• 한방재활의학과학회지
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• 제29권3호
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• pp.75-85
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• 2019

Objectives This study was perfomed to assess the adherance to CARE (CAse REport) guideline of case reports in the Journal of Korean Medicine Rehabilitation Methods We searched the case reports published in the Journal of Korean Medicine Rehabilitation from January 2016 to April 2019 in the database of oriental medicine advanced searching integrated system (OASIS). Then we evaluated the quality of the searched case reports based on the CARE guideline. Results Totally 31 papers were selected after the screening the case reports by the inclusion and exclusion criteria. The report rate of the sub-items of the CARE guideline was 78.26% at the maximum, 60.87% at the maximum, and 70.97% on the average. The following items were reported only in less than 50% of them; 'Timeline', 'Diagnostic challenges', 'Diagnostic reasoning including other diagnoses considered' 'Prognostic characteristics', 'Follow-up and Outcomes', 'Patient Perspective', 'Informed Consent' Conclusions This study is expected to contribute to the overall improvement of the level of case reports in the Journal of Korean Medicine Rehabilitation.

• 한국가족복지학
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• 제56호
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• pp.197-224
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• 2017

본 연구에서는 결혼이주여성이 경험하는 사회적 배제의 다양한 차원들이 종단적으로 어떻게 영향을 주고받는지 살펴보았다. 이를 위해 경기교육복지패널 2011년~2013년까지의 3개년 자료를 활용하여 결혼이주여성의사회적 배제 하위영역들 간의 자기회귀교차지연분석을 수행하였다. 분석결과, 경제적 배제, 지역사회 배제, 교육참여로부터의 배제, 민족적 배제에서 1차년도부터 3차년도까지 정적으로 유의미한 자기회귀효과가 나타났다. 즉, 1차년도에 배제가 높을수록 2차년도와 3차년도에도 유의미하게 높아짐을 확인할 수 있었다. 또한 사회적 배제의 하위 영역들 간의 종단적인 상호인과관계를 분석한 결과 이전 시점의 경제적 배제가 이후 시점의 교육참여로부터의 배제, 민족적배제를 유의미하게 증가시키는 것을 확인함으로써 다양한 차원의 배제 영역 중에서도 경제적배제가 보다 근원적인 선행요인으로 작용함을 확인하였다. 이는 결혼이주여성의 적극적인 사회적 포용을 위해서는 무엇보다 경제적 지원과 개입이 우선되어야 하며, 사회적 배제의 만성화를 예방하기 위한 초기 개입의 필요성을 보여주는 결과라하겠다. 따라서 결론에서는 이러한 결과에 근거한 다양한 실천적, 정책적 함의를 논의하였다.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.159-166
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• 2018

Objectives: The aim of this study was to investigate the association between masticatory ability, oral health-related quality of life, and cognitive function in an elderly population using structural equation modeling. Methods: A total of 308 subjects, aged 65 years and over, were recruited from the senior citizen center in Daegu, South Korea and provided consent for inclusion in the study. The Korean version of the Mini-Mental State Examination (K-MMSE) was used to assess the level of cognitive function. Masticatory ability was evaluated through chewing tests, patient-perceived masticatory function and, measurement of relative occlusal forces on molar teeth using the T-Scan $III^{(R)}$ system. All data were analyzed using ${\chi}^2$ tests, t-tests, and one-way ANOVA in SPSS version 23.0 for windows. Structural equation modeling was performed using SPSS AMOS version 22.0. Results: There was a significant association between cognitive function and molar teeth occlusal force. Ability of food chewing score and patient-perceived masticatory function could affect oral health-related quality of life (P>0.05). Higher occlusal forces on molar teeth, compared to anterior teeth, positively correlated with higher cognitive function. Conclusions: These results suggest that an individual's oral health condition could affect molar teeth occlusal forces and may be related to a risk of developing dementia. Therefore, there is a need for implementing nation-wide policies to improve oral health, such as masticatory function, in the elderly population.

• 대한한방내과학회지
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• 제40권4호
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• pp.582-596
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• 2019

