• Tuberculosis and Respiratory Diseases
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• 제86권2호
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• pp.102-110
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• 2023

Coronavirus disease 2019 (COVID-19) has become a major health burden worldwide, with over 600 million confirmed cases and 6 million deaths by 15 December 2022. Although the acute phase of COVID-19 management has been established, the long-term clinical course and complications due to the relatively short outbreak is yet to be assessed. The current COVID-19 pandemic is causing significant morbidity and mortality around the world. Interestingly, epidemiological studies have shown that fatality rates vary considerably across different countries, and men and elderly patients are at higher risk of developing severe diseases. There is increasing evidence that COVID-19 infection causes neurological deficits in a substantial proportion to patients suffering from acute respiratory distress syndrome. Furthermore, lack of physical activity and smoking are associated with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) susceptibility. We should therefore explore why lack of physical activity, smoking, etc causing a population more susceptible to SARS-CoV-2 infection, and mechanism involved. Thus, in this review article, we summarize epidemiological evidence related to risk factors and lifestyle that affect COVID-19 severity and the mechanism involved. These risk factors or lifestyle interventions include smoking, cardiovascular health, obesity, exercise, environmental pollution, psychosocial social stress, and diet.

• Psychiatry investigation
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• 제15권11호
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• pp.1046-1052
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• 2018

Objective The aims of the present study were to explore the occurrence of childhood trauma and importantly to determine the impacts of childhood trauma on psychosocial features in a Chinese sample of young adults. Methods A survey was carried out in a group of 555 university students by using Childhood Trauma Questionnaire (CTQ), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Dysfunctional Attitudes Questionnaire (DAS), Eysenck Personality Questionnaire (EPQ), and Social Support Rating Scale (SSRS). The moderate-severe cut-off scores for CTQ were used to calculate the prevalence of childhood trauma, and then psychosocial features were compared between individuals with and without childhood trauma. Results A proportion of 18.6% of university students had self-reported childhood trauma exposures. Subjects with childhood trauma reported higher scores of SDS, SAS, DAS, and psychoticism and neuroticism dimensions of EPQ (t=4.311-5.551, p<0.001); while lower scores of SSRS and extraversion dimension of EPQ (t=-4.061- -3.039, p<0.01). Regression analyses further revealed that scores of SAS and DAS were positively (Adjusted B=0.211-0.230, p<0.05), while scores of SSRS were negatively (Adjusted B=-0.273- -0.240, p<0.05) associated with specific CTQ scores. Conclusion Childhood trauma is still a common social and psychological problem. Individuals with childhood trauma show much more depression, anxiety, distorted cognition, personality deficits, and lower levels of social support, which may represent the social and psychological vulnerability for developing psychiatric disorders after childhood trauma experiences.

• 한국융합학회논문지
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• 제6권4호
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• pp.121-126
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• 2015

한국청소년패널(2008)의 중2 패널 5차년도 자료를 가지고 기술통계 분석과 회귀분석을 실시하여 가족의 기능적 결손이라는 위험상황에서 위험요인, 보호요인, 심리적응 간의 관계와 보호요인의 매개효과의 기제를 검증하고, 심리적응 수준이 높은 청소년을 보호해주는 보호요인을 분석하는 데에 그 목적이 있다. 분석방법으로는 대상자의 빈도분석과 개인특성에 따른 차이를 알아보기 위해 PASW(Predictive Analytics Software) 18.0을 이용해 t검증을 실시하였다. 또한 적응에 대한 보호요인의 작용 검증을 위하여 위계적 회귀분석을 실시하여 매개효과를 검증하였다. 연구결과 사회복지실천 현장에서 청소년의 위험요인에 초점을 맞추기보다는 위험요인을 완화시키는 과정이나 보호요인에 초점을 맞춤으로써 위험요인에 노출된 청소년을 바라보는 시각을 전환시킬 수 있으며 이들에 대한 개입도 달라질 것으로 판단된다. 사회복지실천 현장에서 청소년의 위험요인에 초점을 맞추기보다는 위험요인을 완화시키는 과정이나 보호요인에 초점을 맞춤으로써 위험요인에 노출된 청소년을 바라보는 시각을 전환시킬 수 있다. 또한, 가족의 기능적 결손이라는 어려움을 경험하는 청소년을 대상으로 사회복지 실천적 개입 방향을 마련 할 수 있는 기초를 마련한 것으로 판단된다.

