• 대한지역사회작업치료학회지
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• 제2권1호
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• pp.97-104
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• 2012

목적 : 척수손상환자의 만족도와 삶의 질의 수준을 높이기 위한 중요한 수단이 여가활동으로 보고, 여가활동이 만족도와 삶의 질에 미치는 영향을 확인하여 작업치료 중재의 근거자료를 제시하고자한다. 연구방법 : 2010년 11월부터 2011년 3월까지 9개 기관에서 척수손상환자 120명 대상으로 설문조사를 하였다. 그 중 94부를 대상으로 SPSS 12.0을 이용하여 빈도분석, t 검증과 일원변량분산으로 분석하였다. 결과 : 척수손상부위에 따른 여가만족도와 마비정도에 따른 여가만족도는 각각 통계적으로 유의미한 차이가 있었다(p< .05). 결론 : 요수손상환자의 여가만족도가 가장 높았고, 불완전손상일수록 여가만족도를 향상시킨다는 것을 알 수 있었으며, 여가활동 유형이 여가만족도와 삶의 질에 연관성이 있다는 것을 알 수 있었다.

• Nutrition Research and Practice
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• 제10권5호
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• pp.530-536
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• 2016

BACKGROUND/OBJECTIVES: The concept of "food deserts" has been widely used in Western countries as a framework to identify areas with constrained access to fresh and nutritious foods, providing guidelines for targeted nutrition and public health programs. Unlike the vast amount of literature on food deserts in a Western context, only a few studies have addressed the concept in an East Asian context, and none of them have investigated spatial patterns of unhealthy food consumption from a South Korean perspective. SUBJECTS/METHODS: We first evaluated the applicability of food deserts in a Korean setting and identified four Korean-specific unhealthy food consumption indicators, including insufficient food consumption due to financial difficulty, limited consumption of fruits and vegetables, excessive consumption of junk food, and excessive consumption of instant noodles. The KNHANES 2008-2012 data in Seoul were analyzed with stratified sampling weights to understand the trends and basic characteristics of these eating patterns in each category. GIS analyses were then conducted for the data spatially aggregated at the sub-district level in order to create maps identifying areas of concern regarding each of these indicators and their combinations. RESULTS: Despite significant reduction in the rate of food insufficiency due to financial difficulty, the rates of excessive consumption of unhealthy foods (junk food and instant noodles) as well as limited consumption of fruits and vegetables have increased or remained high. These patterns tend to be found among relatively younger and more educated groups, regardless of income status. CONCLUSIONS: A GIS-based analysis demonstrated several hotspots as potential "food deserts" tailored to the Korean context based on the observed spatial patterns of undesirable food consumption. These findings could be used as a guide to prioritize areas for targeted intervention programs to facilitate healthy food consumption behaviors and thus improve nutrition and food-related health outcomes.

• 한국산학기술학회논문지
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• 제14권8호
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• pp.3804-3814
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• 2013

본 연구는 여자 청소년의 생물학적 위험성향, 사회문화적 위험요인, 자기통제, 사회적지지 및 자살생각의 관계에 대한 구조모형의 부합도를 검증하고자 시도되었다. 자료수집은 2012년 12월 3일부터 2013년 3월 28일까지 D광역시의 여자 중고등학생 343명을 대상으로 하였다. 자료는 SPSS 및 AMOS 프로그램을 이용하여 분석하였다. 연구결과, 여자 청소년의 자살생각에 대해 생물학적 위험성향, 사회문화적 위험요인, 자기통제 및 사회적지지는 직접효과, 생물학적 위험성향과 사회문화적 위험요인은 간접효과가 있었다. 여자 청소년의 생물학적 위험성향과 사회문화적 위험요인은 자기통제와 사회적지지에 직접효과가 있었다. 이러한 결과에서 여자 청소년의 자살생각을 예방하기 위해 생물학적 위험성향과 사회적 위험요인을 감소시키고 자기통제와 사회적지지를 증진시키는 중재 프로그램 개발이 필요하다.