Objective: The aims of this study were to analyze the deficiency-excess pattern identification (虛實辨證) and compare it to the sputum cytokines of asthma patients. Method: 50 asthma patients who met the inclusion and exclusion criteria were included in this study. They were divided into two groups: deficiency and excess syndrome groups. Sputum examinations were performed including $TNF-{\alpha}$, Interleukin (IL)-4, IL-5, IL-10, and IL-13. The Quality of Life Questionnaire for Adult Korean Asthmatics (QLQAKA), the Visual Analog Scale(VAS), and heart rate variability (HRV) were also measured. We also conducted laboratory tests, including the hematological indexes. Results: Based on the pattern identification, 50 asthma patients can be divided into two categories of groups: the deficiency syndrome group (N=24) and the excess syndrome group (N=26). In the analysis of sputum cytokines, although the $TNF-{\alpha}$, IL-4 and IL-13 were at a higher level in the deficient pattern group than in the excess pattern group, it was insignificantly different. There was a negative correlation in the analysis of QLQAKA and VAS. In the analysis of HRV, although the mean value of VLF, LF, and HF in the deficiency syndrome group was higher than in the excess syndrome group, it was insignificantly different. There was no significant difference in the hematological tests between the deficiency and the excess syndrome group. The mean value of the IgE in the blood tests was five times greater than the reference value. Conclusion: The cytokines of sputum including $TNF-{\alpha}$, IL-4, IL-5, IL-10, and IL-13 were indifferent statistically. Reinforcing the healthy and eliminating the pathogenic factors should be considered.

• Asian-Australasian Journal of Animal Sciences
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• 제32권4호
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• pp.533-540
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• 2019

Objective: This study evaluated the growth, digestibility and rumen fermentation between goats and sheep fed a fattening diet fortified with linseed oil. Methods: Twelve 3 to 4 months old male goats and sheep were randomly allocated into two dietary treatment groups in a $2(species){\times}2$ (oil levels) factorial experiment. The treatments were: i) goats fed basal diet, ii) goats fed oil-supplemented diet, iii) sheep fed basal diet, and iv) sheep fed oil-supplemented diet. Each treatment group consisted of six animals. Animals in the basal diet group were fed with 30% alfalfa hay and 70% concentrates at a rate equivalent to 4% of their body weight. For the oil treatment group, linseed oil was added at 4% level (w:w) to the concentrate portion of the basal diet. Growth performance of the animals was determined fortnightly. Digestibility study was conducted during the final week of the feeding trial before the animals were slaughtered to obtain rumen fluid for rumen fermentation characteristics study. Results: Sheep had higher (p<0.01) average daily weight gain (ADG) and better feed conversion ratio (FCR) than goats. Oil supplementation did not affect rumen fermentation in both species and improved ADG by about 29% and FCR by about 18% in both goats and sheep. The above enhancement is consistent with the higher dry matter and energy digestibility (p<0.05), as well as organic matter and neutral detergent fiber digestibility (p<0.01) in animals fed oil- supplemented diet. Sheep had higher total volatile fatty acid production and acetic acid proportion compared to goat. Conclusion: The findings of this study suggested that sheep performed better than goats when fed a fattening diet and oil supplementation at the inclusion rate of 4% provides a viable option to significantly enhance growth performance and FCR in fattening sheep and goats.

• 대한통합의학회지
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• 제9권1호
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• pp.203-217
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• 2021

Purpose: The purpose of this meta-analysis was to examine the high-level evidence of the effects of manual therapy on musculoskeletal diseases. Methods: Domestic databases were searched for studies that conducted clinical trials associated with manual therapy on chronic musculoskeletal diseases. A total of 591 studies published between 2005 and 2018 were identified, with 18 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with pain and physical function. The 18 studies included in the study were evaluated by using the R meta-analysis (version 4.0). The quality of 18 randomized control trials was evaluated by using the Cochrane risk of bias (ROB). The effect sizes were computed as the corrected standardized mean difference (SMD). Subgroup and meta-regression analyses were also used. Egger's regression test was carried out in order to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were also conducted in order to analyze the data error. Results: The following factors showed the large effect size of manual therapy on chronic musculoskeletal diseases: pain (Hedges's g = 2.66; 95% CI = 1.47 ~ 3.85), and physical function (Hedges's g = 2.15; 95% CI: 1.22 ~ 3.08). The subgroup analysis only showed a statistical difference in the type of manual therapy (pain) and outcome (physical function). No statistically significant difference was found in the meta-regression analysis. Publication bias was found in the data, but the results of the trim-and-fill method showed that such bias did not largely affect the obtained data. Furthermore, there were no data errors in the cumulative meta-analysis and sensitivity analysis. Conclusion: This study provides evidence for the effectiveness of manual therapy on chronic musculoskeletal diseases in pain and physical function. Subgroup analysis suggests that only the type of manual therapy for pain and the type of outcome for physical function differed in effect size.

