• 대한지리학회지
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• 제49권6호
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• pp.897-916
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• 2014

8체질의학과 질병생태학은 질병의 원인을 병균 이외의 유전적 요인, 환경적 요인, 문화적 요인의 상호관계, 즉 인간과 환경의 관계에서 접근한다는 점에서 상당한 유사성을 공유한다. 본 연구에서는 한의학의 8체질의학과 지리학의 질병생태학 간의 공통성을 실증적으로 검토하는 것을 목표로 두었다. 한의원을 내방하는 환자 647명의 임상 데이터와 전라남도 영광군의 사례를 분석하고 검증한 결과 도출된 내용은 다음과 같이 요약된다: 첫째, 각 시도별로 체질의 지리적 분포는 상이하게 나타나며, 이러한 분포 양상은 크게 해양형과 내륙형으로 분류할 수 있다. 둘째, 체질에 따라 잘 걸릴 수 있는 질환과 태생지의 상호관련성은 비교적 큰 것으로 파악되었다. 그렇지만 특정한 질환이 모든 체질에게 동일하게 발생하는 것이 아니라 지리적 환경의 특성에 영향을 받는 식생활이나 생활습관에 따라 사람들에게 차별적으로 발생하는 것으로 보인다. 셋째, 유전, 자연환경, 문화 등 요인의 상호연관성을 면밀하게 분석하기 위하여 전라남도 영광군의 사례를 실험적으로 분석해 보았다. 그 결과 자신의 체질에 맞는 식습관이나 생활습관을 가지고 있는 경우에는 비교적 건강한 상태를 유지하고 있었지만, 그렇지 않은 경우에는 다양한 질환에 노출되어 있었다. 8체질의학과 질병생태학의 공통성에 관한 연구는 아직 초기 단계에 있으므로 앞으로 이러한 공통성을 규명하는 방법과 노력이 다양하게 개발되고 투여되어야 할 것이다.

• 한국지역사회생활과학회지
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• 제16권1호
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• pp.149-163
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• 2005

Family has emerged as a key concept for health, and it has been identified as one of the most important conditions. The relationship between health habit and its management is different depending on family. The odd pair family, mostly rural lower income class, worry to have poor health because of no spouse and small family size. One thousand eight hundred and seventy(1870) subjects were collected in 9 provinces through the sampling of Probability Proportional to Size (PPS). Questionnaire method was conducted on health checking, bath states, alcohol consumption, cigarette smoking, and the prevalence of farmer's health related problems. The main results were as follows: 1) The characteristics of odd pair families are that the head of household is female(77% ), the size of family is small(1.76 persons), the education level is low(7.5 years for male, 3.1 years for female) and the age group is old (male: 89.78 year old, female: 73.69 year old). 2) For the odd pair family, the frequency of health checking is quite low with one or two times per year(l0.2%) and the rate of no-health checking is much higher(35.8%) .3) Bathing utility is not available 29.6% of the odd pair family and only cold water is supplied at home for the 11.5 % of them. However, for the paired family, 9.8 % of them has no bathing utility and the rate of the family supplied with only cold water is just 7.9%. 4) The bathing frequency score of odd pair family is l.74points for male and 1.25 points for female. 5) The rate of smoking habits for odd pair family is 68.5 % and specially it is 7.6% for female, which is higher comparing with that of pair family. 6) The smoking frequency score of odd pair family is 1.57 points. 7) Alcohol drinking frequency score of odd pair family is 1.79 points for male, and 3.24points for female. 8) Farmers' syndrome(FS) revealed 38.7% of odd pair family and it is lower than that of pair family(57.3%). Special pain of FS was huckle bone and muscle(28.4%) and articular pain(24.l %). The pain rate of huckle bone and muscle(43.l %) and articular pain(33.5%) were higher in a year in odd pair family were lower than those of pair family: farming machine caused accidents(6.5%) and pesticide poisoning(5.7%). l0) The odd pair family use more frequently medical clinic or public health center for the treatment of FS(74.7%) and pesticide poisoning(62.5%) than the pair family for FS(69.0%) and for pesticide poisoning(.53.6%). The score of FS treatment is 5.70 points for odd pair family and it is not significantly different from 5.62 points of the paired family. The result of pesticide poisoning treatment score is as same as that of FS.

