• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.216-223
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• 2018

Objectives: The purpose of the study was to investigate factors affecting the assessment of objective and subjective masticatory ability in the elderly, and to evaluate masticatory ability assessment more accurately. Methods: A total of 112 participants were recruited after oral examination in senior citizen welfare facilities. The participants' masticatory ability was evaluated objectively (Mixing ability index; MAI), and subjectively (Key food intake ability; KFIA). Participants' general characteristics and oral health-related variables were also recorded. Based on masticatory ability assessment, participants were classified as either high or low. IBM SPSS Statistics Ver.23.0 was used for all analyses, including descriptive statistics, Chi-square test, Mann-Whitney U test, Spearman rank correlation, and Logistic regression analysis. Results: Higher masticatory ability was positively correlated with higher scores on MAI and KFIA. Additionally, there was a significant positive correlation between MAI and KFIA. When analyzing factors affecting objective and subjective masticatory ability assessments, Functional tooth units (FTUs) were revealed as a related factor. In subjective masticatory ability assessment, oral moisture, difficulty in chewing, and the Geriatric Oral Health Assessment Index (GOHAI) were also influential factors. Conclusions: In order to accurately assess masticatory ability, it is necessary to use both objective and subjective measures. Additionally, to improve the masticatory ability in the elderly, treatment should be provided to improve overall oral health and satisfaction.

• Journal of Nutrition and Health
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• 제6권3호
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• pp.27-36
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• 1973

The primary purpose of this research paper is to study the nutrition intake status of high school students and their physical growth and development. Further, it made an attempt to find and define nutritional problems and assist in their growth and development through proper nutritional management. One hundred students in both sexes, first year grade in senior high school were provided with questionnaires. For six days the respondents filled out the questionnaires. They were asked to keep record of what they ate each meal. Their nutritional intake were analyzed in accordance with what they ate. Findings, conducted on percentage, CR test, t test, and F test, were as follows: 1. For the living circumstance a) Average numbers of brother and sister in sampled family were four. b) Seventy to eighty percent of the students were brought up by mother's milk at their infants and approximately 40% of students were weaned at the age of 7 to 18 months. c) Fifty percent of the respondents revealed irregulity in their meal time. d) Monthly average expenditure for daily food reached $20{\sim}40%$ out of total income. e) The most favorite foods reflect as follows: The most favorite main dish is boiled rice and side dish beaf. Fruits. juice, milk, ice cream are more popular snack among whole students. 2. Nutrition survey a) Calory sad nutrients were found to be below the recommended level, especially in calcium, vitamins A, $B_2$ and C. b) The total calory intake were composed of 73% from carbohydrate, 14% from protein and 13% from fat in the case of boys. The girls were 65%, 14%, 21% respectively. c) Both boys and girls in their animal protein intake averaged about 33% out of total protein intake. d) Meat consumption of the majority respondents were proportionate in $10{\sim}20%$ in their total food consumption. 3. The result of statistical analysis were as follows: a) Statistical significant differences in the relationship between the calory intake and physical growth index were observed at the level of p<0.05. b) Statistical significant differences in the relationship between the protein intake and physical growth index were observed at the level of p<0.05. c) Statistical significant differences in the relationship between meal time and physical growth index were observed at the level of 0.02<0.05. d) No statistical significant differences in the relationship among calory, protein intake and school records as well as intelligence were found. The experiment indicated that there is a direct relationship between nutrition and the physical growth and development, whereas There seems to be an indirect relationship between nutrition and intelligence.

• 한국방사선학회논문지
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• 제10권3호
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• pp.161-169
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• 2016

본 연구에서는 소아 두부 CT 검사에 있어서 피폭 방사선량을 경감할 수 있는 방법을 모색하고자 부산지역 병원들에서 시행된 년 간 소아 두부 CT 검사에 대한 CT 선량지표(CTDI)를 국내 진단참고준위와 비교하여 분석함으로써 제안점을 도출하고자 하였다. 결과적으로 병원별 분류에서는 병원, 종합병원, 상급종합병원 순으로 권고량이 초과하는 것으로 나타났으며 연령별 분류에서는 2-5세 이하, 1개월-1세 이하, 6-10세 이하 순으로 권고량이 초과하는 것으로 나타났다. 스캔방식별 분류에서는 Helical, Axial, Volume방식 순으로 권고량이 초과하고 있었으며 스캔범위를 진단참고준위에 맞게 재설정한 결과 상급종합병원에서 재설정으로 인한 감소율은 11.68%, 종합병원에서 15.79%, 병원에서 20.66%로 초과율이 높게 나타났다. 그리고 환자선량 권고량 가이드라인을 벗어나지 않는 환자의 평균 스캔범위의 분석결과 1개월-1세 이하에서 $103.2{\pm}11.8mm$, 2-5세 이하에서 $110.5{\pm}14.5mm$, 6-10세 이하에서는 $117.8{\pm}17.2mm$로 나타났다.