• 디지털융복합연구
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• 제18권12호
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• pp.11-19
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• 2020

본 연구는 최근 급격한 환경변화로 인하여 세대 간 디지털 격차가 더욱 심각해 질 것으로 예상됨에 따라, 중고령층을 대상으로 4차 산업혁명 관련 기술에 대한 인지 및 디지털기술 활용 등을 살펴보고 향후, 디지털 격차를 해소하기 위한 방안에 대해 제시하고자 하였다. 연구를 위하여, 2019년 디지털정보격차 실태조사 원시데이터를 활용하였다. 연구결과, 미래 지능정보사회에 대한 인지정도에 따라 디지털정보 활용 측면에 차이가 있는 것으로 나타났다. 미래 지능정보사회에 대한 인지가 높은 그룹일수록 다양한 분야의 정보활용능력이 높게 나타났다. 중고령층의 삶의 만족도에 영향을 주는 요인으로 미래 지능정보기술의 필요성을 많이 인지할수록, 새로운 기술에 대한 자신감과 태도가 적극적일수록 삶의 만족도가 높은 것으로 나타났다. 본 연구는 고령화 진전과 지식정보사회로의 전환시기로 디지털 격차 증대에 대한 우려가 논의되고 있는 시점에서, 중고령층의 디지털정보기술의 활용과 미래 지식정보기술의 인식과 태도가 삶의 만족도에 영향을 준다는 결과를 도출함으로써 중고령층의 삶의 질을 향상시키기 위한 디지털정보 기술의 활용능력이 중요함을 제시하였다. 향후 디지털 포용 관점에서 중고령층의 환경변화에 능동적으로 대응하기 위한 디지털정보 역량과 활용에 초점을 맞추는 정책이 필요할 것으로 판단된다.

• Fisheries and Aquatic Sciences
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• 제24권3호
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• pp.109-120
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• 2021

Protein hydrolysates and krill meal (KM) are used as protein sources in aquafeeds. The study was conducted to examine the supplemental effects of shrimp protein hydrolysates (SH) or KM in a high-plant-protein diet for red seabream (Pagrus major). A fish meal (FM)-based diet (40%) was considered as the high-FM diet (HFM) and a diet containing 25% FM and soy protein concentrate, in the expense of FM protein from HFM diet, was considered as the low fish meal (LFM) diet. Two other experimental diets (SH and KM) were prepared by including SH and KM into LFM diet at 5% inclusion levels in exchange of 5% FM from the LFM diet. A feeding trial was conducted for fifteen weeks using triplicate group of fish (Initial mean body weight, 8.47 ± 0.05 g) for a diet. Growth performance and feed efficiency of fish were significantly enhanced by HFM, KM and SH supplemented diets over those of fish fed LFM diet. Interestingly, these parameters of fish fed SH diet showed better performance than KM and HFM groups. Liver IGF-I expression of fish fed SH diet was comparable to HFM group and higher than KM and LFM diets. Protein digestibility of SH diet was significantly higher than KM, HFM, and LFM diets. Dry matter digestibility of SH diet was comparable to HFM diet and significantly higher than KM and LFM diets. Nitro blue tetrazolium and superoxide dismutase activities of HFM, SH and KM groups were significantly elevated than the LFM group and SH diet increased catalase and glutathione peroxidase activities of fish compared to KM and LFM groups. Hemoglobin level and hematocrit of fish fed SH and KM diets were significantly higher than LFM group. A diet containing 20% FM with KM is comparable to a HFM diet which contains 40% FM for red seabream. SH can be used to replace FM from red seabream diet down to 20% and fish performance can be improved better than a diet containing 40% FM. Overall, it seems that SH is more effective ingredient in red seabream diet compared to KM.

• 지역사회간호학회지
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• 제32권4호
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• pp.430-444
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• 2021

Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl's guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

• 재활치료과학
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• 제10권2호
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• pp.23-36
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• 2021

목적 : 본 연구는 지역사회에 거주하는 노인 대상의 그룹 프로그램 연구를 체계적으로 고찰하여 분석하고자 한다. 연구방법 : 2009년부터 1월부터 2019년 12월까지 NDSL, DBPia, Riss, PubMed의 데이터베이스를 이용하여 지역사회 노인 대상의 그룹 프로그램에 대한 논문을 검색하였으며, 1차 검색된 147편의 논문 중 선정기준 및 배제기준에 따라 16편의 논문을 최종 선택하여 연구 대상자 특성, 그룹 프로그램의 세부내용, 중재기간 및 회기, 결과 측정방법, 그룹 프로그램의 효과를 분석하였다. 결과 : 총 16편의 선정된 연구 중 근거수준 III에 해당하는 단일 그룹 사전-사후 연구가 8편(50.0%)으로 가장 많았고, 지역사회 거주 일반 노인 대상의 연구가 5편(25.0%)이었다. 총 16편의 연구에서 적용한 그룹 프로그램의 유형은 10개로 구분되었고, 운동 그룹 프로그램이 4편(25.0%)이었다. 그룹 프로그램 중재 기간은 12주 동안의 중재 기간이 6편(37.5%)이었고, 회기는 8회기와 12회기가 4편(25.0%)이었으며, 그룹 프로그램의 적용 시간은 60분이 7편(43.8%)이었다. 결론 : 본 고찰 연구는 지역사회에서 다양한 인지수준의 노인을 위한 작업치료 그룹 프로그램 개발의 기초자료로 활용될 수 있다.