• Child Health Nursing Research
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• 제10권1호
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• pp.37-47
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• 2004

Purpose: This study aimed to identify the alcohol drinking pattern of parents and to analyze drinking related factors in problem drinking among adolescent's parents. Method: This study was conducted through a structured questioning from November 5th to 22th in 2002. Those are 2,522 parents of the students of the 1st and 2nd grade who were selected randomly among 26 middle and high schools located in Socho-gu, Seoul. Data was analyzed using SAS program that included descriptive statistics, Chi-square test, and multiple logistic regression analysis. Result: 1. For frequency of drinking, 33.1％ of the subjects responded to drink two-four times a month, 26.0％ drink more than two times a week. 2. For the amount of drinking, 29.6％ drink one or two glasses while 9.4％ drink over ten glasses at a time. 3. The mean AUDIT score was 8.27 7.02(score of range: 0- 40). 4. Based on AUDIT score, drinkers with less than eight point from AUDIT(normal group) were 55.1％, from more than eight point to less than twelve point from AUDIT(problematic drinker) were 16.3％, and more than twelve point from AUDIT(alcohol abuse and dependency) were 28.6％. 5. Based on more than twelve point from AUDIT, female(mother), high school and, have religion, housekeeper were the significantly higher score than counter parts. Conclusion: Alcohol drinking pattern and level of drinking of their parents links to their children's drinking and results in family, social, and national loss. Active prevention is needed. Specially, pertinent education about drinking and public education for mothers who are housekeepers should be carried out with concentrated intervention programs for the problematic drinker so alcohol abuse and dependency can be reduced.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제29권2호
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• pp.73-79
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• 2018

Objectives: The overuse of the Internet among adolescents has increased dramatically in recent years, leading to pathological or problematic Internet use. Cognitive behavioral therapy (CBT) is known to be effective for the treatment of problematic Internet use, particularly for adolescents. The aim of the present study was to evaluate the therapeutic efficacy of group CBT for problematic Internet use in adolescents. Methods: A total of 17 patients aged 12-17 years who met Young's diagnostic questionnaire criteria of problematic Internet use participated in a school-based eight-session group CBT program. The level of problematic Internet use among participating students was measured using Young's Internet Addiction Scale (IAS). Depression and anxiety levels were evaluated using the Children's Depression Inventory (CDI) and the State-Trait Anxiety Inventory (STAI), respectively. Each construct was assessed at baseline, immediately after the intervention, and at a one-month follow-up visit. Statistical significance was based on a p-value of <0.05. Results: Immediately after the program, the IAS, CDI, and State Anxiety Inventory (SAI) scores were significantly lower than before the program. At the one-month follow-up assessment, the IAS scores remained low, and the CDI and SAI scores were even lower than immediately after the program. Conclusion: Group CBT was effective for adolescents with problematic Internet use, and was also demonstrated to improve depression and anxiety.

• Journal of Preventive Medicine and Public Health
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• 제41권6호
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• pp.365-372
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• 2008

Objectives : There are very few researches on North Korea's academic activities. Furthermore, it is doubtful that the available data are reliable. This study investigated research activities and knowledge structure in the field of Preventive Medicine in North Korea with a network analysis using co-authors and keywords. Methods : The data was composed of the North Korean Journal of preventive medicine ranged from Vol. 1 of 1997 to Vol. 4 of 2006. It was the matrix of 1,172 articles by 1,567 co-authors. We applied R procedure for keywords abstraction, and then sought for the outcome of network forms by spring-KK and shrinking network. Results : To comprehend the whole networks explicitly demonstrated that the academic activities in North Korea s preventive medicine were predisposed to centralization as similar as South Korea's, but on the other aspect they were prone to one-off intermittent segmentation. The principal co-author networks were formulated around some outstanding medical universities seemingly in addition to possible intervention by major researchers. The knowledge structure of network was based on experimentation judging from keywords such as drug, immunity, virus detection, infection, bacteria, anti-inflammation, etc. Conclusions : Though North Korea is a socialist regime, there were network of academic activities, which were deemed the existence of inducive mechanism affordable for free research. Article keywords has laid greater emphasis on experiment-based bacterial defection, sustainable immune system and prevention of infection. The kind of trend was a consistent characteristic in preventive medicine of North Korea haying close correlation with Koryo medical science.