• 대한예방한의학회지
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• 제28권1호
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• pp.69-87
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• 2024

Objectives : This study is to investigate the current National Health Insurance Database cohort studies related to complications of Parkinson's Disease (PD) and suggest the design of Korean medical epidemiological studies of PD. Methods : Nationwide longitudinal studies of PD patients in South Korea were collected through Pubmed and the Korea Citation Index (KCI). We selected cohort studies that used the National Health Insurance Database in Korea and targeted Parkinson's disease patients. Studies published before February 2024 were categorized according to study designs. We examined variables and covariates, enroll dates and matching methods. Results : Of a total of 536 studies, 18 studies met the inclusion criteria. All studies used the National Health Insurance (NHI) Research Database and among them, 5 used sample data and one senior database. Studies can be classified into two types. 11 cohort studies were comparing PD patients and non-PD patients. Another type was 4 PD patients cohort studies. Most studies used two diagnostic codes (G20 and V124) for inclusion criteria. Enroll periods were from 2002 to 2017, and follow-up periods were from 7 to 14 years. 16 studies considered age and sex as covariates. 15 studies used the propensity score matching method to increase the level of causality. There was only one study related to the Korean medical treatment. Conclusion : In future cohort studies on Korean medical treatment, more attempts should be made to reveal the effect of the treatments on PD patients by defining inclusion criteria for patient groups, covariates, exposure variables, and assessment indicators more operatively.

• Journal of Nutrition and Health
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• 제54권5호
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• pp.474-488
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• 2021

Purpose: Malnutrition in children with cerebral palsy (CP) is a significant factor affecting their adequate growth and development. This study aimed at conducting surveys and evaluating the dietary intake of children with CP according to their BMI classification and to thereby highlight the dietary factors affecting the nutritional status of these children. Methods: A total of 16 children were enrolled between the age of four and twelve. These subjects were further classified into three groups, namely underweight, normal and obese, with 6, 8, and 2 children in each group, respectively. The general characteristics, motor disturbances, body composition, feeding problems, eating habits, nutritional intake, dietary variety, and food frequency for children with CP were evaluated. Results: It was observed that motor disturbances tended to increase in underweight children with CP. A significant decrease (p < 0.05) in disturbances related to oral feeding was observed with an increase in obesity. The pattern of eating habits revealed that subjects in the underweight group consumed unbalanced meals, while those in the obese group tended to consume larger meals at a faster pace. The feeding disturbance data revealed that those in the underweight group could not prepare their meals while the obese group had the problem of overeating and consuming an unbalanced diet (p < 0.05). Conclusion: It is necessary for both children with CP, who have a high degree of disability, and their caregivers to take lessons on adequate nutrient intake to prevent malnutrition. Moreover, it is necessary for the caregivers and children with CP having a low degree of disability to take lessons on providing and consuming a balanced diet and to focus on the intake of sufficient calcium in order to prevent obesity.

• Journal of Nutrition and Health
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• 제44권3호
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• pp.212-221
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• 2011

This study was conducted to identify differences in growth based on the obesity index in sixth grade. Heights and weights of 141 students from first to sixth grades were collected from school records. Other information was gathered by survey, and the weight length index (WLI) was calculated. Subjects were classified into three groups: underweight (n = 57, UG), normal (n = 53, NG), and obese (n = 31, OG) using the WLI. Differences in weight, height, and growth velocity were compared among the three groups from the first to sixth grades. With regard to growth, the past physical status of the three groups was maintained. More than 50% of the OG was in the overweight range when they were in the third to fifth grades. Approximately 60% of NG was in the normal weight range between the first and fifth grades. More than 70% of UG was in the underweight range when they were in the first to fifth grades (p < 0.001). Growth velocity was faster in OG than that in NG and UG (p < 0.001). The annual growth rate of children was the highest when they moved from the third to the fourth grade (p < 0.001). The results indicate that general balanced diet education should be implemented in lower grades, because physical growth formed in lower grades tended to be maintained in senior grades. It would be better to educate students about diet to prevent obesity before the fifth grade when a major change in body structure has occurred.

