• Neonatal Medicine
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• 제25권1호
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• pp.7-15
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• 2018

We need to understand the outcomes into adulthood for survivors born either extremely low birthweight (ELBW; <1,000 g) or extremely preterm (EP; <28 weeks' gestational age), particularly their blood pressure and cardiovascular metabolic status,respiratory function, growth, psychological and mental health performance, and functional outcomes. Blood pressure is higher in late adolescence and early adulthood in ELBW/EP survivors compared with controls. In some studies, expreterm survivors have higher insulin and blood lipid concentrations than controls, which may also increase their risk for later cardiovascular disease. ELBW/EP survivors have more expiratory airflow obstruction than do controls. Those who had bronchopulmonary dysplasia (BPD) in the newborn period have even worse lung function than those who did not have BPD. As a group, they are unlikely to achieve their full lung growth potential, which means that more of them are likely to develop chronic obstructive airway disease in later life. Although they are smaller than term born controls, their weight gradually rises and ultimately reaches a mean z-score close to zero in late adolescence, and they ultimately attain a height z-score close to their mid-parental height z-score. On average, ex-preterm survivors have intelligence quotient (IQ) scores and performance on tests of academic achievement approximately 2/3 SD lower than do controls, and they also perform less well on tests of attention and executive function. They have similar high rates of anxiety and depression symptoms in late adolescence as do controls. They are, however, over-represented in population registries for rarer disorders such as schizophrenia and Autism Spectrum Disorder. In cohort studies, ex-preterm survivors mostly report good quality of life and participation in daily activities, and they report good levels of self-esteem. In population studies, they require higher levels of economic assistance, such as disability pensions, they do not achieve education levels as high as controls, fewer are married, and their rates of reproduction are lower, at least in early adulthood. Survivors born ELBW/EP will present more and more to health carers in adulthood, as they survive in larger numbers.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.395-400
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• 2015

Both Japan and Korea provide population-based screening programs. However, screening rates are much higher in Korea than in Japan. To clarify the possible factors explaining the differences between these two countries, we analyzed the current status of the cancer screening and background healthcare systems. Population-based cancer screening in Korea is coordinated well with social health insurance under a unified insurer system. In Japan, there are over 3,000 insurers and coordinating a comprehensive strategy for cancer screening promotion has been very difficult. The public healthcare system also has influence over cancer screening. In Korea, public healthcare does not cover a wide range of services. Almost free cancer screening and subsidization for medical cost for cancers detected in population-screening provides high incentive to participation. In Japan, on the other hand, a larger coverage of medical services, low co-payment, and a lenient medical audit enables people to have cancer screening under public health insurance as well as the broad range of cancer screening. The implementation of evidence-based cancer screening programs may be largely dependent on the background healthcare system. It is important to understand the impacts of each healthcare system as a whole and to match the characteristics of a particular health system when designing an efficient cancer screening system.

• 한국수정란이식학회:학술대회논문집
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• 한국수정란이식학회 2002년도 국제심포지엄
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• pp.85-85
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• 2002

Pregnancy block by male pheromones in mice differs in incidence depending on the combination of strains. Female mice of BALB/cA strain mated with BALB/cA males show a 100% pregnancy block when exposed to males of inbred strain DDK shortly after copulation (Chung et al., Biol Reprod 1997). In the present study, BALB/cA females mated with the males of other strains (CBA/J, C3H/HeN, C57BL/6Cr, and IXBL) showed higher pregnancy rates (66.6-87.5%) even when they were exposed to DDK males. In the pharmacological induction of pregnancy block with dopamine agonist (Bromocriptine, 4mg/kg BW), BALB/cA females mated with BALB/cA males showed a 100% pregnancy block. In contrast, BALB/cA females mated with CBA/J, C3H/HeN, and C57BL/6Cr males showed higher pregnancy rates (40-70%). These results suggest that the better pregnancy rate of BALB/cA females mated with alien males may be due to the stronger viability of F 1 embryos. This interpretation was confirmed by an embryo transfer experiment in which a higher implantation rate was observed when BALB/cA embryos grown in BALB/cA females exposed to BALB/cA males were transferred into recipient BALB/cA females exposed to DDK males. These results suggest that the embryonic genotype or viability of the embryo is one factor contributing to the occurrence of pregnancy block by male pheromones in mice.

