• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3373-3378
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• 2012

Background: Head and neck squamous cell carcinoma (HNSCC) is the 8th most common cancer worldwide. Although older age, male gender, smoking and alcohol consumption are known risk factors, an increasing number of HNSCC patients are without typical risk factors. Our aim was to define demographics of HNSCC in Iran and the potential risk factors related to Iranian ethnicity and lifestyle. Methods: We conducted a cross-sectional analytical study on 262 patients with primary SCC of the larynx, hypopharynx or tongue referred to our pathology department during 1995-2010. Patients' demographics, tumor characteristics and risk factors such as smoking, alcohol consumption and anemia were analyzed and compared in two groups of patients: over 40 years (older group) and 40 years or less (young group); Chi-square and Mann-Whitney analytical tests were employed. Results: 5.7% of patients were young adults. The male to female ratio was 1.5 in the younger group and 5.6 in the older group. In young adults, 40% of tumors were located in larynx and 40% in the tongue. Age >40 was significantly associated with laryngeal location (P<0.001). History of smoking and drinking was significantly associated with age >40 and SCC of larynx in both age groups. Cervical lymph node involvement was significantly correlated with SCC of tongue (P<0.001), however, considering young adults only, SCC of hypopharynx was most frequently accompanied by lymph node involvement (60%). The most prevalent tumor among men was SCC of larynx whereas SCC of hypopharynx was the most prevalent tumor among women (61%), of whom 18.2% were ${\leq}40$. Conclusions: The incidence of HNSCC among young adults seems to be higher in Iran compared to other countries. Reduction in exposure to known risk factors, especially tobacco smoking in forms of cigarettes and bubble pipes, and search for other causative agents of HNSCC in young population is recommended.

• 한국콘텐츠학회논문지
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• 제13권2호
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• pp.359-369
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• 2013

이 연구는 청소년들의 우울, 스트레스 등 심리건강 폐해의 심각성을 인지하고 이에 영향을 미칠 것으로 예상되는 사회적 지지의 효과를 분석하였다. 가족, 학교, 친구관계 등의 사회적 지지와 청소년의 심리건강간의 구조적인 관계를 검증하고자 하였으며, 이 과정에서 문제음주의 매개효과를 확인하고자 하였다. 연구 자료는 제주도를 제외한 전 지역의 청소년을 모집단으로 하여 2010년 한국청소년정책연구원에서 시행한 "2010한국청소년건강실태조사"의 원자료에서 연구에 적합한 청소년 942명을 최종 연구대상자로 선정하였다. 연구결과, 가족 구성원의 바람직한 기능과 역할은 청소년의 심리건강을 증진시키는 효과가 있었다. 반면, 올바른 역할을 하지 못하는 가족은 청소년에게 문제음주를 유발시켜 우울, 스트레스, 분노 등 청소년의 심리건강에 부정적인 영향을 미쳤다. 또한 음주나 흡연을 하는 친구가 많을수록 문제음주를 유발해 심리건강을 악화시키는 것으로 확인되었다. 이 연구결과 생애주기적 관점에서 신체적, 정신적으로 외부 변화에 민감한 청소년들의 심리건강을 증진시키기 위해 가족, 친구관계 등 사회적 지지 시스템을 구축하는 것이 중요하다고 하겠다.

• 한국사회복지학
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• 제56권2호
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• pp.93-119
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• 2004

본 연구에서는 국민기초생활보장 노인과 일반노인을 대상으로 노인학대의 실태 및 학대관련 요인에 대해 비교 연구하였다. 조사결과, 첫째로 학대경험에서는 전반적으로 국민기초생활보장 노인이 일반노인보다 높았으며, 두 집단 모두 심리적 학대와 방임의 비율이 높았다. 또한 학대발생은 두 집단 모두 "한 달에 한두 번"이라고 응답한 비율이 높았으며, 신체피해보다는 정신적 피해가 많았다. 둘째로 노인학대자들은 주로 40세 초반이었으며, 남성이 여성보다 약간 많았다. 학대의 주요 이유는 경제문제와 성격문제로 나타났다. 셋째로 노인학대에 영향을 미치는 요인을 보면, 국민기초생활보장 노인의 경우에는 자신이 우울하고, 평소에 음주를 하며, 주변의 지지를 받지 못하는 경우로 나타났다. 또한 학대자가 음주상태에서 공격했거나 아동기 폭력을 경험했고, 가정 내에서 정서적인 유대감이 낮으며, 가족 원수가 적은 경우에 학대가 발생하였다. 일반노인의 경우에는 노인이 아동기 학대를 경험했고, 주변의 지지를 받지 못하며, 학대자와 평소관계가 좋지 않고 정서적인 유대가 낮은 경우에 학대가 발생하는 것으로 나타났다. 이러한 결과를 기반으로, 결론에서는 두 집단의 특성을 고려한 다양한 개입방안을 제시하였다.

