다고 보고, 각 행정동의 주별 확진자 수를 반응변수로, 생활 속 거리두기로 전환된 시점으로부터 흐른 시간, 행정동의 버스 하차 인원을 설명변수로 하여 이들의 관계를 모형화하였다. 행정동별 확진자 수가 주 단위로 반복측정 되었고, 포아송분포로 기대되는 0보다 더 많은 0이 관측될 수 있기 때문에 혼합효과 영과잉 포아송 회귀모형을 적용하였다. 행정동의 성격에 따라 확진자 발생 동향이 다를 수 있어서서 서로 유사한 성격을 갖는 행정동을 군집화하여 이를 범주형 설명변수로 사용하였다. 또한 버스 하차 인원의 효과가 행정동의 성격에 따라 달라질 수 있다는 점을 고려하여 두 변수 간의 교호작용항을 포함하였고 상대적으로 번화한 행정동에서 그 효과가 유의한 것으로 나타났다 (유의수준=0.1). 모형 적합 결과 인구수의 증가와 번화한 행정동이라는 요인, 그리고 버스 하차 인원의 증가가 확진자 수의 증가와 중요한 연관 관계를 가진다는 것을 보였다. 한편, 추정된 모형에 따르면 인구수와 버스 하차량이 고정되었을 때 번화한 집단의 확진자 수가 그렇지 않은 집단에 비해 훨씬 적을 것으로 기대되었는데, 이는 코로나 고위험 지역에 대한 시 차원의 강력한 대응이 효과를 발휘한 것으로 해석할 수 있다.

• 대한토목학회논문집
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• 제42권4호
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• pp.537-548
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• 2022

중하중의 교통하중은 포장체에 과도한 응력과 변형을 발생시키므로 이에 대응할 수 있는 포장 단면 설계가 중요하다. 항만 배후도로와 산업도로는 일반도로에 비해 중하중 교통의 비율이 높아 포장의 조기 파손으로 인한 문제가 다수 발생되고 있다. 국외의 경우 중차량의 통행이 많은 도로의 포장설계는 복합포장을 많이 적용하고 있다. 복합포장은 기존 포장의 설계수명을 2배 이상 증대시켜 보수비용 및 사용자 비용을 절감할 수 있는 경제적 포장 형식으로 인식되고 있다. 본 연구에서는 중하중 교통의 비율이 높은 산업도로와 항만 배후도로의 포장 장기 공용성을 확보할 수 있도록 롤러전압콘크리트 기층을 활용한 복합포장의 두께 설계 방안을 제안하고자 한다. 3차원 유한요소해석을 이용하여 포장의 재료물성 변화에 따른 역학적 거동과 장기 공용성을 검토하였으며, 계절별 컨테이너 트레일러에 의해 발생되는 롤러전압콘크리트 기층의 누적피로손상도을 고려하여 사용자가 쉽게 사용할 수 있는 카탈로그 설계를 제안하였다.

• 한국방재안전학회논문집
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• 제15권4호
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• pp.11-20
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• 2022

국내의 앵커볼트 일반 비파괴 검사법은 육안검사와 타음검사를 적용하고 있으나, 육안검사는 기초에 포함된 부분이나 너트 및 베이스 플레이트가 설치된 부분에서 앵커볼트의 부식이나 피로균열 등을 확인하는 것이 어렵다. 타음검사는 주변 환경과 개인차에 의한 영향을 받기 때문에 객관적인 조사가 어려운 것이 현실이므로 이러한 결함을 정량적으로 추정할 수 있는 비파괴 검사 기술개발이 필요하다. 국내 도로시설물 앵커볼트의 점검은 육안조사를 수행하고 있으며, 교량받침, 낙교방지시설 등의 앵커볼트 중요도가 높으므로 기존 점검방법과 함께 비파괴검사 기술을 개발하여 앵커볼트의 예방정비를 통해 교량 수명연장에 기여할 필요가 있다. 본 기술 개발을 통해 현재 수행하고 있지 않은 앵커볼트의 비파괴검사를 수행함으로 도로시설물 앵커볼트의 선제적/능동적 유지관리가 가능한 기술로 연구개발 및 실용화가 시급하다. 본 논문에서는 비파괴 검사 기법 중 초음파탐상법(Ultrasonic test)을 적용하여 부식, 균열 등 앵커볼트의 결함 검출 가능성 및 실뢰도를 실험적으로 검증하였다. 기술 개발이 완성되면 검사 신뢰성 향상 원천기술 확보로 앵커볼트에 대한 선제적/능동적 유지관리의 실현이 가능할 것으로 기대된다.