• 디지털융복합연구
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• 제18권2호
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• pp.13-21
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• 2020

한국사회에서 나타나는 저출산 현상이 심화 됨에 따라 일·가정양립을 위한 가정친화적 인사제도의 도입 및 확대를 위한 정부 차원의 다양한 정책이 시도되었다. 저출산의 주요 원인으로는 여성의 경제활동 참여 증가와 일·가정양립의 어려움이 가장 우선적으로 지목되고 있다. 여성정책의 일환으로 가정친화적 제도, 유연근무제 등 다각적인 차원에서 지원정책이 개진 되었지만 저출산의 대안으로 큰 효과를 보지 못하였다. 사회 전반적으로 저출산 현상이 미치는 부정적 영향과 파장이 커서, 공공기관을 중심으로 조직문화개선을 위한 새로운 시각의 접근법이 요구되고 있다. 이에 사회적 조직내에서의 가정친화적 제도가 갖는 의미는 시사점이 크다. 이런 시각에서 가정친화정책의 일환으로 시도된 유연근무제 등 적용되고 있는 제도의 현황을 공공기관 중심으로 파악하였다. 본 연구에서는 문헌고찰 방법을 중심으로 기존에 적용된 제도의 현황 비교를 통해 함의를 도출하였다. 가정친화정책은 제도개선의 필요성과 확장 차원에서 사회 환경변화에 맞춰 지속성을 갖고 이루어져야 할 것이다.

• 사회복지연구
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• 제44권3호
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• pp.301-322
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• 2013

본 연구는 한국노동패널조사의 1~11차 년도(1998~2008년) 자료를 이용하여 가구특성과 빈곤지속기간이 빈곤탈피에 미치는 영향을 분석하였다. 특히 빈곤지속기간이 경과할수록 빈곤탈피율이 낮아지는 현상이 진정한 지속기간의존성에 의한 것인지 또는 표본이질성에 기인한 것인지를 검증하고 비관찰 이질성을 통제할 때 독립변수의 영향력이 어떻게 달라지는지를 분석하는데 초점을 두었다. 관찰 비관찰 이질성을 통제하면 지속기간의존성이 대부분 사라진다는 분석결과는 겉으로 보이는 지속기간의존성이 사실은 표본이질성으로 인한 가식적 관계임을 의미한다. 또한 비관찰 이질성을 통제한 모형에서는 가구특성의 영향력이 더욱 커졌다. 연령, 교육수준, 가구형태, 가구원 수 등의 인구 사회적 특성과 취업상태 및 종사상 지위 등 경제활동 특성이 빈곤탈피율에 영향을 미친다.

• 지능정보연구
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• 제28권4호
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• pp.81-94
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• 2022

최근 고액의 실물자산이나 채권을 분할하여 여러 투자자가 공동으로 투자하는 이른바 조각투자가 인기를 얻고 있다. 2016년 설립된 뮤직카우는 음원 유통에 따른 저작권료 참여 청구권을 조각투자할 수 있는 서비스를 세계 최초로 시작하였다. 본 연구에서는 딥러닝 알고리즘 중 하나인 LSTM 모델을 사용하여 뮤직카우에서 거래되는 저작권료 참여 청구권의 가격을 예측하는 연구를 진행하였다. 청구권의 이전 가격과 거래량, 저작권료와 같은 청구권과 관련된 변수 외에도, 음악저작권료 참여 청구권 시장 상황을 나타내는 종합 지표와 경제 상황을 반영하는 환율, 국고채 금리, 한국종합주가지수도 변수로 사용하였다. 연구 결과 상대적으로 거래량이 낮은 조각투자의 사례에서도 LSTM 모델이 거래가격을 잘 예측하는 것을 확인할 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제28권2호
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• pp.334-346
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• 1995

