• 한국학교ㆍ지역보건교육학회지
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• 제23권1호
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• pp.17-27
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• 2022

Objectives: This longitudinal study was done to identify the relationship of school adjustment and sponsor support or future time perspective and the differences of these 3 variables between 1st and 2nd survey of children having Didimseed account in institutional care. Methods: Participants were 25 elementary fourth to sixth grade children who are living on one facility that located in G. metropolitan area at 1st survey and 2nd survey was done at five-year intervals. Data were collected from September 2012 to September 2017 and were analyzed using t-test, paired t-test, ANOVA, post-hoc test and Pearson's correlation coefficients. Results: The level of school adjustment knowledge was not different significantly according to grade, gender and admission period at 1st survey. At 2nd survey, the level of school adjustment was different significantly according to grade only. The level of school adjustment was associated with positive future time perspective(r=.74) and negative future time perspective(r=-.54) at 1st survey, and that was associated with negative future time perspective(r=-.49) and meeting frequency of sponsor(r=-.43) at 2nd survey. There were not significantly different school adjustment and future time perspective variables between both surveys. But meeting frequency of sponsor at 2nd survey was lower significantly than that at 1st survey. Conclusions: Based on the results of this study, it would be necessary to prepare the policies that could have their positive future time perspective to increase school adjustment of institutionalized children. Also the effective strategies to increase not only Didimseed account support but emotional support through qualified meeting with sponsors should be developed.

• Computers and Concrete
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• 제28권6호
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• pp.533-547
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• 2021

Calculating the shear capacity of slender reinforced concrete beams without shear reinforcement was the subject of numerous studies, where the eternal problem of developing a single relationship that will be able to predict the expected shear capacity is still present. Using experimental results to extrapolate formulae was so far the main approach for solving this problem, whereas in the last two decades different research studies attempted to use artificial intelligence algorithms and available data sets of experimentally tested beams to develop new models that would demonstrate improved prediction capabilities. Given the limited number of available experimental databases, these studies were numerically restrained, unable to holistically address this problem. In this manuscript, a new approach is proposed where a numerically generated database is used to train machine-learning algorithms and develop an improved model for predicting the shear capacity of slender concrete beams reinforced only with longitudinal rebars. Finally, the proposed predictive model was validated through the use of an available ACI database that was developed by using experimental results on physical reinforced concrete beam specimens without shear and compressive reinforcement. For the first time, a numerically generated database was used to train a model for computing the shear capacity of slender concrete beams without stirrups and was found to have improved predictive abilities compared to the corresponding ACI equations. According to the analysis performed in this research work, it is deemed necessary to further enrich the current numerically generated database with additional data to further improve the dataset used for training and extrapolation. Finally, future research work foresees the study of beams with stirrups and deep beams for the development of improved predictive models.

• 지역사회간호학회지
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• 제33권3호
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• pp.299-311
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• 2022

Purpose: Untreated depression in adolescents affects their entire life. It is important to detect and intervene early depression in adolescence considering the characteristics of adolescent's depressive symptoms accompanied by internalization and externalization. The aim of this study was to identify latent classes of depressive symptom trajectories of adolescents and determinants of classes in Korea. Methods: The three time-point (2018~2020) data derived from the Korean Children and Youth Panel Survey 2018 were used (N=2,325). Latent Growth Curve Modeling (LGCM) was conducted to explore the depressive symptom trajectories in all adolescents, and Latent Class Growth Modeling (LCGM) was conducted to identify each latent class. Multinomial logistic regression analysis was performed to confirm the determinants of each latent class. Results: The LGCM results showed that there was no statistically significant change in all adolescents' depressive symptoms for 3 years. However, the LCGM results showed that four latent classes showing different trajectories were distinguished: 1) Low-stable (intercept=14.39, non-significant slope), 2) moderate-increasing (intercept=19.62, significantly increasing slope), 3) high-stable (intercept=26.30, non-significant slope), and 4) high-rapidly decreasing (intercept=26.34, significantly rapidly decreasing slope). The multinomial logistic regression analysis showed that the significant determinants (i.e., gender, self-esteem, aggression, somatization, peer relationship) of each latent class were different. Conclusion: When screening adolescent's depression, it is necessary to monitor not only direct depression symptoms but also self-esteem, aggression, somatization symptoms, and peer relationships. The findings of this study may be valuable for nurses and policy makers to develop mental health programs for adolescents.

