• 한국병원경영학회지
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• 제3권1호
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• pp.34-61
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• 1998

A study on cooperative medical treatment system between oriental and western medical practitioners was conducted from March through August 1997 in order to determine a productive model of cooperation of two medical parts for treatment of patients. Questionnaires were distributed to 195 medical doctors(M.D.) and 195 doctors of oriental medicine(O.M.D.) working in clinics and hospitals in six major cities. Statistical analysis tools used for this study were frequency, t-test and multiple regression by using SPSS/P.C package. The results are summarized as follows: 1. The respondents were composed of male docotors(78%) and female doctors(22%) and 68.2% of M.D. and 97% of O.M.D. were interested in the other medical part. The doctors of both disciplines had some limitation on treatment of patients but they were reluctant to refer their patients to other doctors in different discipline. 2. M.D assumed that oriental medicine was more effective for chronic diseases, and O.M.D. thought that western medicine was more effective for acute diseases. 92.3% of O.M.D.s responded that even though they do not utilize western medical technology for diagnosis, they believed the results of diagnoses by western medical technology. 3. 60.5% of O.M. and 93.3% of O.M.D. said that cooperative medical treatment system could be necessary for patients and it would be effective for control of diseases and 69% of western medical doctors and 99% of oriental medical doctors agreed that oriental medical practice would be more effective for cerebellar vascular accidents than other diseases. 77.4% of western medical doctors and 92.3% of oriental medical doctors responded that the students of two different disciplines have to be taught on the other disciplines. 82.6% of western medical doctors and 83.3% oriental medical doctors agreed that it would be necessary to have collaborative research between scientists in two disciplines. 81.5% of M.D.s and 93.3% of O.M.D.s believed that they had prejudice and distrust on other discipline 4.90% of the doctors were not satisfied with the government medical policies on health insurance, legal matters, and health delivery system. 5. 75.4% of M.D.s and 50.2% of O.M.D.s said that two medical disciplines should be integrated, but they were skeptical on that. 75.3% of M.D.s thought that western hospitals should employ O.M.D.s Finally this study recommended that western medical students study oriental medicine and the vice versa, and M.D.s and O.M.D.s should have seminars and workshops to exchange knowledge, and experiences. It is also recommended that medical laws be revised to allow medical doctors refer the patients whom they can not handle to oriental medical doctors and the vice versa.

• 대한가정학회지
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• 제35권3호
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• pp.287-305
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• 1997

The purpose of this study was to analyze a causal effect on the housewife's leisure activity participation, leisure expenditure and leisure life satisfaction. Data was collected 249 housewives in Pusan. Data were analysed using descriptive statistics, one-way Anova, multiple regression, Pearson's correlation and path analysis. The main findings of the research were as follows: First, there were significant differences in leisure activity participation according to socio-demographic and economic variables. Physical type showed significant differences when housewife was 30's and unemployed, size of family was 3 and 4, age of the lastborn child was under 6, occupation of husband was professionals and technicians, educational attainment of housewife was under highschool graduate, pattern of housing was collective, income was higher. There were significant differences that occupation of husband was professionals and technicians, educational attainment of housewife was over junior college graduate, pattern of housing was collective, income was higher in self-developing type. restful type showed significant differences when housewife was 40's, age of the lastborn child was under 13-18, educational attainment of housewife was under highschool graduate. There were significant differences that housewife was unemployed in home-oriented type. There were significant differences that housewife was 30's and unemployed, size of family was 4, age of the lastborn child was under 6, occupation of husband was market and sales worker, educational attainment of housewife was over junior college graduate, pattern of housing was collective in time-spending type. Second, there were significant differences in leisure time, leisure expenditure and leisure life satisfaction according to socio-demographic and economic variables. Leisure time showed significant differences when housewife was unemployed, age of the lastborn child was under 13-18, occupation of husband was service, educational attainment of housewife was under highschool graduate, income was higher. Leisure expenditure showed significant differences when housewife was 30's, size of family was under 3, age of the lastborn child was under 6, occupation of husband was senior officials and manager, educational attainment of housewife was over junior college graduate, pattern of housing was collective, income was over 5,000,000 won. There were significant differences that housewife was unemployed in leisure life satisfaction. Third, casual effect was path analysed according to path model. Employment and unemployment of housewife, income and occupation of husband (product & transport equipment operator) had an effect on phycial type. Age of housewife, employment and unemployment of housewife and occupation of husband (product & transport equipment operator) had an effect on children-concerned type. Age of housewife had an effect on social-concerned type. Education of husband, income, age of lastborn child and occupation of husband (professor and teacher) had an effect on self-developing type. Age of lastborn child, employment and unemployment of housewife and occupation of husband(product & transport equipment operator) had an effect on children-concerned type. Age of lastborn child and children number had an effect on religious-social type. Employment and unemployment of housewife had an effect on home-oriented type. Age of housewife, education of husband had an effect on time-spending type. Restful type, employment and unemployment of housewife, and occupation of husband(service) have an effect on leisure time. Income, leisure time, self-developing type, children concerned type and occupation of husband(senior officials and manager) had an effect on leisure expenditure. Leisure expenditure, self-developing type, employment and nemploymentof housewife, income had an effect on leisure life satisfaction.