• Journal of Korean Biological Nursing Science
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• 제13권3호
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• pp.276-282
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• 2011

Purpose: The aim of the present study was to investigate the effects of a aquatic exercise program on body mass index, body fat percentage and skeletal muscle mass, physical fitness using SFT (senior fitness test) and depression in elderly women. Methods: This study included 59 elderly women. Aquatics exercise program was performed three times per week for 12 weeks using rating of perceived exertion and body mass index, body fat percentage, skeletal muscle mass, physical fitness and depression were measured before and after exercise program. Statistical analysis was performed using t-test. Results: Body mass index (p=.002) and body fat percentage (p=.021) were significantly decreased after aquatic exercise program. Chair stand (p=.009), 2 minute step test (p<.001), back scratch (p<.001), and chair sit and reach (p<.001) were significantly increased after the aquatic exercise program. But, there was no significant differences in the depression. Conclusion: It is suggested the aquatic exercise program may play a significant role in improving body fat and physical fitness in the elderly women. However, as well as aquatic exercise program, sustained encouragement are required to improve physical and psychological traits.

• 한국콘텐츠학회논문지
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• 제22권3호
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• pp.296-308
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• 2022

코로나-19 사태에서 60세 이상 노인들은 우울, 불안,공포 등 다양한 심리건강 문제가 생겼고, 커뮤니티는 노인 활동의 유일한 공간이 되었다. 이를 위해 본 연구는 이론적 고찰, FGI 인터뷰와 계층 분석법 AHP를 활용하여 치유적 고령친화 커뮤니티 환경디자인 평가체계를 제시하였다. 평가체계는 3차원 공간, 10개 상위 계층과 68개 하위 계층이다. 또한 전문가 설문조사와 SPSS 프로그램 분석를 통해 평가체계의 각 지표의 가중치를 배분하였다. 첫째, 물질 공간 환경디자인은 노인들의 일상생활에 대한 공용공간 활동시 쾌적성과 건강성을 충족시켜야 한다. 둘째, 사회적 공간환경 디자인은 노인들의 교류와 사회적 연계를 촉진한다는 취지로 디자인을 한다. 셋째, 운영 공간 환경디자인은 커뮤니티 운영회사의 운영체제를 중요하게 고려하고 있다. 이를 통해 노인의 주거환경 발전을 위한 체계적인 기술적 근거와 행동지침을 제공하여 고령자 심리의 건강 향상을 기대해 본다.

• 지역사회간호학회지
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• 제14권1호
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• pp.24-35
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• 2003

The purpose of this study was to evaluate the effects of oral health education program on the oral health knowledge, oral health behavior and oral hygiene status of elementary school students. The design of this study is nonequivalent control group pretest-posttest gesign. Data was collected between the 17th of June and 13th of July in 2002, and the Experimental group were 131 students of Y Elementary School. which was one of the two elementary schools in K City, Gyeongsangbuk-do, and the control group was 140 students of C Elementary School, which was similar to Y Elementary School in geographical and economical properties and size. As for research tools, the researcher developed tools of measuring oral health knowledge and oral health behavior by modifying the tools developed by Hye-Kyong Kim (2001), In-hyang Seo (1988), Ho-Youn Lee (2001), Hyeon-ja Jeon (1998). To measure oral hygiene status. the researcher applied a coloring agent to the surface of the teeth after brushing, rinsed the mouth, and calculated colored plaque on the surface of the teeth, which was recorded on a sheet and analyzed using the plaque index. The data analysis was done using frequency, percentage, mean, standard deviation, Chisquare test, t-test, ANCOVA, Two-way ANOVA, Simple main effects, One-way ANOVA, and Duncan. Using with SPSS WIN 10.0. The result of this study are summarized as follows: 1. The hypothesis was supported 'The elementary school students which was given oral health education program will shows higher oral health knowledge, oral health behavior, oral hygiene status then control group' 2. According to the result of verifying the hypothesis, 'The effect of oral health education program will be different between junior and senior' the hypothesis was partly supported To summarize result of this research, the experimental group, to which oral health education was given, was improved in oral health knowledge, oral health behavior and oral hygiene status compared to the control group, so the oral health education program was effective for the oral health of elementary school students.

• Journal of Preventive Medicine and Public Health
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• 제56권5호
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• pp.467-474
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• 2023

Objectives: Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population's health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia. Methods: A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group's validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL. Results: Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score. Conclusions: Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.