• The Journal of the Korea Contents Association
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• v.21 no.8
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• pp.691-701
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• 2021

Purpose: The purpose of this study was to identify the level of health literacy (HL) and self-management adherence and to investigate the relationship between HL and self-management adherence in patients with chronic obstructive pulmonary disease (COPD). Methods: The participants of this study were 165 patients with COPD from a tertiary general hospital located in G city from February 10th to May 10th, 2021. The general HL was measured by the Korean health literacy assessment tool (KHLAT), COPD specific HL was measured by COPD-related HL tool, and COPD self-management adherence was measured by the COPD self-management tool. Results: The mean score of general HL was 60.45±9.42. The mean score of the COPD-related HL was 47.03±8.82. The mean score of the COPD self-management adherence was 87.58±14.47. There were significant differences in the level of COPD-related HL according to age (t=2.43, p=.016), and in the level of general HL (F=10.96, p<.001) and the level of COPD-related HL according to the level of education (F=19.14, p<.001). There were significant correlations between the level of general HL and the level of COPD-related HL (r=.75, p<.001) and the level of COPD-related HL and the level of self-management adherence (r=.219, p=.005). Conclusion: The HL of COPD patients was at the level of mild school 1-2 years in this study. Therefore, nurses who care for COPD patients should understand patients' level of HL and communicate self-management skills with patients at a level appropriate for patients' HL. In addition, it is necessary to develop strategies to easily learn COPD-related information when providing self management skills or training.

• Journal of the Korea Society of Computer and Information
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• v.26 no.8
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• pp.197-207
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• 2021

Relationship between bone mineral density (BMD) and type 2 diabetes is still inconsistent. Recently, many epidemiologic data show that fracture risk is increased in type 2 diabetic patients regardless of BMD status. In this study, we used nation-wide data from 2008 to 2011 Korea National Health and Nutrition Examination Survey (KNHANES) to analyze the BMD status in patients with type 2 diabetes compared to non-diabetics. We included subjects aged 50 years or older in men (N=2,959, 2,430 without diabetes, 529 with type 2 diabetes) and postmenopausal women (N=2,902, 2,479 without diabetes, 423 with type 2 diabetes). Subjects with history of medication for osteoporosis or with illness or malignancy affecting bone metabolism were excluded. Data of anthropometric measurements and demographic characteristics were collected by trained examiner. Serum was separated from peripheral venous blood samples obtained after 8 hours of fasting. BMD was measured at lumbar spine and femur using dual-energy X-ray absorptiometry (DXA). There was a significant positive association between lumbar spine BMD and type 2 diabetes after adjusting age, gender, body mass index, monthly house income, education level, physical activity, daily calcium intake and vitamin D concentration by multiple regression analysis in all subjects. In the subgroup analysis by gender, this association was maintained both in male and female after adjusting those confounding factors. However, femur BMD was not different between type 2 diabetic and non-diabetic subjects. In conclusion, lumbar spine BMD was significantly higher in type 2 diabetic patients aged 50 years or more in men and postmenopausal women compared to non-diabetic subjects.

• Phonetics and Speech Sciences
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• v.13 no.4
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• pp.89-100
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• 2021

This study compared the voice range profiles (VRPs) with glissando and simplified VRP methods with 57 men who were in premutation (8-13 years), mutation (11-16 years), and postmutation (10-24 years) stages. The difference between modal and falsetto areas measured in two VRP methods was also compared. As the results, the average fundamental frequency (F0) was in the order of premuaton>mutation>postmutation. The maximum F0 (F0max), the range of F0 (F0range), the maximum intensity (Imax), and the range of intensity (Irange) were the lowest in the mutation stage, and these variables were higher in falsetto area than in modal area in both methods. In addition, most variables of VRP in glissando were higher than in simplified VRP, but the differences were not significant. This study showed that, in men in mutation stage, due to the temporary anatomical and physiological changes of the larynx, the mechanism of the vocal folds vibration changes and VRP shows a different pattern from that of other age groups. Both the VRPs of glissando and simplifed VRP are suitable for clinical practice by experienced examiners. And it is necessary to measure not only the falsetto area but also the modal area when measuring VRP.

• Korean Journal of Community Nutrition
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• v.27 no.1
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• pp.27-35
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• 2022