• 부모자녀건강학회지
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• 제6권1호
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• pp.70-81
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• 2003

The otitis media has the highest rate of occurrence in 6-36 month after birth, and relatively high rate of occurrence to six years old. It is one of major cause for hearing loss problem because of its high rate of recurrence. The researcher observed at bed that feeding posture and feeding habit at night have some relationship with occurrence of otitis media. I found that medical research in this area was very weak, and it caused her to concentrate her research on the topic. This paper was undertook a retrospective case-control study to find out the relationship between the mode of feeding and the occurrence of otitis media among the otitis media patients and the healthy persons. As the controling groups, the researcher chose fifty eight mothers whose children received the treatment of otitis media(6-36 months after birth) from the pediatrics clinic of two general hospitals in Seoul, as the patient group, and forty five mothers who consulted with their child to well baby clinic at the general hospital and kindergarten in Seoul as the control group. The results of the survey can be summarized as followed : 1. "Otitis media patient group may have more lying posture mothers while feeding than the healthy control group". The first hypothesis is supported by the fact that the children who have lying posture feeding habit mothers are more easily exposed to otitis media than those who have sitting posture feeding habit mothers as the analysis show : $X^2=8.142$, p = .017 2. "Otitis media patient group may have higher rate of sleeping habit with milk bottle on the month at night than the healthy control group does". The second hypothesis was supported by the fact that the patients group has higher rate of expected sleeping habit than the healthy group dose as the analysis show : $X^2=4.35$, p = .037 3. "Otitis media can be found more in the artificial feeding group than in the healthy children group". The hypothesis is rejected by the analysis, $X^2=1.550$, p = .416. Though the hypothesis is not supported by this research, we need to encourage mothers to feed mother's breast milk on the ground that healthy group has mother's milk feeding tendency, and the best food for infants is their mother's milk, and psychological-sociological effects of breast feeding os quite good for children. It will improve the health of infants. It can be summarized as follows : Otitis media is more concerned with posture of feeding and night feeding habits than feeding modes. On the basis of this survey, feeding education problem for mothers of infants need to be developed. In the education, sitting-embracing posture of feeding, mother's breast feeding, and prohibition of children's lying posture feeding at night need to be emphasized.

• Asian Pacific Journal of Cancer Prevention
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• 제14권10호
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• pp.6141-6145
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• 2013

Background: The objective of the study was to determine the knowledge, attitude and behaviors of the practicing dentists regarding tobacco cessation counseling (TCC) in Chhattisgarh state and also the barriers that prevent them from doing so. Materials and Methods: The study was conducted among dental practitioners of Raipur district, Chhattisgarh state (India). The sampling frame was registration with the State Dental Council and practicing in Raipur district. A questionnaire was personally administered and the practitioners were given explanations regarding how to complete it. Only descriptive statistics were calculated (SPSS version 16 for Windows). Results: Based on the responding dentists' self reports, 76% were not confident in TCC, 48% did not assume TCC to be their responsibility, 17% considered that it might have a negative impact on their clinical practice, whereas 24% considered it might take away precious time from their practice, 25% considered TCC by dentists to be effective to a considerable extent and 80% considered TCC activities are not effective due to lack of formal training, 69% considered dental clinics as an appropriate place for TCC but 82% thought there must be separate TCC centre and 100% of the dentists wanted TCC training to be a part of practice and that it should be included in dental curriculum. Some 95% of them were of the view that tobacco products should be banned in India and 86% responded that health professionals must refrain from tobacco habits so to act as role models for society. Conclusions: Dental professionals must expand their armamentarium to include TCC strategies in their clinical practice. The dental institutions should include TCC in the curriculum and the dental professionals at the primary and the community health care level should also be trained in TCC to treat tobacco dependence.

