• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8657-8660
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• 2014

Background: Yanting is one of high risk areas for esophageal cancer and the screening program was therefore initiated there. This study was aimed to investigate the dietary behaviors on the risk of esophageal squamous cell carcinoma (ESCC), among the individuals with normal and abnormal esophagus mucosa. Materials and Methods: A frequency matched case-controls study was proposed to estimate the different distribution of dietary behavior between individuals of control, esophagitis and cancer groups. Cancer cases were selected from hospitals. Esophagitis cases and controls were selected from screening population for ESCC. Health workers collected data for 1 year prior to interview, in terms of length of finishing a meal, temperature of eaten food and interval between water boiling and drinking. Chi-square, Kruskal-Wallis tests and unconditional logistic regression model were used to estimate differences and associations between groups. Results: Compared with controls, length of finishing a meal ${\geq}15mins$ was related to a reduced OR for cancer (OR=0.46, 95%CI, 0.22-0.97) and even compared with cases of esophagitis, the OR of cancer was reduced to 0.30 (95%CI, 0.13-0.72). The OR for often eating food at a high temperature was 2.48 (95%CI 1.06, 5.82) for ESCC as compared with controls. Interval between water boiling and drinking of ${\geq}10mins$ was associated with lower risk of cancer: the OR was 0.18 compared with controls and 0.49 with esophagitis cases (p<0.05). Conclusions: Length of eating food ${\geq}15mins$ and interval between water boiling and drinking ${\geq}10mins$ are potentially related to reduced risk of esophageal SCC, compared with individuals with normal and abnormal esophageal mucosa. Recommendations to Yanting residents to change their dietary behaviors should be made in order to reduce cancer risk.

• 대한지역사회영양학회지
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• 제10권4호
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• pp.525-535
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• 2005

This study was conducted to investigate the effect of a 3 week low calorie diet (LCD) and a 9 week of behavior modification (BM) program on the weight loss, mineral and vitamin status in 22 obese women. The subject were healthy, obese (PIBW> $120\%$) women aged 20 - 50 Yr and not taking any medications known to influence body composition, mineral or vitamin metabolism During the LCD program, subjects were provided commercial liquid formulas with 125 kcal per pack and were instructed to have a formula for replacement of one meal and at least one regular meal per day within the range of daily 800 - 1200 kcal intake. During the BM program the subjects weekly attended the group nutrition counseling session to encourage themselves to modify their eating behavior and spontaneously restrict their energy intakes. The BM program focused on stimulus control, control of portion sizes and modification of binge eating and other adverse habits. The initial mean energy intake of subjects was 2016.9 $\pm$ 129.8 kcal ($100.8\%$ of RDA) and dropped to 1276.5 $\pm$ 435.7 kcal at the end of a 3 week of LCD program and elevated to 1762 $\pm$ 329.3 kcal at the end of a 9 week of BM program. Carbohydrate, protein and fat intakes were significantly decreased at the end of the LCD but carbohydrate was the only macro nutrient that showed significant decrease (p < 0.05) at the end of the BM program compared to baseline. Calcium and iron intakes decreased significantly (p < 0.01, respectively) with no significant changes in other micronutrients at the end of the LCD. The mean weight of the subjects decreased from 73.8 $\pm$ 8.0 kg to 69.2 $\pm$ 7.7 kg with LCD and ended up with 67.7 $\pm$ 7.1 kg after 9 weeks of BM. The 3 weeks of LCD reduced most of the anthropometric indices such as BMI, PIBW, fat weight, wast-to-hip ratio and subscapular and suprailiac skinfold thickness. The 9 weeks of behavior modification showed slight change or maintenance of each anthropometric measurements. Weight loss and decreased WHR with the diet program induced significantly decreased systolic blood pressure. SGOT, SGPT and serum insulin levels with improved serum lipid profiles. Biochemical parameters related to iron status such as hemoglobin, hematocrit were significantly decreased (p < 0.01) at the end of the LCD. But their mean values were within normal range. The mean serum 25 (OH) vitamin $D_3$ level significantly increased after whole diet program. Serum folate level significantly decreased after 12 weeks of diet program. In conclusion 3 weeks of LCD brought 4.6 kg reduction in body weight without risk of iron, zinc or vitamin D deficiency and 9 weeks of the BM was effective to maintain nutritional status with slightly more weight reduction (1.5 kg). However calcium intake and serum folate should be monitored during the LCD and BM because of increased risk of deficiencies.