Objectives: The purposes of this study were to compare the degree of sodium reduction practice and estimate sodium intake by salty food preference. Methods: Sodium reduction practices, salty food preferences and estimated sodium intake were surveyed for restaurant owners (n = 80), employees (n = 82) and customers (n = 727) at the restaurants participating in the sodium reduction project in Daegu, Korea. Estimated sodium intake was performed by examining sex, age, body mass index (BMI), salty eating habit and dietary behaviors. Results: The degree of sodium reduction practice was significantly higher in salinity meter use (P < 0.001), low salt seasonings (P < 0.001) and efforts to make the foods as bland as possible overall (P < 0.001) in the restaurants participating in sodium reduction project than in homes (P < 0.001). The degree of sodium reduction practice appeared lower in the high salty food preference group than in the low-preference group in such items as efforts to make the foods as bland as possible overall (P < 0.05) and washing the salty taste and then cooking (P < 0.05). The high-preference group showed high-salt dietary behavior, including eating all the soup until nothing was left (P < 0.05) more than the low-preference group, but low-salt dietary behavior included checking the sodium content in processed foods (P < 0 .0 5) less than the low-preference group. The high-preference group was higher in the soup and stew intake frequency than the low-preference group (P < 0.05) and much lower in nuts (P < 0.05) and fruits (P < 0.05) intake frequency. The high-preference group had a higher salty eating habit (P < 0.05), salty taste assessment (P < 0.05) and estimated sodium intake (P < 0.05) than the low-preference group. Conclusions: The present study showed that the salty food preference was strongly associated with lower sodium reduction practice and higher estimated sodium intake.

• Journal of Environmental Health Sciences
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• v.47 no.6
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• pp.521-529
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• 2021

Background: The coronavirus disease (COVID-19) has caused changes in human activity, and these changes may possibly increase or decrease exposure to fine dust (PM_2.5). Therefore, it is necessary to evaluate the exposure to PM_2.5 in relation to the outbreak of COVID-19. Objectives: The purpose of this study was to compare and evaluate the exposure to PM_2.5 concentrations by the variation of dynamic populations before and after the outbreak of COVID-19. Methods: This study evaluated exposure to PM_2.5 concentrations by changes in the dynamic population distribution in Guro-gu, Seoul, before and after the outbreak of COVID-19 between Jan and Feb, 2020. Gurogu was divided into 2,204 scale standard grids of 100 m×100 m. Hourly PM_2.5 concentrations were modeled by the inverse distance weight method using 24 sensor-based air monitoring instruments. Hourly dynamic population distribution was evaluated according to gender and age using mobile phone network data and time-activity patterns. Results: Compared to before, the population exposure to PM_2.5 decreased after the outbreak of COVID-19. The concentration of PM_2.5 after the outbreak of COVID-19 decreased by about 41% on average. The variation of dynamic population before and after the outbreak of COVID-19 decreased by about 18% on average. Conclusions: Comparing before and after the outbreak of COVID-19, the population exposures to PM_2.5 decreased by about 40%. This can be explained to suggest that changes in people's activity patterns due to the outbreak of COVID-19 resulted in a decrease in exposure to PM_2.5.

• Journal of muscle and joint health
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• v.29 no.1
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• pp.69-80
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• 2022

Purpose: To identify research trends in the Journal of Muscle and Joint Health. Methods: In total, 315 studies published between 2008 and 2020 in the Journal of Muscle and Joint Health were reviewed using analysis criteria developed by the authors Results: Most participants were adults or older adults, they mostly had arthritis. The types of research design were descriptive research (46.4%), quasi-experimental design (21.9%), randomized controlled trial (1.9%), and qualitative research (4.1%). The occupation of most authors was professor in universities (61.0%). Data were collected mostly in hospitals (41.6%) or communities (24.4%) using a questionnaire (52.4%). Written consent was obtained at 75.6% and 47.9% of studies were approved by the Institutional Review Board (IRB). The instruments measuring physical concepts such as pain, flexibility, sense of balance and fatigue were mostly used. The most common interventions in experimental studies were physical interventions, with the main being exercise. Key words were categorized into four nursing meta-paradigms: human, health, environment and nursing. The most frequently reported key words were included in the health domain. The most frequently used key words were physical intervention, older patient, osteoarthritis, pain and depression. Conclusion: The results suggest that more research studies targeting various age groups related to muscle and joint health are required. Additionally there is a need to increase the number of qualitative studies, randomized experimental studies, and systematic review studies. It is necessary to pay attention to compliance with research ethics publication regulations.

• The Journal of Korean Academy of Sensory Integration
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• v.19 no.3
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• pp.32-43
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• 2021

Objective : This study aimed to verify the construct validity of the Korean version of the Peabody Developmental Motor Scale-2 (K-PDMS-2) and its test-retest reliability for children with cerebral palsy (CP) and typical children. Method : To ascertain the construct validity, the K-PDMS-2 evaluation was conducted on 42 children with cerebral palsy and 42 typical children of similar age and gender. Construct validity was proved through comparison with standard scores. Ten of the children with CP were re-evaluated after two weeks to determine test-retest reliability. Results : There was a statistically significant difference in gross motor and fine motor development according to five subtests between the group of children with CP and the typical group (p = .000). For test-retest reliability, the correlation coefficient of the total frequency score was .989, representing very high temporal stability. Conclusion : This study confirmed that K-PDMS-2 is an evaluation tool of high reliability and validity, and a potentially useful future measure for domestic clinical sites and research.