특수건강진단에 대한 근로자들의 태도에 영향을 미치는 요인들을 조사하기 위해 대구지역의 29개 사업장에서 특수건강진단 수검근로자들에게 자기기입식 설문조사를 실시하여 그중 779명을 대상으로 하여 분석하였다. 건강믿음모형을 일부 변형하여, 특수건강진단에의 자발적 수검 여부와 필요성 인지를 최종적인 종속변수로 한 새로운 연구모형을 만들어서 이들에 영향을 미치는 요인들을 분석하였다. 특수건강진단에 대한 필요성 인지율은 77.2%, 자발적 수검율은 79.2%로 나타났다. 자발적 수검 여부에는 특수건강진단에 대한 필요성 인지, 유익성, 행동계기가 주요 영향요인으로 제시되었으며, 특수건강진단에 대한 필요성 인지에는 직업병에 대한 감수성 및 심각성, 특수건강진단에 대한 지식, 회사의 지지도가 통계적으로 유의한 영향을 미쳤다. 직업병에 대한 감수성 및 심각성에는 성, 연령, 학력, 직업경력, 보건교육경험이, 특수건강진단에 대한 지식에는 연령, 학력, 직업경력, 질병통제위가, 특수건강진단에 대한 유익성에는 연령, 질병통제위, 건강자부심, 보건교육경험이 유의한 영향을 미치는 변수로 나타났다. 이러한 결과로 미루어 볼 때 특수건강진단에 대한 자발적 수검률과 필요성 인지율을 높이기 위해서는, 직업병 판정을 받은 사업장에서는 그 사실을 널리 알려 직업병에 대한 경각심을 높여야 하며, 특수건강진단의 결과를 근로자 본인에게 바로 통보하여야 하고, 회사의 적극성을 높이기 위해 회사간부 대상의 홍보 및 교육 프로그램이 필요할 것으로 생각된다. 보건교육 경험이 특수건강진단에 대한 지식과 유익성, 직업병에 대한 감수성 및 심각성에 영향을 미치는 것으로 보아, 앞으로의 보건교육은 여성, 저연령, 저학력, 저경력자 위주로 이루어져야 하고, 교육 실시 횟수를 늘이고 직업관련 내용을 더 많이 포함하여야 할 것으로 생각된다. 더불어 특수건강진단의 결과로 인해 근로자 본인에게 불이익이 돌아가지 않도록 배려되어야 할 것이다.

• 한국주거학회논문집
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• 제18권1호
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• pp.95-102
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• 2007

As the aging of this society, instead of growing numbers old protective functions of families decreased according to increasing tendency of nuclear families, increasing rates of females' participation of economic activities. Now, the problem of supporting the old is in need of social supporting system the cope with this situation. Thus it needs that welfare service for the elderly who stay at home that have local basis. The results are based on these factors are like this: 1) It is necessarily the instruction of medical welfare service. 2) The overlapped service is avoided and the service of specialized. 3) Most of the welfare service institution is Seoul and local city hall, so it needs the institution is transferred. 4) It needs the increase the number of home helper. 5) When the service is offered, the government must considers finance, elderly health condition and preference. 6) It needs the department for the welfare service for the old who stay at home.

• 보건교육건강증진학회지
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• 제33권4호
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• pp.67-77
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• 2016

Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician's recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients' self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.

• 대한불안의학회지
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• 제3권2호
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• pp.110-115
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• 2007

Objective : The authors examined the treatment response and remission rates in patients with panic disorder after short-term pharmacotherapy in an effort to determine the factors that can be used to predict remission in Korean patients with panic disorder. Methods : Sixty-one patients with panic disorder were recruited for participation in this study. The psychological symptoms of the patients were measured using the HAMA, HAMD, STAIS, STAIT, ASI and API at baseline and after 3 months of pharmacotherapy. Results : Patients with panic disorder showed significantly lower scores on all psychological measures after 3 months of pharmacotherapy with paroxetine. The remission rate was 44.3%, and the response rate was 54.1%. The remitters showed significantly lower HAMD, HAMA, STAIS, STAIT, and ASI scores than the non-remitters. Linear regression analysis revealed that the baseline HAMA, HAMD, and ASI scores could be used to predict the remission rate after controlling for age, sex and agoraphobia. Conclusion : Compared with previous reports, our study showed a similar remission rate in Korean patients with panic disorder. Lower baseline levels of anxiety, depression, and anxiety sensitivity were found to be predictors of treatment remission in panic disorder.