• 보건행정학회지
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• 제25권4호
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• pp.323-332
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• 2015

Background: Antibiotic resistance has been becoming serious challenge to human beings. Overuse of antibiotics, especially, for infants is concerned, but studies are very few for the prescribing pattern of antibiotic use for infants. This study analyzes prescribing patterns of antibiotics in outpatients of preschool children with acute respiratory tract infections in South Korea. Methods: Data are used from 2011 Health Insurance Review & Assessment Services-pediatric patients sample. Inclusion criteria is outpatient children (0 to 5 years) with top five frequent diseases. Prescription rates are analyzed by types of disease, provider, specialty, region, and ages. Binary or multinomial logit models are used to analyze determinants of providers' prescription pattern. Results: The main findings are as follows. First, distributions of prescription rates are shown as L-shape or M-shape depending on the types of disease. Second, the prescription variation is so large among providers, where providers are polarized as a group with low prescription rates and the other group with high prescription rates, though the shapes are shown diversified across types of disease. Third, prescription rates appear to be lower in pediatrics and higher in ENT (ear-nose-throat). Fourth, broad spectrum antibiotics are widely used among children. Finally, the logit analysis shows similar results with descriptive statistics, but partly different results across types of disease. Conclusion: Antibiotics for respiratory tract infections of infants are used excessively with a large variation among providers, and especially broad spectrum antibiotics are used. The prescription guideline for antibiotics should be provided for each specific disease to reduce antibiotic resistance in the future.

• 대한물리의학회지
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• 제11권3호
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• pp.55-58
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• 2016

PURPOSE: This study was measured the differences in the flexor and extensor muscle activities of the elbow joints based on the tire pressure of wheelchairs during propulsion, investigating the optimal tire pressure for improving occupants' propulsion and avoiding related injury. METHODS: Ten healthy volunteers (10 men aged $23.1{\pm}1.9years$, weight: $67.9{\pm}3.4kg$, height: $175.1{\pm}2.7cm$) took part in the study. The mean values used in the statistical process were obtained from values measured while a subject sitting on a wheelchair propelled himself forward for 10 meters on a flat floor at maximum speed. The tire pressure of the wheelchairs was set at 100 psi, 50 psi, and 25 psi. All of the subjects performed wheelchair propulsion for each pressure. This study was measured the activation of the biceps brachii and triceps brachii muscles on the dominant side during wheelchair propulsion. The measured data was analyzed using one-way analysis of variance (ANOVA) via the statistical package for the social sciences (SPSS) version 12.0 for Windows to compare the muscle activity. RESULTS: The muscle activities of the biceps brachii and triceps brachii were significant differences between each pressure group. The post hoc test found statistically significant differences between 100 psi and 50 psi and 100 psi and 25 psi for the biceps brachii and triceps brachii muscles, respectively. CONCLUSION: The maintaining proper tire pressure in a wheelchair may help to prevent overuse syndrome in the occupant's elbow joints.

• 한국운동역학회지
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• 제21권3호
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• pp.335-343
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• 2011

Patellofemoral pain syndrome is the most common problem involving the knee, accounting for 25% of knee injuries. Repetitive, overuse activities cause increased force at the patellofemoral joint, resulting in pain during flexion and extension activities. Most research have been conducted in exploring the patellofemoral compressive force in gait, squat and lunges, even though in real cases, possibilities in landing exist. The purpose of this study was to compare the differences in patellofemoral compressive force according to two different height. Sixteen collegiate male students(age: 22.25 ${\pm}$ 3.30 yrs, height: 177.25 ${\pm}$ 4.44 cm, weight: 77.50 ${\pm}$ 8.18 kg) were chosen. The subjects performed drop landings in 45 cm, 60 cm. The findings demonstrated that higher height showed peak knee extension moment, quadriceps contraction force, patellofemoral compressive force with increased VGRF. Regarding the patellofemoral joint compressive force, it increased by quadriceps contraction force with knee flexion during landing, yet, it showed no difference in maximal knee flexion. To minimize patellofemoral joint stress and reduce the likelihood of developing PFPS, we recommend that predesigned quadriceps and hip muscle group strengthening are needed during conditioning and training.

• 한국가구학회지
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• 제18권4호
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• pp.317-323
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• 2007

Almost all the people, particularly the rural people are directly dependent on the continued productivity of natural resources, like water, soils, forests and fisheries. But the overuse by the extremely high population pressures has degraded the natural resources into severe widespread deforestation. The degradation of natural resources, particularly the plant resources has been a great concern for socio-economic and sustainable development of the country. The Forests in Bangladesh have been depleted and degraded in volume, area, and quantity, thus requiring urgent forest protection by identifying the causes of forest loss. There are so many causes of deforestation and loss of genetic resources such as; the timber industry, which, legal or not, are cutting too many trees; indigenous forest dwellers, having their own types of problems; migrants, who, because of problems in their places of origin, have decided to move to the forests and the government through its Forest Department which is not able or willing to implement suitable policies to regulate the cutting trees and to prevent illegal cutting. Because it is a time consuming task to mitigate the first and second sets of factors, we recommend involving forest dwellers in forestry practices as much as possible and taking necessary steps to alleviate the third and fourth sets and thereby reduce the rate of forest depletion. Accordingly, a number of strategies that should be adopted to halt the loss of remaining forest cover are discussed.