• Journal of Gastric Cancer
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• 제16권4호
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• pp.247-253
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• 2016

Purpose: The aim of this study was to establish an anthropometric reference of the stomach for gastric cancer surgery and a modeling formula to predict stomach length. Materials and Methods: Data were retrieved for 851 patients who underwent total gastrectomy at the Seoul National University Hospital between 2008 and 2013. Clinicopathological data and measurements from a formalin-fixed specimen were reviewed. The lengths (cm) of the greater curvature (GC) and lesser curvature (LC) were measured. Anthropometric data of the stomach were compared according to age, body weight, height (cm), and body mass index. To predict stomach length, two multiple regression analyses were performed. Results: The mean lengths of the GC and LC were $22.2{\pm}3.1cm$ and $16.3{\pm}2.6cm$, respectively. The men's GC length was significantly greater than the women's ($22.4{\pm}3.1cm$ vs. $21.2{\pm}2.9cm$, P=0.003). Patients aged >70 years showed significantly longer LC than those aged <50 years ($16.9{\pm}2.9cm$ vs. $15.9{\pm}2.4cm$, P=0.002). Patients with body weights >70 kg showed significantly longer GC than those with body weights <55 kg ($23.0{\pm}2.9cm$ vs. $21.4{\pm}3.2cm$, P<0.001). In the predicted models, 4.11% of the GC was accounted for by age and weight; and 4.94% of the LC, by age, sex, height, and weight. Conclusions: Sex, age, height, and body weight were associated with the length of the LC, while sex and body weight were the only factors that were associated with the length of the GC. However, the prediction model was not sufficiently strong.

• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.2001-2006
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• 2014

The objective of this study was to investigate the diagnostic significance of EBV antibody combined detection for nasopharyngeal carcinoma (NPC) in a high incidence region of southern China. Two hundred and eleven untreated NPC patients, 203 non-NPC ENT patients, and 210 healthy controls were recruited for the study. The titers of VCA/IgA and EA/IgA were assessed by immunoenzyme assay, and the levels of Rta/IgG and EBNA1/IgA were determined by enzyme-linked immunosorbent assay. The levels of VCA/IgA, EA/IgA, Rta/IgG and EBNA1/IgA demonstrated no association with gender or age (p>0.05). The receiver operating characteristic curve and the area under the curve were used to evaluate the diagnostic value. The sensitivity of VCA/IgA (98.1%) and the specificity of EA/IgA (98.5%) were the highest. When a logistic regression model was used to combine the results from multiple antibodies to increase the accuracy, the combination of VCA/IgA+Rta/IgG, whose area under the curve was 0.99, had the highest diagnostic efficiency, and its sensitivity, specificity and Youden index were 94.8%, 98.0% and 0.93 respectively. The data suggest that the combination of VCA/IgA+Rta/IgG may be most suitable for NPC serodiagnosis.

• 대한지역사회영양학회지
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• 제11권4호
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• pp.449-458
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• 2006

The purpose of this study was to determine the characteristics of infants' temperaments and eating behaviors, mothers' eating behaviors and feeding practices in poor eating infants. The participants were 80 infants of 12-24 months (27 poor eaters and 53 matched normal controls) from a hospital and a public health center. Mothers were questioned about their eating behaviors and feeding practices, and infants' temperaments, eating behaviors, and nutrient intakes by one day food recall. Subjects were divided by mean nutrient adequacy ratio (MAR, < 0.75; poor eater). Intakes of Ca, P, Fe, Zn, thiamin, riboflavin, niacin, vitamin C, E, folate were below 75% RDA in poor eaters, whereas protein, thiamin, riboflavin, vitamin B$_6$, C, folate exceeded 125% RDA in good eaters. Rhythmicity of infants' temperaments and eating behaviors, restriction of mothers' eating behaviors and feeding practices were significantly lower, whereas activity levels of infants' temperaments were higher than good eaters. In multiple logistic regression model of poor eaters, activity of infants' temperaments (T, OR: 1.19, CI: 1.05 - 1.35) and attention spans of infants' eating behaviors (A, OR: 1.18, CI: 1.03 - 1.35) were significantly positive, whereas rhythmicity of infants' eating behaviors (R, OR: 0.79, CI: 0.61-0.94) was significantly negative [E (the legit) : -6.8644+0.1712$\times$T-0.2337$\times$R+0.1641$\times$A]. Our findings suggest that examination of eating behaviors, feeding practices, and temperaments will help target interventions to improve infants' food intakes, and these variables should be examined at the time of nutrition counseling.