• Nutrition Research and Practice
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• 제16권5호
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• pp.673-684
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• 2022

BACKGROUND/OBJECTIVES: Although adherence to a higher diet quality may help prevent cognitive decline in older adults, literature for this in a Korean population is limited. Thus, the aim of this study was to examine the association between diet quality indices and the risk of mild cognitive impairment (MCI) in Korean older adults. SUBJECTS/METHODS: This cross-sectional study included 806 community-dwelling people aged 60 yrs and over in Korea. Diet quality was assessed via the revised Recommended Food Score (RFS) and alternate Mediterranean Diet Score (aMDS). Cognitive function was measured using a Korean version of the Mini-Mental State Examination (MMSE-KC). Associations between diet quality indices and MMSE-KC score were assessed with a general linear model after adjusting for covariates. Logistic regression was used to determine the association between diet quality indices and the risk of MCI. RESULTS: The prevalence of MCI was 35.3%. There were no significant trends between MMSE-KC scores and RFS and aMDS after adjusting for age, gender, education, exercise, living status, social activity, and alcohol drinking. Among total subjects, RFS was inversely associated with the risk of MCI after adjusting for covariates (Q5 vs. Q1; odds ratio [OR], 0.49; 95% confidence interval [CI], 0.28-0.83). Among total subjects and men, aMDS was inversely related to the risk of MCI after adjusting for covariates (Q5 vs. Q1; OR, 0.51; 95% CI, 0.29-0.89 for total subjects; Q5 vs. Q1; OR, 0.36; 95% CI, 0.15-0.83 for men). CONCLUSIONS: Our results demonstrate that high diet quality evaluated by RFS and aMDS is inversely associated with the risk of MCI. Thus, high quality diet may reduce or retard cognitive decline in the old population. Longitudinal studies are needed to determine the causal relationship between diet quality and the risk of MCI in the elderly.

• 대한통합의학회지
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• 제11권3호
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• pp.185-194
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• 2023

Purpose : This study aimed to investigate the relationship between the characteristics of hemodialysis patients and the occurrence of sarcopenia through a comprehensive literature review. Methods : A systematic literature search was conducted to identify eligible studies in the Cochrane library, PubMed and Embase. In this review, we included all papers published since the initiative's inception and summarized results as of december 2022. Studies that investigated association between sarcopenia diagnosis and hemodialysis patients (aged≥18 years) were included. Ultimately, 16 studies met our selection criteria. The risk of bias was assessed using the Newcastle-Ottawa scale. Results : Fourteen of the sixteen studies (88 %) reported that significant association between sarcopenia diagnosis and hemodialysis patients. However, two studies reported no association between sarcopenia diagnosis and hemodialysis patients. As a factor statistically related to sarcopenia in hemodialysis patients, Mortality (6 studies, 38 %), age (5 studies, 31 %), body composition (4 studies, 25 %), physical activity (2 studies, 13 %), diabetes (2 studies, 13 %), cardiovascular abnormalities (1 studies, 6 %), nutritional status (3 studies, 19 %), and gender (3 studies, 19 %). Conclusion : Our findings highlight the necessity of developing a physical therapy program that accurately reflects the health status of hemodialysis patients. To further investigate the association between the diagnosis of sarcopenia and hemodialysis patients, it is recommended to conduct large-scale longitudinal studies using standardized diagnostic criteria and evaluation methods, as well as analyze potential risk factors. Consequently, this study emphasizes the importance and potential of developing physical therapy programs that effectively address the health consequences associated with hemodialysis. The significance of this research lies in its ability to provide valuable insights and lay the foundation for future studies focused on developing preventive and therapeutic interventions targeting muscle wasting syndrome resulting from hemodialysis.

• 사회복지연구
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• 제42권3호
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• pp.33-56
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• 2011

본 연구는 손자녀 양육이 조부모의 우울감에 미치는 영향을 파악하고, 사회적 지지의 매개효과 및 가구유형이 손자녀 양육과 조부모의 우울감에 미치는 조절효과를 분석하는데 목적이 있다. 본 연구는 2006년 고령화연구패널조사를 기초로 2차 자료 분석을 하였으며, 패널조사 응답자 중 손자녀를 양육하고 있는 중고령자 555명을 대상으로 하였다. 연구결과, 손자녀를 양육하는 시간과 손자녀를 양육하는 기간 모두 조부모의 우울감을 증가시키는 요인으로 나타났다. 사회적 지지가 적을 수록 조부모의 우울감이 증가하는 것으로 나타났으나 사회적 지지의 매개효과는 유의미하지 않았다. 가구유형에 따른 손자녀 양육과 조부모의 우울감의 관계는 유의미하지 않은 것으로 나타났다. 연구결과를 바탕으로 손자녀를 양육하는 조부모에 대한 사회복지의 실천적 함의를 제시하였다.