• 정신신체의학
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• 제31권2호
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• pp.72-78
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• 2023

연구목적 코로나19 감염으로 인한 다양한 정신과적 증상, 정신신체증상을 파악하고 장기적 영향을 조사하였다. 방 법 체계적 문헌고찰을 통해 국내외 데이터베이스에서 논문을 선정하고, "COVID-19", "psychosomatic" 등의 검색어를 활용하였다. 정신신체증상에 대한 구조화된 측정도구를 사용한 연구를 포함하여, 총 16편의 논문이 최종 분석 대상으로 포함되었다. 결 과 코로나19 급성 감염과 관련된 정신증상으로는 불안, 우울, 신체증상 등이 보고되고 있다. 장기간 지속되는 포스트 코로나증후군의 증상으로는 흉통, 피로 등이 보고되었고, 이와 관련된 정신신체증상의 발생 빈도는 10%-20%로 파악되었다. 감염병으로 인한 심리사회적 스트레스, 여성, 노인, 정신과적 기왕력이나 동반 정신질환 등의 요인이 관련을 미친다. 전신염증, 자가면역, 자율신경계의 이상반응 등이 관련이 있을 것으로 생각되고 있다. 결 론 코로나19 감염 이후 발생하는 정신신체증상은 삶의 질과 심리사회적 기능에 부정적인 영향을 미칠 뿐 아니라 증상에 대한 정신과적 이해와 접근은 예방과 치료에도 중요하다.

• 생명과학회지
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• 제18권10호
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• pp.1455-1463
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• 2008

The purpose of this study was to evaluate the effect of various exercise intensity on Excess post exercise energy expenditure (EPEE), Resting Metabolic Rate (RMR),thyroid hormonal changes and biochemical variables in obese and NIDDM patients. The subject of the present study were divided into four groups and four periods: trained (T; n=10), control (C; n=10), obese (O; n=10) and NIDDM (N; n=10) group. And the periods were divided as follows; Resting (RE), Maximal (MA), High intensity (HI), and Low intensity (LI). There was significant difference in RMR among different intensity of exercise. in the T (p<0.05) not in the C, O, and N groups. however, there was no significant different percent body fat among all groups. In the energy expenditure, there was significant different among C, O, N groups compare to T in HIEE (high intensity exercise energy expenditure), LIEE (low intensity exercise energy expenditure), HIEEPE (high intensity exercise energy expenditure post exercise) and LIEEPE (low intensity exercise expenditure post exercise). In the hormonal level, there was significant different in T4 level in the T group at LI period and there was also significant difference in T4, Free T3, & Free T4 levels in T group at LI period, however there was no significant different in the O and N groups except LI period. In the fatigue variables, there was significant different in lactate and ammonia levels in the N group in the period of HI compare to C. The present cross-sectional study was design to investigate the relationship between exercise intensity and RMR in four groups. The focus of this investigation was to compare RMR in aerobically trained (T), control (C), obese (O) and NIDDM (N) group. The relationship among RMR, exercise intensity and percent body fat would best be investigated using Meta Lyzer 3B, MMX3B and body composition analyzer. Each subject completed measurement of percent body fat, RMR, hormone in the period of maximal oxygen uptake exercise (MA), high intensity exercise (HI), and low intensity exercise (LI). From the results, High and Low intensity of exercise, there was a trend for an increased RMR (kcal/day) in the trained groups and control group (in case of LI) not for the obese and N groups. This is best explained not by the reduced percent body fat but by the highly induced energy expenditure (during exercise and post exercise energy expenditure) and increased T4, Free T3, and Free T4 hormonal levels in the low intensity exercise for the T group and sometimes C group.