• 대한한의학회지
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• 제37권2호
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• pp.53-61
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• 2016

Objectives: Considering high prevalence of myopia in Asian countries, social cost paid for myopia may gradually increase in Korea. However, studies for developing myopia treatment are deficient. The study was to evaluate whether the periocular acupressure with a medical massager is effective for suppressing myopia progression. Methods: This study was an investigator-sponsored, prospective, open-labeled, and superiority pre and post single-armed study. 14 myopia children aged 7-12 years wore a medical massager for 15 minutes to stimulate periocular acupoints. For 24 weeks, the participants used the device twice a day. Based on prior studies, the refraction change of naturally proceeded myopia was set as -0.38 D. The axial length change of naturally proceeded myopia was set as 0.228 mm. To assess the safety, we performed vital sign check, physical examination, visual acuity test, slit lamp examination, IOP measurement, and fundus examination. Results: The refraction and axial length of the participants increased. For 24 weeks, the change in refraction was -0.38 D at the right eye and -0.40 D at the left. The change in axial length was 0.21 mm at the right and 0.22 mm at the left. In the safety assessment, any adverse event did not occur. Conclusions: There was no significant difference between the control group and the intervention group. The effect of growth may have more contributed to our result than that of acupressure. Based on our result, a full-scale study will not be conducted.

• 융합정보논문지
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• 제8권2호
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• pp.193-202
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• 2018

본 연구는 청소년들이 경험하는 우울이 공격성에 미치는 영향 과정에서 또래소외가 어떠한 효과를 미치는지 확인하는 것을 목적으로 수행되었다. 이를 위하여, 한국아동 청소년패널조사 초4패널 7차년도 자료에서 남자 청소년 869명 여자 청소년 800명을 대상으로 위계적 회귀분석을 활용하였다. 최종적으로 또래소외 매개효과를 검증하기 위하여 부트스트래핑 방법을 사용하였다. 주요 분석결과는 다음과 같다. 첫째, 남녀 청소년은 우울할수록 공격성이 높은 것으로 나타났다. 둘째, 남자 청소년은 우울과 공격성의 관계에서 또래소외는 매개역할을 하는 것으로 나타났다, 여자 청소년의 경우는 매개효과 없는 것으로 나타났다. 또한 남녀 우울과 공격성에서 남자 청소년의 경우 또래소외가 매개효과가 있음을 검증하였고 성별에 따른 차별적 개입의 필요함을 제언하였다.

• 대한지역사회작업치료학회지
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• 제4권2호
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• pp.53-61
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• 2014

목적 : 본 연구는 뇌졸중 환자를 대상으로 동영상 관찰훈련이 편측무시와 일상생활활동 수행능력에 미치는 영향을 알아보고자 한다. 연구방법 : 뇌졸중 진단을 받은 환자 30명을 대상으로 실험군 15명은 작업치료와 물리치료 외에 추가로 동영상 관찰훈련을 실시하였고, 대조군은 작업치료와 물리치료 외에 추가로 위상치료를 실시하였다. 치료 중재 전 후의 편측무시를 비교하기 위해 선 나누기 검사를 시행하였고, 일상생활활동 수행능력을 비교하기 위해 FIM을 시행하였다. 결과 : 동영상 관찰훈련을 시행한 집단이 위상치료를 시행한 집단에 비해 편측무시가 감소되었고, 일상생활활동 수행능력이 더 많이 향상되었다. 선 나누기 검사로 평가된 편측무시는 일상생활활동 수행능력과 통계학적으로 유의한 상관관계를 보였다. 결론 : 동영상 관찰훈련이 뇌졸중 환자의 편측무시 감소와 일상생활활동 수행능력 향상을 위한 치료방법으로써 임상에서 유용하게 적용될 수 있을 것이라 사료된다.

• Safety and Health at Work
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• 제2권4호
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• pp.301-312
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• 2011

Firefighters and police officers have the third highest prevalence of obesity among 41 male occupational groups in the United States (US). However, few studies have examined the relationship of firefighter working conditions and health behaviors with obesity. This paper presents a theoretical framework describing the relationship between working conditions, health behaviors, and obesity in firefighters. In addition, the paper describes a detailed study plan for exploring the role of occupational and behavioral risk factors in the development of obesity in firefighters enrolled in the Orange County Fire Authority Wellness Fitness Program. The study plan will be described with emphasis on its methodological merits: adopting a participatory action research approach, developing a firefighter-specific work and health questionnaire, conducting both a cross-sectional epidemiological study using the questionnaire and a sub-study to assess the validity of the questionnaire with dietary intake and physical activity measures, and evaluating the strengths and weaknesses of the body mass index as an obesity measure in comparison to skinfold-based percent body fat. The study plan based on a theoretical framework can be an essential first step for establishing effective intervention programs for obesity among professional and voluntary firefighters.