• Nutrition Research and Practice
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• 제6권1호
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• pp.35-44
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• 2012

This study was conducted to assess improvements in nutritional status following the application of nutrition education to elderly patients in a long-term care hospital. The study was carried out from January to May 2009, during which a preliminary survey, a pretest, the application of nutrition education, and a post-test were applied in stages. The number of subjects at pretest was 81, and the number of participants included in the final analysis was 61 (18 men, 43 women), all of whom participated in both the nutrition education program and the post-test. The survey consisted of general demographic items, health behaviors, dietary behaviors, the Nutrition Screening Initiative checklist, and nutrient intake assessment (24 hour recall method). The nutrition education program lasted for four weeks. It included a basic education program, provided once a week, and mini-education program, which was offered daily during lunch times. The survey was conducted before and after the education program using the same assessment method, although some items were included only at pretest. When analyzing the changes in elderly patients after the nutritional education program, we found that, among subjective dietary behaviors, self-rated perceptions of health (P<0.001) and of depression (P<0.001) improved significantly and that dietary behavior scores also improved significantly (P<0.001), while nutritional risk levels decreased. In terms of nutrient intake, subjects' intake of energy, protein, fat, carbohydrate, calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C all increased significantly (P<0.001). These results indicated that nutritional education is effective in improving the nutritional status of elderly patients. We hope that the results of this study can be used as preliminary data for establishing guidelines for nutrition management tailored to elderly patients in long-term care hospitals.

• 한국환경보건학회지
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• 제45권5호
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• pp.405-425
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• 2019

Objective: This study aimed to review the methodologies for evaluation of consumer spray products containing engineered nanomaterials (ENM), particularly focusing on inhalation exposure. Method: Literature on the evaluation methods for aerosolized ENM exposure from consumer spray products were collected through academic web searching. Common methodologies used in the literature, including research reports and academic articles, were also introduced. Results: The number of ENM-containing products have shown a considerable increase over recent years, from 54 in 2005 to 1,827 in 2018. Currently there is still discussion over the existing regulations with regard to product safety. Analysis of both ENM suspensions in the products and their aerosols is important for risk assessment. Comparison between the phases suggests how the size and concentration of particles change during the spray process. To analyze the ENM suspensions, dynamic light scattering, electron microscopy techniques, and inductively coupled plasma with mass spectrometry were used. In the aerosol monitoring, direct-reading instruments have been used to monitor the aerosols and conventional active sampling is used together to supplement the lack of real-time monitoring. There are also some models for estimating inhalation exposure. These models may be used to estimate mass exposure to nanomaterials contained in consumer products. Conclusion: Although there is no standardized method to evaluate ENM exposure from consumer products, many concerns about ENM have emerged. Every potential measure to reduce exposure to ENM from spray product use should be implemented through a precautionary recognition.

• Healthcare Informatics Research
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• 제24권4호
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• pp.283-291
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• 2018

Objectives: To identify the current status of smartphone usage and to describe the needs for smartphone-based cardiac telerehabilitation of cardiac patients. Methods: In 2016, a questionnaire survey was conducted in a supervised ambulatory cardiac rehabilitation (CR) program in a university affiliated hospital with the participation of heart failure or heart transplantation patients who were smartphone users. The questionnaire included questions regarding smartphone usage, demands for smartphone-based disease education, and home health monitoring systems. Results were described and analyzed according to principal diagnosis. Results: Ninety-six patients (66% male; mean age, $5{\pm}11$ years), including 56 heart failure and 40 heart transplantation patients, completed the survey (completion rate, 95%). The median daily smartphone usage time was 120 minutes (interquartile range, 60-300), and the most frequently used smartphone function was text messaging (61.5%). Of the patients, 26% stated that they searched for health-related information using their smartphones more than 1 time per week. The major source of health-related information was Internet browsing (50.0%), and the least sought source was the hospital's website (3.1%). Patients with heart failure expressed significantly higher needs for disease education on treatment plan, home health monitoring of blood pressure, and body weight (${\chi}^2=5.79$, 6.27, 4.50, p < 0.05). Heart transplantation patients expressed a significant need for home health monitoring of body temperature (${\chi}^2=5.25$, p < 0.05). Conclusions: Heart failure and heart transplantation patients show high usage of and interest in mobile health technology. A smartphone-based cardiac telerehabilitation program should be developed based on high demand areas and modified to suit to each principal diagnosis.