• 한국임상약학회지
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• 제20권2호
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• pp.145-150
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• 2010

In order to investigate the antibiotic prescription pattern for upper respiratory infections (URI), the prescription sheets for outpatients from July 2008 to June 2009 were collected from 7 community pharmacies in Ulsan City, and the prescription pattern of Pediatric and ENT physicians was analyzed. The antibiotic prescription rates of Pediatric and ENT physicians were 63.8% and 61.7%, respectively. It was also observed that the oral antibiotic prescription was 95.6% in Pediatrics and 97.6% in ENT. The most favorable antibiotics by Pediatric physicians were penicillins (21.5%) penicillin-clavulanate (36.4%) and cephalosporins (16.5%), macrolides (11.6%), quinolones (3.5%), and nifuroxazide (3.5%). In case of ENT, the commonly prescribed antibiotics were also penicillin-clavulanate (47.6%), cephalosporins (31.6%), macrolides (11.9%) and sulfonamide (1.3%). The antibiotic combination rate was 7.6% in Peditrics and 1.9% in ENT, among antibiotic prescriptions. The combination of more than two oral antibiotics was examined as 66.8% in Pediatrics and 44.2% in ENT. The common oral antibiotic combination in Pediatrics was prescriptions of two ${\beta}$-lactam antibiotics (54.3%). Among them 83% was the combination of amoxicillin-clavulanate (7:1) and amoxicillin, which could be judged as antibiotic overuse. The next highly prescribed oral antibiotic combination was ${\beta}$-lactam/macrolide antibiotic combination probably for URI (11.3%) and ${\beta}$-lactam/nifuroxazide combination (10.0%) presumably for acute diarrhea. Comparatively the oral antibiotic combination prescribed by ENT physicians was negligible except one physician. In conclusion, the antibiotic over-prescription rate by antibiotic combination was much higher in Pediatrics than ENT, even though both clinical departments showed nealy the similar antibiotic prescription rates.

• 대한산업공학회지
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• 제34권1호
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• pp.90-97
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• 2008

Wedged insoles are frequently used to reduce the pains caused by the knee arthritis or the foot overuse syndrome. The present study analyzed the effect of wedged rear-foot insoles on the foot pressure in walking. Three medially wedged insoles with three angles (5, 8 and 15") and three laterally wedged insoles with the same angles were made, and a flat insole were prepared. Ten healthy males in twenties walked in a specified line with each insole. Center of pressure (COP), relative vertical force and maximum force on anatomical areas were analyzed from the measured foot pressure data. At heel contact, medially wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 2-5 mm and maximum pressure of 1st metatarsal head increased by 110-120% relative to the flat insole), In contrast, laterally wedged insoles significantly increased the lateral side pressure (COP moved laterally by 1-5 mm and the ratio of $2^{nd}$ metatarsal head pressure to $1^{st}$ metatarsal head increased by 0.5-2.0 relative to the flat insole). At toe off, both wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 0.5-10 mm and the ratio of $1^{st}$ metatarsal head pressure to $5^{th}$ metatarsal head increased by 2.0 relative to the flat insole). Especially, the laterally wedged insoles significantly increased the relative vertical force (6-12%) of the rear-foot more than the flat insole.

• Nutritional Sciences
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• 제5권4호
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• pp.175-183
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• 2002

To compare the effects of various types of dietary fiber on microbial production of short-chain fatty acids (SCFA) and on colon cell proliferation which is used as an intermediate biomarker for colon carcinogenesis, groups of 10 male Sprague-Dawley rats were fed one of four fiber-supplemented diets (6% cellulose, 6% pectin, 6% polydextrose, and a mixture of 3% cellulose and 3% polydextrose) for three weeks. As a control, a fiber-free diet was fed to a separate group of 10 rats. Cell proliferation was measured by in vivo incorporation of bromodeoxyuridine into DNA in the proximal and distal colon, respectively. Luminal concentrations of SCFA were measured by gas chromatography. Dietary fiber significantly influenced microbial production of SCFA in the colon; pectin supplementation produced the highest concentrations of luminal SCFA in both the proximal and distal colon (p<0.05). The degree of individual SCFA production was characterized by a relatively higher increase in butyrate production by the pectin-supplemented diet, and in propionate production by the polydextrose-supplemented diet, resulting in alterations of the molar ratios of acetate, propionate and butyrate. There were significant differences in colon cell proliferation among the diet groups; the pectin-supplemented diet produced a significantly higher effect on cell proliferation of distal colonic epithelial cells (p＜0.05), and the polydextrose-supplemented diet produced an intermediate effect compared to the fiber-free or cellulose-supplemented diet. Increased cell proliferation was correlated to increased luminal concentrations of butyrate in the proximal colon and to increased luminal concentrations of propionate and butyrate in the distal colon (p<0.05). Therefore, these data suggest that dietary fiber may modulate colon cell proliferation by altering luminal SCFA concentrations, particularly butyrate and perhaps propionate. In addition, the present study is the first finding that has demonstrated a relative increase in colon cell proliferation due to supplementation with polydextrose, suggesting that the overuse of this artificially synthesized polysaccharide in food processing technology needs to be carefully evaluated from the public health point of view.