• 보건교육건강증진학회지
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• 제19권1호
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• pp.59-85
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• 2002

The purpose of this study was to examine the health promoting behavior of university students and its related factors. A self-administered questionnaire survey was carried out for 1,031(male, 477, female, 554) students from 7 universities in Taegu from March 10 to April 15 2000. Collected data were analyzed by the $X^2$-test, t-test, ANOV A and structural equation modeling analysis. The results of this study were as follows; Mean score of health promoting behavior of women was higher than mean score of men(p〈0.01). According to the subordinate fields, female students showed significantly higher scores in the fields of stress management, nutrition, personal relations and alcohol-cigarette(p〈0.05). And in male students, the only fields of exercise had meaningfully higher score(p〈0.01). The highest degree of performance was marked in alcohol-cigarette field in female, and interpersonal field in male. In Both male and female students, the lowest field was health responsibility. The mean score of health promoting behavior showed significant differences in intermediating factors such as age, health education and grade in male, and such as grade, pocket money for a month, taking health education, perceived body shape and gastrointestinal symptoms in female(p〈0.05). The mean score of health promoting behavior showed significant differences in cognitive-perceptual factors and cues to action such as perceived health status, perceived benefits, perceived barriers, and health concern of parents in both male and female(p〈0.05). By the results of structural equation modeling analysis in male students, the economic status, gastrointestinal symptoms and perceived body shape as lean had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). In female students, perceived body shape as lean and perceived body shape as fat had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade, pocket money and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). On the consideration of above findings, it is recommended that perceived health status and perceived benefits should be raised and perceived barriers should be lowered to increase health promoting behaviors, by means such as institutional approach which can enhance the primary prevention for a disease. In addition, the health policy for improving parents' concern about health as well as university students, through various ways such as health education, consulting, and health program, should be employed.

• 폴리머
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• 제37권4호
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• pp.486-493
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• 2013

고분자 색전 코일을 제조하기 위하여 교대배열 PVA(s-PVA) 용액을 제조하고 젤방사 조건의 최적화를 위해 고분자용액의 유변학적 특성을 분석하였다. 현탁중합을 통해 비누화도 99%, 교대배열기 함량 56%인 s-PVA를 제조하였고 고분자 용액의 농도에 따른 점도 변화 측정을 통해 최적의 방사농도를 13 wt%로 선정하였다. S-PVA 젤 섬유의 연신비에 따른 구조, 형태, 인장 특성을 측정하였다. S-PVA 젤 섬유의 연신비가 증가함에 따라 인장강도가 증가하였고, 최대 연신비인 15배 연신하였을 때 인장강도는 580 MPa이었고 절단신도는 연신비가 증가함에 따라 감소하는 경향을 나타냈다. S-PVA 젤 섬유는 연신비에 따라 결정구조가 발달하고 배향도가 증가하는 경향을 나타내었다. 색전 코일 제조 시의 열처리온도에 따른 코일의 형태 안정성을 살펴 본 결과 열처리온도가 높을수록 코일의 형태안정성이 우수하였으며 금속 색전 코일로 제조되는 1차 코일 및 2차 코일 형태를 s-PVA 섬유를 이용해 제조하였고 이를 통해 금속 색전 코일의 고분자로의 대체 가능성을 확인하였다.