• Journal of Preventive Medicine and Public Health
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• 제39권3호
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• pp.205-212
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• 2006

Objectives: In spite of the recent increased concern for Asian dust storms, there are few studies concerning how dangerous the general public recognizes these dust storms to be. This study examined the public's perceptions of the risk of the Asian dust storms and also the source of the information concerning the risk. Methods: A telephone interview survey using a standardized questionnaire was done for the adults living in Seoul and its metropolitan area from May 15th, 2003 to May 16th, 2003. The contents of the questionnaire were the sociodemographic characteristics, the perceptions of risk to the Asian dust storms, and the coping strategy of the study participants. Results: The study participants get their information on Asian dust storms mainly from TV newscasts and they have a good knowledge of them. They regard it as one of the most dangerous health risks, along with dioxin. They think that it is associated with allergic rhinitis, conjunctivitis and bronchial asthma, etc. Of the 500 study participants, 201 (40.2%) persons suffered bodily discomforts during the Asian dust storm period. Conclusions: Although there are uncertainties about the health risks of Asian dust storms, the public thinks these dust storms are very dangerous to health in many ways This negative perception will not disappear easily. To fill the gap of the public's perceptions of the risk and the objective evidence of its health effects, more studies about its health effects and the methods to reduce exposure are required.

• 한국치위생학회지
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• 제17권6호
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• pp.993-1001
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• 2017

Objectives: This study was conducted to examine the effectiveness in oral health promotion through oral health education for freshmen students of the dental hygiene department. Methods: To verify its effectiveness, research was conducted on 74 freshmen of the dental hygiene department by the evaluation of DMFT index, PHP index, and Cariview test (2015-2016). Results: The analysis of the test results using Cariview equipment shows a categorization of low risk group consisting of 10 students (13.5%), middle risk group consisting of 47 students (63.5%), and a high risk group consisting of 17 students (22.9%). DT index according to the number of daily tooth brushing by <2 is DT index average score higher and in such a case, statistics are considered meaningful (p<0.01). Oral health state at DMFT index of low risk group according to Cariview risk group for an analysis is lower than both the middle risk group and the high risk group (p<0.001). Conclusions: A review of the effect of the promotion of oral health through oral health education on the behavior change rather than of Cariview test and value of dental plaque through tooth brushing method was conducted.

• 정보보호학회논문지
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• 제28권3호
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• pp.681-694
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• 2018

본 연구에서는 SNS 이용자의 개인정보와 자기표현정보의 보호행동을 두 번의 연구를 통해 규명하였다. 제1차 연구에서는 연구에 자원한 88명의 대학생들에게 평소 개인정보 중요도 인지와 이를 보호하기 위한 행동의지에 대해 연구하였다. 제2차 연구에서는 정보검색 전문가가 연구에 자원한 88명의 대학생들이 SNS에 공개한 자기표현정보들을 수집 조직화한 다음, 이를 자원자 각각에게 보여주어 확인하게 한 다음, 자기표현정보의 중요도와 이에 대한 정보보호 행동의지에 대해 연구하였다. 제1차 조사연구에서는 개인정보 중요도 인식이 개인정보 비공개에 가장 큰 영향을 미쳤고, 다음으로 공개범위축소와 법제도화요구에 영향을 미쳤다. 제2차 연구에서는 SNS 이용자들이 평소 자신의 의견이나 생활상을 SNS에 공개적으로 표현하고 있지만, 실험적 조치를 통해 이러한 자기표현정보도 누적되고 조직화되면 민감한 정보가 될 수 있다는 점을 인식하게 해주면, 자기표현정보 비공개, 공개범위축소, 법제도화요구의 정보보호 행동의지를 갖게 됨을 확인하였다. 본 연구의 시사점은 개인정보 및 자기표현정보 보호행동에 관한 기존의 연구를 자구적 보호 노력과 외부적 보호요구 노력으로 확장 세분화함으로써 SNS 상의 정보보호행동을 설명하지 못하는 기존 연구의 한계를 극복하였다는 점이다.