• 치위생과학회지
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• 제4권3호
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• pp.91-95
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• 2004

본 연구는 구강보건실태와 관련요인을 분석하고 관련요인의 인자구조모델을 구축하는데 그 목적이 있다. 연구 대상자는 2002년 1월부터 12월까지 국민건강보험공단이 실시한 지역가입자 건강검진(1차)을 받은 65세 이상 노인 9,340명이다. 대상자는 구강검진을 포함한 모든 검진을 받고 문진표를 작성한 노인들이다. 분석의 주요결과는 다음과 같다. 1. 구성개념타당성에 대한 검토체위검사, 요 검사, 혈액검사, 식 습관, 음주 흡연, 치료 예방, 구강증상, 구강건강상태 등 인자구조모델의 구성개념타당성은 적합도 지수 GFI, CFI, TLI, RMSEA를 이용하여 분석한 결과 모두 적합한 범위에 있었으므로 구성개념타당성은 인정되었다. 2. 각 요인과 구강건강상태와의 관련성을 보기 위한 구조방정식 모델을 분석한 결과 요 검사를 제외한 모든 요인이 구강건강상태에 영향을 미치고 있음이 확인되었으며 이를 설명할 종합적인 구조모델을 구축할 수 있었다. 이상의 결과, 치과 방문과 치면세마 경험이 적은 농촌지역이 도시지역에 비해 치아우식증, 치아 결손을, 의치필요자율이 높았으며, 음주 흡연이 치아우식증, 치주질환, 치아결손율에 부정적인 영향을 주고 있음을 확인할 수 있었다. 또한 치주질환은 전체의 3.2%에서 관찰되었으며 낮은 연령에서 많이 확인되었다. 대부분의 구강질환은 올바른 구강건강행동의 실천으로 예방 가능하므로 전국 각 지역 보건소를 중심으로 구강보건전문가에 의해 바른 식 습관과 구강건강관리에 관한 노인구강보건교육이 체계적으로 이루어져야 하며, 경제적, 지리적인 장애로 인해 치과기관을 방문하지 못하거나 치면세마, 의치장착 등의 구강 건강행위를 소홀히 하지 않도록 하기 위한 치과 의료서비스 접근도를 높히는 정책전환이 요구된다. 또한, 구강건강상태와 전신건강과의 관련성을 설명하기 위해 구조모델을 구축하기 위해서는 보다 정확한 검사방법과 효과적인 지표 개발이 선행되어야 한다. 이 연구에서는 국민건강보험공단에서 개발한 항목을 그대로 적용하였기 때문에 모델 구성에 한계점이 있었다. 향후 계속적인 연구가 필요할 것으로 사료된다.

• 보건교육건강증진학회지
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• 제23권3호
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• pp.17-35
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• 2006

Objectives: This study was conducted to investigate the determining factors that have influence on elementary students who go without breakfast and identified their physical, mental and social health that may resulted by skipping breakfast. Methods: For data collection, total 855 elementary students at the 5th and 6th grade in an urban and a rural area were asked to join the survey using a self-administered questionnaire from March 25 to April 9, 2005. The data were analyzed through a series of statistical methods including frequency, percentage, chi-square$(X^2)$ test, t-test and multiple logistic regression analysis. Results: It was found that 24.0 % of respondents would skip breakfast, and influential socioeconomic factors on their skipped breakfast were economic level and mother's occupation. A group that has meals more with family everyday and a group that has breakfast served by mother as usual showed significantly low percentage of going without breakfast at statistical level(p<0.05). In case that other family members used to go without breakfast, there was a tendency to significantly high rate of skipped breakfast(p<0.01). And a group who got up early in the morning and a group who scored high points in the assessment of dietary habit showed significantly low percentage of skipped breakfast(p<0.01). In the result of multiple logistic regression analysis, the significant variables in urban area were economic level, person setting up breakfast, getting-up time and family members who would skip a meal. In rural area, meal-skipping family member, person setting up breakfast and dietary habit were significant variables(p<0.05). In physical influences according to skipping breakfast, students would skip breakfast had more stomach or dizziness(p<0.05). Depression score were higher and school life score were lower in group skipping breakfast, but not statistically significant. Conclusions: In conclusion, in order to reduce the rate of elementary students who often go without breakfast, it is favorable that they should be instructed in the importance of breakfast and the harm of skipped meal, so that they can cultivate positive living habits and dietary attitudes as well. And it is necessary that this health education cover not only students but also all of their family members(especially mother). Furthermore, it is necessary to develop systematic programs for them to get over environment factors.