• Journal of Nutrition and Health
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• 제40권sup권
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• pp.29-38
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• 2007

The purpose of this study was to establish an association between the percent of energy from total sugar and disease prevalence of obesity, hypertension, dyslipidemia, insulin resistance, and metabolic syndrome with the context of the current population dietary practice in Korea. The Korean National Health and Nutrition Survey, 2001 and 2002 dataset were used as the source of data for this research. Usual nutritional intakes for over 20 years old people were calculated from the two non-consecutive dietary intake data from KNHANES 2001 and 2002 dataset. SAS and SUDAAN were used for statistical analyses. Sample weighted means, standard errors, and population percentages were calculated, and multiple logistic regression model with adjustment for covariates were used to determine the odds ratios(ORs) and 95% confidence intervals. Subjects were categorized as 3 ways and compared the LS means and ORs for heath factors. First, subjects excluding pregnant women, were categorized according to percent of energy from the usual total sugar intakes as ${\leq}10%$, 11-15%, 16-20%, 21-25%, >25%. Risk of LDL cholesterol showed a tendency to increase in the '>25%' group compared to the '<10%' group. The risks of the other health effects did not show any significant differences. Second, the subjects were categorized considering both Acceptable Macronutrient Distribution Range(AMDR) from carbohydrate and %Energy from total sugar as 'CHO<55% & Total sugar ${\leq}10%$', 'CHO 55-70% & Total sugar 11-25%', and '$CHO{\geq}70%$ & Total sugar ${\geq}25%$'. The risk of obesity tended to increase in the '$CHO{\geq}70%$ & Total sugar ${\geq}25%$' group compared to the 'CHO<55% & Total sugar ${\leq}10%$'. Third, the subjects were categorized as 'CHO<55% & Total sugar ${\leq}10%$', 'CHO 55-70% & Total sugar 11-20%', and '$CHO{\geq}70%$ & Total sugar ${\geq}20%$'. The risk of obesity also tended to increase in the '$CHO{\geq}70%$ & Total sugar ${\geq}20%$' group compared to the 'CHO<55% & Total sugar ${\geq}20%$' group. In conclusion, risk of LDL cholesterol showed a tendency to increase in the over 25% total sugar intake group, and the risk of obesity tended to increase in the 20-25% total sugar intake and high carbohydrate intake group. The risks of hypertension, hyperlipidemia, insulin resistance, and metabolic syndrome were not associated with total sugar intakes. More research to elucidate the association for Korean between the intakes of total sugar, added sugar, glucose, fructose, and sweeteners and diseases prevalences shoud be excuted in the future.

• Journal of Nutrition and Health
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• 제42권7호
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• pp.622-630
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• 2009

The purpose of this study was to establish an association between glycemic index (GI), glycemic load (GL), dietary carbohydrates and diabetes with the context of the current population dietary practice in Korea. The subjects of 3,389 adults (male 1,430, female 1,959) were divided into normal (serum fasting glucose < 100 mg/dL), impaired glucose tolerance (100 ${\leq}$ serum fasting glucose < 126 mg/dL), diabetes (serum fasting glucose > 126 mg/dL) by serum fasting glucose. Anthropometric and hematologic factors, and nutrient intakes, dietary glycemic index (DGI), dietary glycemic load (DGL) were assessed. Multiple logistic regression model was used to determine the odds ratios (ORs) and 95% confidence intervals for relationship of DGI, DGL, carbohydrates intakes, and diabetes. DGI and DGL were not significantly correlated with impaired glucose tolerance and diabetes. However, the risk of impaired glucose tolerance and diabetes showed a tendency to increase as increase of DGI after multivariate adjustment (age, education, income, region area, diabetes family history, smoking, drinking, exercise, energy intake) in male. The risk of impaired glucose tolerance and diabetes showed a tendency to increase in the DGI 71.1-74.8 after multivariate adjustment in female. DGL was inversely related to impaired glucose tolerance and diabetes in male. In female, however, DGL was positively related to impaired glucose tolerance and diabetes. In particular, the risk of diabetes increased positively in level of DGL 260.5, and remained after multivariate adjustment (Q5 vs Q1：2.38, 0.87-6.48). When percent energy intakes from carbohydrates were more than 70%, the risk of impaired glucose tolerance and diabetes increased in both male and female. In particular, when percent energy intakes from carbohydrates were more than 69.9%, the risk of diabetes increased positively in male (Q4 vs Q1：2.34, 1.16-4.17). In conclusion, above 70% energy intakes from carbohydrates appeared to be a risk factor of diabetes. It seemed that the meal with high GI and GL value must be avoided it. And also, the macronutrients of the meal must be properly balanced. In particular, it may be said that it is a preventive way for treatment of the diabetes to avoid eating carbohydrates of much quantity.