• Archives of Plastic Surgery
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• 제38권5호
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• pp.616-620
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• 2011

Purpose: Mayer-Rokitansky-Kuster syndrome (MRK) is second common cause of primary amenorrhea. It is a syndrome of vaginal aplasia and Mullerian duct anomaly. Vaginal aplasia varies from agenesis of whole vagina to aplasia of upper 2/3. For reconstructing vagina, various methods are introduced. Gracilis myocutaneous flap was the first attempt in that the flap is used in vaginal reconstruction. Various flap-based vaginal reconstruction methods have been introduced. Modified Singapore flap (pedicled neurovascular pudendal thigh fasciocutaneous flap) is one of those methods that used posterior labial artery as pedicle, and pudendal nerve branch as sensory root. As its donor lies on inguinal crease that is easily hidden and there are benefits on sexual intercourse by early sensory recovery, authors think that modified Singapore flap is effective for young MRK syndrome patients. Methods: Eight patients underwent surgery between 2008 and 2010. The flap was designed on both groin area with external pudendal artery branch as a pedicle. All flaps were fixated in pelvic cavity with absorbable suture, and additional compression on neovaginal wall was supplied by polyvinyl alcohol sponge ($Merocel^{(R)}$). Results: All patients were successfully reconstructed without flap related complications such as congestion or partial flap loss. The average size of the flap (each side) was 69.34 $cm^2$. Polyvinyl alcohol sponge ($Merocel^{(R)}$) was inserted into neovagina for 5 days on every patient. One case of rectal laceration was occurred while making pelvic pocket by OBGY team. Other complications such as lumen narrowing, wound contracture or vaginal prolapsed were not reported during 8 months of follow up. Conclusion: Modified Singapore flap is a sensate fasciocutaneous flap that is thinner than other myocutaneous flap such as VRAM, and more durable over skin graft. Therefore this is a good choice for vaginal reconstruction in MRK syndrome. And known complications of Modified Singapore flap could be reduced with careful procedure and mild compression techniques.

• 한국식품위생안전성학회지
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• 제13권2호
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• pp.155-163
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• 1998

본 연구는 정상 성인에서 관상동맥질환의 위험인자로 알려진 혈액내 Lipoprotein(a) 농도의 실태를 파악하고 이들 농도와 지질 농도, 섬유소원, 공복혈당 및 일상생활요인과의 관계를 알아보고자 수행되었다. 연구대상은 서울지역 일부 초, 중, 고교 교사들로 의료보험 관리 공단의 신검에서 건강상태가 양호하다고 판정 받은 남자 80명, 여자 60명을 대상으로 혈액분석과 설문 조사를 1996년 11월 2일부터 11월 7일에 걸쳐 실시하였다. 혈액 분석 결과에 따라 이들을 정상군과 위험군으로 나누고 이들 군들 사이에서 Lipoprotein(a) 농도와의 연관성을 알아보았다. 결과는 다음과 같다. 1. 전체 대상자들 중 관상동맥질환 유발의 위험수준인 30mg/dL을 초과하는 대상자는 140명중 37명으로 26.4%에 달했다. 대상자들의 Lipoprotein(a) 평균 농도는 남자는 $16.94{\pm}12.70\;mg/dL$, 여자는 $17.92{\pm}17.58\;mg/dL$로 성별간의 유의한 차이는 없었다. 2. 대상자의 연령에 따른 Lipoprotein(a) 농도의 경우 연령간의 유의한 차이를 보였다(p<0.05). 3. 대상자의 혈액을 분석하여 각 항목에 대해 정상군과 위험군으로 나눈 후 Lipoprotein(a) 농도와 각 항목들간의 유의성을 살펴 본 결과 1) Aspartate aminotransferase, Alanine amiontransferas와 Lipoprotein(a)농도 사이에는 유의한 차이가 나타나지 않았다. 2) 공복 혈당, 섬유소원과 Lipoprotein(a) 농도 사이에도 유의한 차이가 관찰되지 않았다. 3) 지질농도(총콜레스테롤, 고비중 지단백 콜레스테롤, 저비중 지단백 콜레스테롤 , 중성지방)와 Lipoprotein(a) 농도 사이에도 유의한 차이가 발견되지 않았다. 4) 일상생활요인과 Lipoprotein(a) 농도와의 경우 혈압, 비만도, 성별, 흡연 등에서는 유의한 차이가 나타나지 않았다. 그러나 육식 섭취, 음주, 염분 섭취의 정도에 따라서 이들과 Lipoprotein(a) 농도 사이에 유의한 차이가 있는 것으로 나타났다(p<0.05). 5) 혈액 분석 결과와 일상생활요소를 모두 통털어 Lipoprotein(a) 농도가 고려된 경우 나이와 육식섭취의 정도에 따라 정상군과 위험군에서 유의한 차이가 관찰되었다. (p<0.05, p<0.01).