• 한국산업보건학회지
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• 제34권1호
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• pp.77-84
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• 2024

Objectives: Interventions promoting physical exercise and healthy habits in workplaces have been shown to be effective in reducing risk factors for metabolic syndrome. This study was conducted to examine the effects of an individualized conditioning exercise program of IT company office workers with or at higher risk of metabolic syndrome. Methods: A total of 444 IT company office workers with or at higher risk of metabolic syndrome participated in a 3-month conditioning exercise program. Body composition data using bioelectrical impedance analysis and cardiopulmonary data using cardiopulmonary exercise testing from 53 individuals (mean age: 34.8 ± 7.1 years, sex : 21% female, height : 170.4 ± 6.8 cm, weight : 75.2±12.2 kg, body mass index : 25.8±3.3 kg/m²) who have successfully completed pre-test, intervention, and post-test were analyzed. The 12 weeks intervention encompassed: (1) health counseling (2) supervised exercise(endurance-based, aerobic exercise, or circuit training once a week for 50 minutes at heart rate reserve(HRR) of 77-95%) (3) self-directed exercise and biweekly health screening checks. Results: The results indicated a significant decrease in body weight, body fat mass and body mass index, respectively. Moreover, VO₂peak, AT VO₂ and AT Time significantly improved, respectively. Resting blood pressure(SBP/DBP) showed positive changes but were not statistically significant. We observed the correlation between characteristics of participants and rate of changes in cardiopulmonary outcomes of participants, there are no significant correlation. These results indicate positive changes in body composition and cardiorespiratory fitness parameters following individualized conditioning exercise program. Conclusions: Individualized workplace exercise program for preventing metabolic syndrome can lead to improvements in body composition and cardiorespiratory fitness.

• 한국식생활문화학회지
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• 제22권2호
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• pp.176-184
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• 2007

The purpose of this dissertation is to analyze the factors which university students feel as stress in their daily life and the correlation between these and their eating habits. The subject are students enrolled at 'H' university in Asan. There are 801 students who response for this research. We surveyed and analyzed the correlation between the life stress and eating habit of university students. It is analyzed that the objects suffered stress most by 'schooling' and 'job complication.' Surveying the general eating habit of university students, it is found that they do not eat meal regularly, i.e., 'average meals (40.9%)' and 'irregular meal(35.2%).' No significant difference was observed in the regularity of meals between sexes. When it comes to overeating or voracity, male students answered 'sometimes(77.6%)' or 'often(22.5%)', but female students answered 'sometimes(66.2%)' or 'often(28.2%)', which means that female students are more frequent in overeating or voracity. The frequency of eating snack is more than once a day 60.1% in female students and 47.3% in male students, which shows that the rate of female students is much higher than that of male students. Surveying the correlation between stress that male and female university students suffer and the regular meal, we found that both of them tend to eat meal irregularly if they are stressed. Comparing the stress for its factor, male students eat meal irregularly if they are stressed by 'schooling' and female students eat meal irregularly if they are stressed by 'figure.' Checking the correlation between stress and time spent for meal, it is found that while male students eat meal in a hurry when they are stressed by 'job affair', female students do so when they are stressed by 'home economy. Analyzing the correlation between frequency of snack and stress, both male and female tend to eat snack more frequently when they are stressed more. In general, males like the oily food more than male, but when students get stresses, females want to eat oily food than male. Analyzing the correlation between stress and preferential menu, males like green vegetables, sea food in the life get less stresses than others Females like a menu of meat get higher stress than others.