• 대한간호학회지
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• 제28권4호
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• pp.958-969
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• 1998

In this study, we attempted to investigate the needs and problems of the terminal cancer patients and their family caregivers to provide them with nursing information to improve their quality of life and prepare for a peaceful death. Data was collected from August 1, 1995 to July 31, 1996 at the internal medicine unit of S hospital in Seoul area with the two groups of participants who were family members of terminal cancer patients seventy four of them were in-patients and 34 were out-patients who were discharged from the same hospital for home care. The research tool used in this study has been developed by selecting the questionnaires from various references, modifying them for our purpose and refining them based on the results of preliminary study. While general background information about the patients was obtained by reviewing their medical records, all other information was collected by interviewing the primary family caregivers of the patients using the questionnaire. The data collected were analyzed with the SPSS PC/sup +/ program. The results of this study are summarized as follows ; 1) Most frequently complained symptoms of the terminal cancer patients were in the order of pain(87%), weakness(86.1%), anorexia(83.3%) and fatigue (80.6%). 2) Main therapies for the terminal cancer patients were pain control (58.3%), hyperalimentation(47.2%) and antibiotics(21.3%). 3) Special medical devices that terminal cancer patients used most were oxygen device (11.1%), and feeding tube(5.6%). Other devices were used by less than 5% of the patients. 4) The mobility of 70.4% of the patients was worse than ECOG 3 level, they had to stay in bed more than 50% of a day. 5) Patients wanted their medical staffs to help relieve pain(45.4%), various physical symptoms(29.6%), and problems associated with their emotion(11.1%). 6) 16.7% of the family caregivers hoped for full recovery of the patients, refusing to admit the status of the patients. Also, 37% wished for the extension of the patient's life at least for 6 months. 7) Only 38.9% of the family members was preparing for the patient's funeral. 8) 45.4% of family caregivers prefer hospital as the place for the patient's death, 39.8% their own home, and 14.8% undetermined. 9) Caregivers of the patients were mostly close family members, i.e., spouse(62%), and sons and daughters or daughter-in-laws(21.3%). 10) 43.5% of the family caregivers were aware of hospice care. 46.8% of them learned about the hospice care from the mass media, 27.7% from health professionals, and the rest from books and other sources. 11) Caregivers were asked about the most difficult problems they encounter in home care, 41 of them pointed out the lack of health professionals they can contact, counsel and get help from in case of emergency, 17 identified the difficulty of finding appropriate transportation to hospital, and 13 stated the difficulty of admission in hospital as needed. 12) 93.6% of family caregivers demanded 24-hour hot line, 80% the visiting nurses and doctors, and 69.4% the volunteer's help. The above results indicate that terminal patients and their family caregivers demand help from qualified health professionals whenever necessary. Hospice care system led by well-trained medical and nursing staffs is one of the viable answers for such demands.

• 정신신체의학
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• 제27권2호
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• pp.90-100
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• 2019

연구목적 본 연구는 국민건강영양조사 제 7기 1차시기 자료(2016년)를 바탕으로 한국 성인에서 비전형 양상 우울증과 대사증후군 사이의 연관성을 조사하고자 하였다. 방 법 국민건강영양조사 제 7기 1차시기 자료를 이용하였으며 Patient Health Questionnaire (PHQ-9)에서 10점 이상인 277명을 대상으로 하였다. 비전형 양상 우울증은 하루 10시간 이상 수면, 1년간 3 kg 이상의 체중증가, 피로/무기력 3가지 항목 중 2가지 이상을 가질 때로 정의되었다. 우울증 집단을 비전형 양상 유무에 따라 나누어 두 집단의 신체 및 정신적 건강의 차이를 비교하였으며, 대사증후군의 위험도를 분석하였다. 결 과 277명 중 91명이 비전형 양상 우울증을 가지는 것으로 나타났다. 두 집단 사이에 나이, 소득, 성별, 교육에 유의한 차이가 확인되었고, 이러한 변수를 보정한 이후 비전형 양상 우울증 집단은 일반 우울증 집단에 비해 EuroQol-5 dimension (EQ-5D) index는 낮았고(p<0.001), 대사증후군의 유병률은 높은 것으로 나타났다(p=0.035). 비전형 양상 우울증 집단은 일반 우울증 집단에 비해 나이, 성별, 소득, 교육 수준을 보정한 이후에도 대사증후군의 위험도가 높았다(OR=1.923 ; 95% confidence interval : 1.069~3.460). 결 론 비전형 양상 우울증은 일반 우울증에 비해 대사증후군의 위험을 높이고 삶의 질을 감소시키는 것으로 확인되었다.