• 성인간호학회지
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• 제29권1호
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• pp.32-40
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• 2017

Purpose: The purpose of this secondary data analysis was to identify factors influencing a relapse among patients with coronary artery disease (CAD). Methods: Of 250 participants enrolled in the original study 75 were selected as there was no relapse for more than one year following the initial treatment and 54 were selected because there was a relapse. Data were analyzed using ${\chi}^2$ test, t-test or F test to determine if there were any significant differences in the study variables relative to the status of relapse. Predictors were calculated by logistic regression. Results: Autonomy supported by healthcare providers was the significant predictor for relapse in patients with CAD. Patients with low autonomy supported by healthcare providers was 3.91 times more likely to relapse than patients with high autonomy supported. Patients with diabetes were at greater risk of recurrence. Conclusion: Secondary prevention of CAD is a major task for patients with CAD. Behavioral strategies for cardiovascular risk reduction are essential and autonomy supported by healthcare providers should be included in their strategies.

• Clinical and Experimental Pediatrics
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• 제64권5호
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• pp.196-207
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• 2021

Over the last few decades, the rates of pediatric obesity have more than doubled regardless of sociodemographic categorization, and despite these rates plateauing in recent years there continues to be an increase in the severity of obesity in children and adolescents. This review will discuss the pediatric obesity mediated cardiovascular disease (CVD) risk factors such as attenuated levels of satiety and energy metabolism hormones, insulin resistance, vascular endothelial dysfunction, and arterial stiffness. Additionally, early intervention to combat pediatric obesity is critical as obesity has been suggested to track into adulthood, and these obese children and adolescents are at an increased risk of early mortality. Current suggested strategies to combat pediatric obesity are modifying diet, limiting sedentary behavior, and increasing physical activity. The effects of exercise intervention on metabolic hormones such as leptin and adiponectin, insulin sensitivity/resistance, and body fat in obese children and adolescents will be discussed along with the exercise modality, intensity, and duration. Specifically, this review will focus on the differential effects of aerobic exercise, resistance training, and combined exercise on the cardiovascular risks in pediatric obesity. This review outlines the evidence that exercise intervention is a beneficial therapeutic strategy to reduce the risk factors for CVD and the ideal exercise prescription to combat pediatric obesity should contain both muscle strengthening and aerobic components with an emphasis on fat mass reduction and long-term adherence.

• 한국ITS학회 논문지
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• 제20권5호
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• pp.18-34
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• 2021

교통사고 사망자 중 보행자 사망자는 약 40%로 가장 큰 비중을 차지하고 있으며, 이는 OECD 회원국 평균 약 2배 정도의 수치로 보행자의 안전관리가 시급한 실정이다. 이처럼 심각성이 높은 보행자 사고의 감소를 위해서는 일반 운전자보다 교통사고 발생 가능성이 높은 고위험 운전자(초보, 고령, 상용차 운전자)에 대한 사고 감소 방안이 선행 적용될 필요가 있다. 이에 본 연구는 보행자가 돌발적으로 횡단하는 위험상황이 구현된 주행시뮬레이터를 활용하여 교통사고 감소 방안 중 하나인 안전운전 교육의 수행 전후 보행자 돌발 횡단 상황에서 고위험 운전자의 운전행태 개선 효과를 분석하였다. 초보 운전자와 고령 운전자의 경우 대부분의대리 안전 지표에서 운전행태 개선을 보이지 않았고, 상용차 운전자만이 안전운전 교육으로 인한 운전행태 개선 효과가 나타났다. 이러한 결과는 초보 운전자와 고령 운전자의 경우 안전 교육 이외에 보행안전 인프라, 운전자 주행 보조 시스템 등의 추가적인 보행자 사고 감소 방안이 필요하다는 것을 시사한다. 본 연구의 결과는 고위험 운전자에 의한 보행자 사고의 감소 방안을 수립하는데 기초 연구로 활용될 수 있을 것으로 기대된다.