• Journal of Chest Surgery
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• 제49권sup1호
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• pp.60-67
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• 2016

Background: Coronary angioplasty has been replacing coronary artery bypass grafting (CABG) because of the relative advantage in terms of recovery time and noninvasiveness of the procedure. Compared to other Organization for Economic Cooperation and Development (OECD) countries, Korea has experienced a rapid increase in coronary angioplasty volumes. Methods: We analyzed changes in procedure volumes of CABG and of percutaneous coronary intervention (PCI) from three sources: the OECD Health Data, the National Health Insurance Service (NHIS) surgery statistics, and the National Health Insurance claims data. Results: We found the ratio of procedure volume of PCI to that of CABG per 100,000 population was 19.12 in 2014, which was more than triple the OECD average of 5.92 for the same year. According to data from NHIS statistics, this ratio was an increase from 11.4 to 19.3 between 2006 and 2013. Conclusion: We found that Korea has a higher ratio of total procedure volumes of PCI with respect to CABG and also a more rapid increase of volumes of PCI than other countries. Prospective studies are required to determine whether this increase in absolute volumes of PCI is a natural response to a real medical need or representative of medical overuse.

• 대한정형외과스포츠의학회지
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• 제9권2호
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• pp.121-124
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• 2010

발바닥 부위에 반복적인 저 에너지의 자극이 가해지는 선수들에게는 건염, 피로 골절, 또는 과사용 증후군과 같은 병변이 자주 관찰된다. 운동 선수들에게 발생하는 발뒤꿈치 통증의 대부분의 원인은 족저 근막염이고, 이 는 족저 근막의 반복적 자극에 의해 발생한다. 대부분 보존적인 치료 방법으로 증상의 호전을 보이고 운동에 복귀한다. 흔하지는 않지만, 발뒤꿈치 통증의 원인이 되는 신경 압박병증도 반복적인 자극에 따른 신경의 주변조직 비후에 의해 발생할 수도 있다고 한다. 저자들은 발 부위에 저 에너지의 반복적인 자극이 가해지는 농구 선수에게서 만성 족저 근막염이 동반된 외측 족저 신경의 압박병증을 관찰하였고, 발생 가능한 기전과 증례를 문헌 고찰과 함께 보고하고자 한다.

• 한국산학기술학회논문지
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• 제21권2호
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• pp.479-494
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• 2020

본 연구는 청소년의 스마트폰 과다사용과 학교적응간의 구조적 관계를 살펴봄으로써 청소년의 건전한 스마트폰 이용에 유용한 시사점을 제공하고자 하였다. 연구목적을 달성하기 위해 B지역에 위치한 초·중·고등학생들 중 스마트폰을 사용하고 있는 학생 900명을 대상으로 2014년 9월부터 10월까지 설문조사를 실시하였다. 설문은 총 891부가 수거되었고 불성실하게 응답한 설문 25부를 제외한 866부를 분석에 활용하였다. 통계분석 프로그램으로는 SPSS 20.0과 Amos 18.0을 활용하였으며 연구가설을 검증하기 위하여 구조방정식모형을 적용하였다. 분석결과는 다음과 같다. 첫째, 스마트폰 과다사용과 학교적응의 관계는 유의하지 않았다. 둘째, 스마트폰 과다사용과 사회적 지지의 관계는 유의한 영향력이 있는 것으로 나타났다. 셋째, 스마트폰 과다사용과 자기통제력의 관계에서도 유의한 영향력이 있는 것으로 나타났다. 넷째, 청소년의 사회적 지지와 자기통제력 모두 학교적응에 직접적인 영향을 미치는 것으로 나타났다. 다섯째, 스마트폰 과다사용과 학교적응의 관계에서 사회적지지 및 자기통제력은 매개효과가 있는 것으로 나타났다. 따라서 청소년들의 학교적응력을 높이기 위해서는 자기통제력을 확대시키고, 가족관계의 친밀성과 상호지지를 확장하면서 사회적 지지체계를 확고히 하는 노력이 필요하다.