• Journal of Nutrition and Health
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• 제47권6호
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• pp.403-415
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• 2014

본 연구는 국민건강영양조사 데이터를 활용하여 우리나라 성인에서 성별 허리둘레를 기준으로 한 복부비만 여부에 따른 혈액지표, 생활습관, 식사섭취 상태 및 식사의 질을 분석한 결과, 남성과 여성 모두에서 허리둘레 기준 복부비만군의 경우 정상군에 비해 대사적 지표 (혈중 콜레스테롤, 중성지방, 혈당 및 혈압)가 모두 유의적으로 높게 나타났으며, 여성 허리둘레 기준 복부비만군에서 비타민 $B_2$, 칼슘, 인 및 칼륨 등 미량영양소 섭취의 질이 정상군에 비해 유의적으로 낮았고, 식품 섭취의 다양성을 의미하는 식품군 점수 및 총 식품점수도 비만군이 정상군에 비해 유의적으로 낮게 나타났다. 또한 여성의 경우 식품 섭취의 다양성 (총 식품점수)이 증가할수록 허리둘레 기준 복부비만 위험도가 유의적으로 낮게 나타난 의미 있는 결과를 도출하였다. 이와 같은 결과는 비만의 관리 및 예방을 위해 영양소의 과부족이 없고 미량영양소의 적절한 공급을 가능하게 하는 다양한 식품의 섭취를 권장할 수 있는 근거자료 및 영양교육의 기초자료로 활용할 수 있을 것으로 사료된다.

• 벤처창업연구
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• 제15권3호
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• pp.233-242
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• 2020

본 연구는 기업가정신 교육이 한국과 중국 대학생들의 기업가지향성과 자기효능감에 미치는 기업가정신교육의 영향을 탐색적 연구수준에서 실증적으로 분석하였다. 특히 본 연구는 기업가정신 교육이 기업가지향성의 세 가지 하부요인인 혁신성, 자기주도성, 위험감수성 및 창업자기효능감에 미치는 영향을 분석하였다. 본 연구를 위한 표본은 한국과 중국 각 3개 대학교 대학생들을 추출하였으며 한국 224명, 중국 216명, 총 440명이 연구에 참가하였다. 데이터분석은 IBM SPSS statistics 23 통계프로그램을 이용하였고 위계적 다중회귀분석을 이용하여 수립한 가설을 분석하였다. 분석결과 기업가정신 교육은 한국과 중국 대학생들의 기업가지향성 및 자기효능감에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 또한 자기효능감은 대학생들의 기업가지향성에 유의한 정(+)의 영향을 미치는 한편 매개효과를 보이는 것으로 나타났다. 기업가정신 교육이 대학생들의 기업가지향성 및 자기효능감에 유의한 영향을 미침에 따라 미래 기업가 양성을 위한 기업가정신 교육의 중요성을 제고하였다. 또한 이론적, 실무적 시사점과 함께 효과적인 기업가정신 교육방법론 개발의 필요성을 제시하였다.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.517-526
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• 2016

본 연구는 간호대학에 재학하는 학생을 대상으로 자아탄력성, 간호전문직 자아개념, 전공만족도가 대학생활적응에 미치는 영향을 파악하여 대학생활적응을 돕는 기초자료를 제공하고자 시행하였다. 연구대상자는 광주, 전남에 소재하는 4년제 간호대학 2개교에서 간호대학생 310명을 대상으로 자아탄력성, 간호전문직 자아개념, 전공만족도, 대학생활적응 정도를 설문지로 측정하였다. 자료수집기간은 2016년 4월 1일부터 4월 15일까지이었다. 설문에 응답한 310명의 자료를 SPSS WIN 20.0을 이용하여 평균, 표준편차, t-test, ANOVA, Scheffe's test, Pearson' correlation coefficients, multiple regression으로 분석하였다. 연구 결과, 간호대학생의 자아탄력성은 4점 만점에 3.80점, 간호전문직 자아개념은 4점 만점에 2.81점, 전공만족도는 5점 만점에 3.86점, 대학생활적응은 5점 만점에 2.74점이었으며, 대학생활적응과 자아탄력성(r=.418, p<.01), 간호전문직 자아개념(r=.404, p<.001), 전공만족도(r=.455, p<.001)는 각각 유의한 양의 상관관계가 있었다. 또한 대상자의 대학생활적응에 영향을 미치는 요인은 자아탄력성(${\beta}=.252$, p<.001), 전공만족도(${\beta}=.309$, p<.001)로 나타났으며, 모델의 설명력은 27.2%였다. 본 연구를 통해 대학생활적응에 영향을 미치는 다양한 요인들을 파악하고 대학생활적응을 높일 수 있는 프로그램의 개발이 필요하다.