• Journal of Preventive Medicine and Public Health
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• 제49권1호
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• pp.53-60
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• 2016

Objectives: The purpose of this study is to examine the magnitude of and the factors associated with the downward mobility of first-episode psychiatric patients. Methods: This study used the claims data from the Korean Health Insurance Review and Assessment Service. The study population included 19 293 first-episode psychiatric inpatients diagnosed with alcohol use disorder (International Classification of Diseases, 10th revision [ICD-10] code F10), schizophrenia and related disorders (ICD-10 codes F20-F29), and mood disorders (ICD-10 codes F30-F33) in the first half of 2005. This study included only National Health Insurance beneficiaries in 2005. The dependent variable was the occurrence of downward mobility, which was defined as a health insurance status change from National Health Insurance to Medical Aid. Logistic regression analysis was used to assess factors associated with downward drift of first-episode psychiatric patients. Results: About 10% of the study population who were National Health Insurance beneficiaries in 2005 became Medical Aid recipients in 2007. The logistic regression analysis showed that age, gender, primary diagnosis, type of hospital at first admission, regular use of outpatient clinic, and long-term hospitalization are significant predictors in determining downward drift in newly diagnosed psychiatric patients. Conclusions: This research showed that the downward mobility of psychiatric patients is affected by long-term hospitalization and medical care utilization. The findings suggest that early intensive intervention might reduce long-term hospitalization and the downward mobility of psychiatric patients.

• Journal of Nutrition and Health
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• 제35권3호
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• pp.368-379
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• 2002

This study investigated the correlations among the health consciousness, nutrition knowledge, dietary habits and nutrition attitudes of school teachers. The subjects of this study were 75 male and 152 female leachers in elementary and middle schools in Masan city. The survey was conducted by using a questionnaire. Even though the average body mass index (BMI) and the obesity index were normal in both male and female subjects, 33.3% of the male subjects were overweight/obese, while 18.5% of the female subjects were underweight, according to the obesity index. The food components of most concern during mealtime were (in order of importance) salt, MSG and cholesterol by male subjects, and salt, fat and MSG by female subjects. The subjects considered self-relaxation as the most important factor in maintaining optimal health status, followed by resting, bathing or use ova sauna, moderation in diet, exercise, decreasing alcohol intake, and no smoking. Newspapers/magazines and TV/radio were the primary sources of nutrition and health information of the subjects. As the degree of health consciousness increased, scores of the dietary habits and nutrition attitudes increased. Nutrition knowledge scores and nutrition altitudes scores increased with subjects'increased level of perception of the importance of acquiring nutrition knowledge and nutrition information. There was a highly significant correlation between the degree of health consciousness and dietary habit score (${\gamma}$ : 0.3, p<0.001). The degree of health consciousness was also significantly correlated (${\gamma}$=0.6, p<0.001) with nutrition attitudes scores. But the correlation between the degree of health consciousness and nutrition knowledge was not statistically significant. The degree of the perception of the importance of nutrition knowledge showed a positive correlation with nutrition attitude (${\gamma}$:0.4, p<0.001) and dietary habit (${\gamma}$:0.3, p<0.001). The degree of perception about the importance of nutrition knowledge and nutrition information was positively correlated with nutrition knowledge (${\gamma}$:0.2, p<0.001) and nutrition attitudes (${\gamma}$:0.3, p<0.001).

• 대한지역사회영양학회지
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• 제14권4호
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• pp.363-373
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• 2009

This study was performed to investigate the nutrition knowledge, attitudes, and dietary habits of physical education (PE) major and non-majors of male college students. The subjects were 253 students residing in Gyeonggi area. Nutrition knowledge scores of PE major students were lower than that of non-major students. Both PE major and non-major students reported TV, radio, and internet as their primary sources of nutrition information. Overall dietary attitude scores of two groups did not differ significantly, but PE major students showed more positive attitudes than non-major students for 'Enjoy eating foods that are good for health'. PE major students took more number of meals a day and took more irregularly than non-major students. Also they used more nutrient supplements than non-major students. PE major students drank more amounts of alcohol and drank more frequently than non-major students. But the smoking status of the two groups was not significantly different. PE major students scored higher than non-major students in dietary habits on balance of meals in spite of their low nutrition knowledge scores. Therefore, it is suggested that nutritional programs for PE major and non-major college students should be developed. (Korean J Community Nutrition 14(4) : $363{\sim}373$, 2009)