• Journal of Preventive Medicine and Public Health
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• 제47권3호
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• pp.158-168
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• 2014

Objectives: To identify and evaluate the trend of meal-skipping rates among Korean adolescents with their contributing causes and the influence of household income level on meal skipping. Methods: Using 2008, 2010, and 2012 data from the Korea Youth Risk Behavior Web-based Survey of 222 662 students, a cross-sectional study with subgroup analysis was performed. We calculated odds ratios for skipping each meal 5 or more times in a week by household socio-economic status using a multiple logistic regression model. The secular change in the meal-skipping rates by the students' family affluence scale was analyzed by comparing the meal-skipping students within each subgroup and odds ratios for the same event over time. Results: Through 2008 to 2012, most of the meal-skipping rates generally showed a continuous increase or were almost unchanged in both sexes, except for breakfast skipping in several subgroups. Students in low-income households not living with both parents had the highest meal-skipping rates and odds ratios for frequent meal skipping. In a time-series subgroup analysis, the overall odds ratios for the same event increased during 2008 to 2012, with a slight reduction in the gap between low and higher income levels with regard to meal skipping during 2010 to 2012. Conclusions: Household socio-economic status and several other factors had a significant influence on Korean adolescent meal-skipping rates. Although the gap in eating behavior associated with household socio-economic differences is currently decreasing, further study and appropriate interventions are needed.

• 한국터널지하공간학회 논문집
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• 제23권6호
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• pp.559-575
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• 2021

최근지반굴착 공사의 증가로 인해 지반침하사고 발생 가능성은 점점 높아지고 있지만, 지하안전관리에 관한 특별법 제정 등 제도적인 강화에도 불구하고 지반침하사고를 근본적으로 예방하는 것은 매우 어려운 실정이다. 도심지 지반굴착의 여러 사례를 살펴보면, 굴착 전에 다양한 정보를 활용해 예측했던 지반침하 거동특성은 시공 중에 확인된 결과와 무시할 수 없을 정도의 차이를 보이고 있다. 이러한 원인은 지반조건의 변화, 지반침하 예측방법의 한계, 설계와 착공 시기의 계절적인 차이, 현장여건을 고려한 공법의 변경 및 기타 다양한 사유에 의한 장기간의 공사 중지 등의 현장 여건 변경이 주요 원인으로 고려될 수 있다. 이에 대응하기 위한 방안으로, 다양한 시공정보를 통한 안전관리시스템 도입을 예를 들 수 있으나 아직까지는 굴착으로 인한 영향 및 위험도를 예측할 수 있는 시스템은 부재한 실정이다. 본 연구에서는 도심지 굴착사업의 설계·시공에 있어서 지반침하와 주변 구조물에 미치는 굴착 영향도를 사전에 예측하고 위험도 평가를 할 수 있는 시스템을 개발하였으며, 과거에 획득된 현장계측 데이터를 통해 현재 및 장래 지하수위와 침하량 등을 예측할 수 있는 시계열 분석기법과 지반공학 데이터 시각화(Geotechnical Data Visualization, GDV) 기술을 적용하였다. 본 연구에서 개발된 웹기반 평가시스템을 통해 과거에 획득된 데이터를 이용하여 현재 및 장래 지하수위 변화 및 침하량 예측 등 굴착으로 인한 위험도 예측 및 관리가 가능할 것으로 기대된다.