• Korean Journal of Applied Biomechanics
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• v.32 no.1
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• pp.17-23
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• 2022

Objective: The aim of this study was to investigate the effect Tiger-step walking on the movement of the lower extremities during walking. Method: Twenty healthy male adults who had no experience of musculoskeletal injuries on lower extremities in the last six months (age: 26.85 ± 3.28 yrs, height: 174.6 ± 3.72 cm, weight: 73.65 ± 7.48 kg) participated in this study. In this study, 7-segments whole-body model (pelvis, both side of thigh, shank and foot) was used and 29 reflective markers and cluster were attached to the body to identify the segments during the gait. A 3-dimensional motion analysis with 8 infrared cameras and 7 channeled EMG was performed to find the effect of tigerstep on uphill walking. To verify the tigerstep effect, a one-way ANOVA with a repeated measure was used and the statistical significance level was set at α=.05. Results: Firstly, Both Tiger-steps showed a significant increase in stance time and stride length compared with normal walking (p<.05), while both Tiger-steps shown significantly reduced cadence compared to normal walking (p<.05). Secondly, both Tiger-steps revealed significantly increased in hip and ankle joint range of motion compared with normal walking at all planes (p<.05). On the other hand, both Tiger-steps showed significantly increased knee joint range of motion compared with normal walking at the frontal and transverse planes (p<.05). Lastly, Gluteus maximus, biceps femoris, medial gastrocnemius, tibialis anterior of both tiger-step revealed significantly increased muscle activation compared with normal walking in gait cycle and stance phase (p<.05). On the other hand, in swing phase, the muscle activity of the vastus medialis, biceps femoris, tibialis anterior of both tiger-step significantly increased compared with those of normal walking (p <.05). Conclusion: As a result of this study, Tiger step revealed increased in 3d range of motion of lower extremity joints as well as the muscle activities associated with range of motion. These findings were evaluated as an increase in stride length, which is essential for efficient walking. Therefore, the finding of this study prove the effectiveness of the tiger step when walking uphill, and it is thought that it will help develop a more efficient tiger step in the future, which has not been scientifically proven.

• Korean Journal of Environment and Ecology
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• v.35 no.6
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• pp.632-643
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• 2021

The objective of this study was to examine vegetation community structure and distribution of Fraxinus chiisanensis in Mt.Minjuji of Chungcheongbuk-do by setting up and surveying 8 plots (400 m² each). Mean Importance Value (MIV) of Fraxinus chiisanensis in 8 plots was 35.19% in average (ranging from 26.07~42.74%). Since it is the dominant species in all plots, it is expected to maintain the present vegetation structure. The analysis of the DBH (diameter at breast height) showed that the diameter of Fraxinus chiisanensis in Mt.Minjuji ranges from 2 to 43cm. The majority of Fraxinus chiisanensis is expected to maintain current state unless disturbance or rapid environmental change occurs. The Species Diversity (H') was 0.8498~1.0261, Evenness (J') was 0.8160~0.9256, Dominance Index (D) was 0.0789~0.1840, Maximum Diversity (H'max) was 1.0414~1.2041. The analysis of annual ring and radial growth showed that the average age of Fraxinus chiisanensis in Mt.Minjuji was 29.1years(ranging from 22~58years). The average annual radial growth of Fraxinus chiisanensis was the highest in community G with 5.84mm and the lowest in community B with 2.80mm. The similarity index analysis revealed that the similarity index between community B and E, C and F, H was the highest with 69.0%, and the similarity index between community E and F was the lowest with 29.6%. Both the area of Fraxinus chiisanensis community of Mt.Minjuji and its population size are very small. Therefore, this area needs to be designated as Forest Genetic Resource Reserve.

• The Journal of the Convergence on Culture Technology
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• v.8 no.4
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• pp.187-192
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• 2022

This research focuses on analyzing the correlation between adolescent self-esteem and labor participation. The findings of this study are as follows: First, when it was analyzed whether there are differences in self-esteem with ages, out of school students were the lowest. and self-esteem level increased with age. Second, when the differences in self-esteem levels between genders were examined, male students showed slighty higher positive self-esteem and total self-esteem, which shows statistically significant difference. Third, the correlation between self-esteem and labor participation is as follows: 50.4% of students experienced part-time jobs in low self-esteem group. And 50.6% of students experienced part-time jobs in high self-esteem group. It shows that self-esteem level doesn't have relation to part-time job experience. Fourth, when the correlation between part-time job intention and self-esteem was analyzed, 50.5% of students in low self-esteem group responded they would have part-time job, but 49.5% of students in high self-esteem group. Also, 50.9% of low self-esteem group students responded they had no intention of getting part-time jobs, but 49.1% in high self-esteem group. It shows self-esteem level doesn't influence the decision to get part-time jobs. Last, the correlation between the reason they get part-time jobs and self-esteem level was analyzed. 68.1% of students in low self-esteem group had part-time jobs voluntarily, while 31.9% had to have jobs involuntarily for economic cause. Also 75.2% of students in high self-esteem group had part-time jobs for voluntary motive and 24.8% for economic cause. So high self-esteem group showed more voluntary cause and low involuntary cause for part-time jobs, but there was no statistically significant value.