• Ocean and Polar Research
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• 제29권4호
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• pp.339-348
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• 2007

In this work, we compared the characteristics of three benthic biotic indices (BPI, AMBI, BIBI) which indicates the health condition of benthic communities in Masan Bay, Korea where anthropogenic impacts have been concentrated. Also we evaluated the usefulness of these benthic indices and some problems if they were applied to the Korean coastal waters. For this we used the macrozoobenthos data collected using van Veen grab ($0.1\;m^2$) at 21 sites in Masan Bay in February and August 2004. Based on the BPI values, two stations in the inner bay were found in a very hard polluted condition and three stations in the middle bay were also in a highly polluted condition. Only one station located in the bay mouth was in a normal condition. The inner bay stations showed very high AMBI values (${\geq}5.0$), indicating a highly polluted condition. The bay mouth station was assessed in a moderately polluted condition. The overall BIBI values in Masan Bay were in the range between 1.0 and 3.0. The inner bay stations showed low BIBI values (${\leq}2.0$) in the severely degraded condition. The bay mouth station with high BIBI value over 3.0 was assessed as a normal condition. All three benthos indices showed that macrozoobenthic communities in the inner bay were in a seriously polluted condition all year round, and macrobenthic faunas in the bay mouth seemed in a bad healthy condition (slightly polluted) based on AMBI during summer season. These three benthic biotic indices showed the similar assessment result, and thus we consider that each of them is a useful tool for the assessment of coastal benthic ecosystems under the organic enrichment in sediment.

• 보건의료산업학회지
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• 제10권1호
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• pp.105-116
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• 2016

Objectives : The purpose of this study was to explore diverse factors of patients with periodontal diseases, make comprehensive and pluralistic assessment of relevant factors, construct a hypothetical model, including direct and indirect paths, and test goodness-of-fit of the model. Methods : TRaw data were used from the sixth Korea National Health and Nutrition Examination Survey for the first and second years which was conducted from January 2013 to December 2014. Excluding current patients with cancer which could severely affect the quality of life among patients with periodontal diseases who were between 40 and 64 years of age, a total of 1,555 patients were included and finally analyzed in this study. Results : Among the factors affecting the quality of life, health perception had total effects through direct effects and functions had indirect and total effects through the channel of health perception. Conclusions : In oral health programs for the middle-aged, it is necessary to have preventive interventions in oral health; in particular, it is necessary to provide intervention programs that can improve health perception and relieve functional restrictions.

• 한국방사선학회논문지
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• 제11권7호
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• pp.555-564
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• 2017

직업상 피폭에 대한 현행 방사선 위험성 평가는 종사자의 피폭선량 평가 및 건강진단에 중점을 두고 있다. 이러한 개인 중심의 위험성 평가는 선량계 미착용 및 개개인의 기호로 인한 건강영향 문제 등 정확한 데이터 확보의 어려움으로 인한 오류의 가능성이 있다. 또한 평가의 기준이 되는 선량한도는 법적 최대 상한값으로 방사선 방호에 최적화된 값을 의미하지는 않는다. 이에 선원적, 환경적 및 인적 측면을 복합적으로 고려할 수 있고 방사선방호의 최적화를 이행할 수 있는 국가적 차원의 새로운 위험성 평가 모델이 요구되고 있다. 본 연구에서는 고용노동부의 위험성 평가에 기반하여 개인이 아닌 작업장 중심의 위험성 평가 모델을 연구하였다. 이를 위해 여러 분야의 위험성 추정 방법을 분석하여 방사선 분야에 적용하기 적합한 모델을 도출하고, 모델에 적용하기 위한 데이터 획득 방법 및 절차에 대해 기술하였다. 본 연구에서 도출한 작업장 중심의 다차원적 위험성 평가 모델은 위험성을 점수화하고 Rader Plot을 이용하여 표현함으로서 보다 정확한 방사선 위험성 평가를 가능하게 하며, 결론적으로 효율적인 종사자 관리, 선제적 종사자 보호 및 방사선 방호의 최적화 이행에 기여할 것으로 판단된다.