• 한국치위생학회지
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• 제13권1호
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• pp.89-97
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• 2013

Objectives : For investigating relationship between oral condition and body mass of adolescent period and helping to make basic data which make oral care systematically while performing health care for adolescent. Methods : This research was carried out by performing oral and physical test of 273 high school students in some reasons from July 2nd to 16th in 2012. Results : There were significant differences, since the more subjects had irregular occlusion, the more they had loosing tooth(p<0.05). There was a significant difference, since when subjects had more numbers of regular occlusion, they had higher BMI and heavier weight.(p<0.001). There are significant different, since when the subjects had worse peridontal condition, they had more numbers of DT(p<0.001). There was a significant difference in occlusion and body mass group, since when subjects had regular occlusion, 46.4% of subjects were standard body weight, 41.0% of subjects were overweight and when subjects needed orthodontics, 52.7% of subjects were standard body weight, 33.8% of subjects were low-weight, and 13.5% of subjects were overweight(p<0.001). In the correlation between oral condition and BMI, DT index showed negative interrelation with FT index(r=-0.179) and positive interrelation with periodontal condition(r=0.221), MT index showed positive interrelation with occlusion(r=0.137) and FT index showed positive interrelation with height(r=0.136). BMI showed highly positive interrelation with weight(r=0.940), and when occlusion was worse, it shows negative interrelation with BMI(r=-0.293). Height showed highly positive interrelation with weight(r=0.447), and when the more subjects had malocclusion, it showed low negative interrelation with weight (r=-0.257). Conclusions : It was considered that an adolescent period forms health habits, so it was important to increase health action through education for growing healthy adult and not only guiding improvement of dietary life for keeping normal weight, but also conducting oral health education for treating regular occlusion of oral condition and prosthetic procedures for loosing tooth right time.

• 의료법학
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• 제24권1호
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• pp.43-65
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• 2023

헬스케어 산업은 제4차 산업혁명 기반 기술과 접목된 디지털 헬스케어로 개인의 건강과 의료에 관한 정보 등을 다루는 분야로 건강관리 서비스와 의료 과학기술이 융합된 형태이다. 패러다임 변화에 따른 디지털 헬스케어는 기존 「의료법」상의 의료행위 개념에 포섭되어 논의가 가능한 것인지 의문이 생긴다. 「의료법」상 의료행위의 개념에 관한 명확한 정의 규정은 없지만, 판례를 통해서 그 개념을 정립하고 있다. 그리고 「의료법」상 의료행위의 주체는 의료인으로 한정하고 있다. 그러나 디지털 헬스케어는 의료인에 의 한 디지털 기술을 이용한 질병 진단과 치료행위를 하는 경우가 있다. 이와는 달리 비의료인에 의해서 가능한 것이 디지털 헬스케어이다. 왜냐하면 디지털 헬스케어는 운동, 식습관 그리고 체중조절 등과 같은 건강관리를 포함하는 개념으로 이해되기 때문이다. 이로 인하여 디지털 헬스케어에 대한 「의료법」상 의료행위 개념에 포섭하는 경우 「의료법」 제27조에 규정된 '무면허의료행위'로 형사처벌의 대상이 된다. 보건의료산업은 디지털 전환과 정보통신기술과의 융복합이 빠르게 진행되고 있다. 이로 인하여 기존의 의료행위와 구분하여 '디지털화된 의료행위' 또는 '정보통신기술(ICT) 기반 의료행위'로 새롭게 규정할 필요성이 대두되고 있다. 의료행위 개념은 고정불변한 개념이 아닌 가변성을 가진다. 그렇다고 이러한 요구에 따라 의료행위 개념의 무한 확장이 아닌 그 범위의 재설정을 요청하는 것이다. 따라서 의료서비스체계에 대한 수요자의 요구를 반영하여 의료행위 개념을 법제화하여야 할 것이다.