• 한국노년학
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• 제39권3호
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• pp.549-567
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• 2019

본 연구는 노인의 상대적 악력과 인지기능 간 관계를 경제활동과 사회참여가 조절하는지를 규명하는데 목적을 두고 있다. 한국노동연구원에서 실시한 2016년 제 6차 고령화연구패널 자료를 이용하여 65세 이상 노인 가운데 두 손 모두 수술 및 외상 경험이 없고 악력이 측정 가능한 상태인 총 3,376명을 선정하였다. 모든 인구를 대표하기 위해 횡단 가중치를 적용하였고 통제변수, 독립변수, 조절변수와 상호작용항을 투입하여 위계적 회귀분석을 실시하였다. 연구결과 노인의 상대적 악력이 인지기능에 정적인 관계를 보이고 경제활동과 사회참여도 인지기능에 정적인 관계를 보였다. 또한 노인의 경제활동과 사회참여가 각각 노인의 악력과 인지기능 간의 관계를 조절하는 것으로 나타났다. 특히 악력이 낮더라도 경제활동과 사회참여를 할수록 인지기능에 미치는 부정적인 영향을 완충하는 것으로 나타났다. 이러한 연구결과는 노인의 인지기능 저하에 대응하기 위한 경제 활동과 사회참여에 따른 활동적 노화의 필요성을 시사한다.

• 한국지형학회지
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• 제18권4호
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• pp.35-57
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• 2011

포트홀로 대표되는 기반암 하상에 발달하는 다양한 침식 지형은 전문 연구자들의 연구 대상일 뿐만 아니라 일반인들에게 지형학의 학문적 중요성을 인식하게 하는 중요한 대상이다. 본 고에서는 우리나라에서 이뤄진 기반암 하상에 발달하는 지형들에 대한 연구들의 내용을 정리하고 소개하여 현황을 파악하고자 한다. 또한 기반암 하상지형의 발달과 관련된 공동현상, 굴식, 수문쐐기, 퇴적물 입자에 의한 마식 등과 같은 프로세스들과 관련된 지형들을 정리하여 소개하고자 한다. 최근에 해외 학계에서 논의되는 퍼로우, 플루트, 러넬 등과 같은 하상 지형의 특성과 형성 과정을 소개하고자 한다. 이러한 지형들은 풍화 기원의 지형들과 명확히 구분되어야 할 것으로 보인다. 또한 앞으로 우리나라의 기반암 하상 미지형 연구가 집중해야 할 과제인 하천 지형 침식 과정에 대한 기능지형학적 연구와 실험 연구의 중요성을 강조하였다. 또한 우주기원핵종을 이용한 침식률의 직접 추정과 같은 앞으로의 연구 방향을 제시하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제9권1호
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• pp.81-114
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• 2003

이 글은 청소년이 왜 일탈행동을 하는가? 하는 관심으로부터 출발한다. 이를 위해 주된 문화와 질적으로 다른 하위 문화에 대한 접근 논리를 모색하고, 청소년 일탈행동 형성에 대한 개념모형을 설정하였다. 이 연구의 주된 목적은 청소년 일탈행동의 형성과 변화과정을 이해하는데 있다. 이러한 목적을 위해 이 연구에서 다룬 내용은 두가지로 요약된다. 첫째, 청소년 일탈행동의 형성과정에 대한 이해를 위해, 환경특성으로서 가정환경과 학교환경 및, 개인특성으로서 청소년의 심리특성과 행동특성이 청소년의 일탈행동과 어떠한 관련이 있는지를 검토하였다. 둘째, 청소년기 동안 일탈행동이 어떠한 변화를 거치는가를 횡단자료 뿐만 아니라 종단 자료에 기초하여 살펴보았다. 특히 청소년기동안 경험하는 환경적 변화와 개인특성 변화의 맥락에서 청소년 일탈행동의 변화를 이해하려는 시도를 하였다. 이러한 연구내용에 관련된 선행연구 결과들에 토대하여, 종합 논의를 시도하였다.

• Journal of Periodontal and Implant Science
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• 제54권2호
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• pp.65-74
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• 2024

Purpose: This longitudinal cohort study aimed to evaluate the relationship between osteonecrosis of the jaw and pulp and periapical disease in patients who were administered bisphosphonates. Methods: Using data from a nationwide cohort, we examined the association among dental caries, pulp and periapical disease, and osteonecrosis of the jaw in women aged >50 years who received bisphosphonates for more than 1 year between 2002 and 2015. Because of ambiguities in the diagnosis of osteonecrosis of the jaw in population-based data, we operationally defined and categorized the condition into established and potential osteonecrosis of the jaw. Results: Pulp and periapical disease significantly increased the development of both established and potential osteonecrosis of the jaw (hazard ratio, 2.21; 95% confidence interval, 1.40-3.48; and hazard ratio, 2.22; 95% confidence interval, 1.65-2.98, respectively). Root canal treatment did not have any influence on the development of osteonecrosis of the jaw. Conclusions: Pulp and periapical disease may be a major risk factor for osteonecrosis of the jaw. The study findings suggest that patients should undergo regular dental examinations to detect pulp and periapical disease before or during the administration of bisphosphonates and that root canal treatment should be considered to decrease the risk of osteonecrosis of the jaw.