• 분석과학
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• 제27권5호
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• pp.261-268
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• 2014

선진국에서 유해물질을 함유하는 소비자 제품의 위해성 관리를 위해 CONSEXPO등의 다양한 소비자 노출평가 모델을 개발하여 소비자 제품에 함유된 유해화학물질의 노출로 인한 위해도를 평가하고 이를 규제 기준의 설정근거로 활용하고 있다. 이에 본 연구에서는 다양한 시나리오에 적용할 수 있는 노출평가 모델을 검토하고 대상 제품을 선정하여 적정 모델을 적용하여 위해성 평가 단계에 따라 위해성 평가를 하여 제품 별 위해성 평가 기법을 마련하고자 하였다. 작성된 노출 시나리오를 바탕으로 노출 계수를 선정한 뒤 CONSEXPO 노출평가 모델을 기반으로 하여 알고리즘을 작성 한 결과 프탈레이트류의 경우 일부 장판에서 전이량이 검출되었으나 함량과 전이량의 상관관계를 살펴본 결과 r-square 0.0065으로 상관관계가 거의 없는 것으로 나타나, 이 결과를 기준으로 함량 기준값을 산출하는 것은 무리가 있다고 사료되며 현행제품기준을 유지하는 것이 무방할 것으로 판단된다. 휘발성유기화합물 또한 인체에 유해하지 않은 것으로 나타났으므로 현행 기준을 준수 할 경우 큰 무리가 없을 것으로 것을 판단, 새로운 기준을 제시 하지 않았다. 중금속의 경우 전이량이 검출되지 않았으므로 위해성 평가는 수행하지 않았다. 따라서 경피노출로 인한 인체의 유해가능성은 매우 적을 것으로 판단할 수 있다.

• 한국환경보건학회지
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• 제44권3호
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• pp.283-292
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• 2018

Objectives: This study was conducted to identify hazardous factors that reflect the characteristics of the academy and to provide basic data of environmental safety standard. Methods: Heavy metals, volatile organic compounds, formaldehyde, pesticides and phthalates were measured in 20 academies, which were supplementary, music, art and physical education institutes. Results: In case of heavy metals, the 12 locations were detected for lead (Pb) over the standard value, and 15 locations were exceeded for the total heavy metal. In six locations, the concentrations of volatile organic compounds were exceeded the standard value of $400{\mu}g/m^3$, and two locations for formaldehyde were exceeded the standard value of $100{\mu}g/m^3$. The most commonly detected agents in the air dust were chlorpyrifos and diazinon. The concentrations of DEHP, DINP, and DBP were detected and exceeded in several academies, The risk assessment results showed that HCHO as carcinogen had a safety level of 10-7 to 10-6, and DEHP and DINP as non-carcinogens had a safety level as assessed to be under than 0.1. Conclusions: Through the investigation of long-term environmental and health effects related laws on academies, indoor air quality management might be needed because there were cases of exceeding standard.

• Environmental Analysis Health and Toxicology
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• 제20권1호
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• pp.29-37
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• 2005

Recently, significant contamination problems by residual chemicals have occasionally been occurred from major rivers and drinking water in Korea. Therefore, the management for use of them and risk assessment should be more strictly performed. In this study, we have analyzed trihalomethanes in treated water samples taken from water plants located in the region of four major rivers (i.e. Han river, Geum river, Youngsan river and Nakdong river) in Korea for eight years (1997～2004). From the data, we could assess the excess cancer risk by calculating the chronic daily intakes (CDI) multiplied by individual oral slope factors, Q₁＊, for the cancer suspected matters such as trihalomethanes, moreover the hazard index which is calculated by dividing the CDI by the acceptable daily reference dose (R/sub f/D) was determined for the risk assessment. As a result, in the case of 95 percentile excess cancer risk, it was shown that the excess cancer risk for dichlorobromomethane in the Nakdong river region is highest among the tested samples as 8.73 x 10/sup -6/. The 95 percentile total hazard index (the sum of individual hazard indices considering R/sub f/D), in addition, was below 1.0 for all samples, and therefore it was assessed that water samples taken from treatment plants of four major rivers are not harmful.

• 보건행정학회지
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• 제14권3호
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• pp.45-65
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• 2004

The rapid increase in PET devices and its utilization in Korea necessitates relevant health insurance policies based on scientific evidence, including economic evaluation of PET in clinical conditions. However, there is very little amount of evidence regarding PET, and the first step would be to establish research priorities to give a momentum for research and assure efficient use of research capacities. To this end, we conducted a two-round Delphi study, which produced stable consensus on about top 10 oncology indications for research, which included lymphoma staging, colorectal cancer recurrence/restaging, lung cancer staging, and other conditions. The results were largely consistent with current U.S. Medicare reimbursement indications and are expected to lead to relevant researches and evidence-based health policies on PET reimbursement and regulation.