• 한국인구학
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• 제24권1호
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• pp.149-182
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• 2001

인구고령화가 전세계적인 화두로 등장하는 이유는 사회가 공동으로 해결해야 할 복지욕구는 증대하는 한편, 이로 인한 사회적 부양부담의 증가는 경제적 생산력이 정체되고 있는 상황에서 인류사회의 지속 가능한 발전에 심각한 의문을 던져주기 때문이다. 특히 우리 나라는 인구고령화의 속도가 선진국에 비하여 매우 빠르게 가속적으로 진행되고 있으므로 효과적으로 대응하기 위해서는 보다 효과적이고 신축적인 경제사회시스템을 만들지 않으면 안된다. 특히 인구고령화 시대에도 지속 가능한 소득보장 체계의 확립은 무엇보다도 긴요하다. 본 논문은 노령화시대의 핵심과제라고 할 수 있는 \`소득보장\` 을 중심으로 개선방안을 제시해 보고자 하였다. 이를 위하여 먼저 노령화와 관련된 각종 경제·사회여건 변화 분석 및 현재 노인들의 소득원을 살펴보고(II 장), 현재의 공·사적연금제도의 문제점과 개선의 기본방향을 정리하며(III장), 공적연금제도의 개선방안에 대한 검토하고 (IV장), 마지막으로 퇴직금 등 사적 연금제도의 개선방안(V장)을 제시하고 있다. 본 논문은 현행 공적연금체계를 다층체계로 전환할 것을 제안하고 있다. 제1층은 전국민 1인 1 연금체계를 구축하여 기초연금을 지급하도록 하며, 제2층은 소득비례 공적 연금을 구축하며, 3층은 퇴직금, 기업연금, 개인연금의 민간 자율의 저축제도의 구축을 제안하고 있다. 이를 통하여 연금재정 안정화, 세대간·세대내 소득재분배의 적정화, 연금 사각지대의 해소가 가능하게 되어 인구노령화시대에 보다 효과적으로 대응할 수 있을 것으로 판단한다.

• 대한불안의학회지
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• 제10권2호
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• pp.157-162
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• 2014

Objective : This study was conducted to evaluate the validity of the Korean Inventory of Interpersonal Problems (K-IIP) with Psychopathic Personality Inventory-Revised (PPI-R) to assess interpersonal problems in Korean criminal offenders with schizophrenia. Methods : The sample consisted of 187 inpatients with schizophrenia who had committed crimes. All participants filled out self-report questionnaires ofPPI-R and K-IIP. Results : The result showed that all scales of K-IIP were correlated highly with the PPI-R total score (r range=0.25-0.65). Correlations with K-IIP scales were highest for Blame Externalization, Rebellious Nonconformity, and Machiavellian Egocentricity scales (r range=0.50-0.66, 0.43-0.64, 0.39-0.58, respectively). All scales of K-IIP exhibited a negative correlation with Social Influences, Stress Immunity, Coldheartedness (C) scale ofPPI-R. Cold/Distant scale ofK-IIP was not correlated with C scale of PPI-R. All scales of K-IIP was highly correlated with PPI-R-factor-2 (r range=0.44-0.71) and negatively correlated with PPI-R-factor-l (r range=-0.03-0.38). Conclusions : Despite of strong correlation between PPI-R total score and K-IIP total score, K-IIP was not correlated with PPI-R-I that represents affective and interpersonal deficits. It suggests K-IIP may not proper for measuring the interpersonal problems of criminal offenders with schizophrenia. It will be needed other assessment scale for measuring the interpersonal problems of psychopathy in criminal schizophrenia.

• Asian Pacific Journal of Cancer Prevention
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• 제14권8호
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• pp.4705-4709
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• 2013

Background: Cambodian Americans have high rates of chronic hepatitis B virus (HBV) infection and liver cancer. There is very limited information about the utility of community health worker (CHW) approaches to cancer education for Asian American men. We have previously reported our positive findings from a trial of CHW education about HBV for Cambodian Americans who had never been tested for HBV. This report describes similarities and differences between the outcomes of our CHW HBV educational intervention among Cambodian American men and women. Methods: The study group for this analysis included 87 individuals (39 men and 48 women) who were randomized to the experimental (HBV education) arm of our trial, participated in the CHW educational intervention, and provided follow-up data six months post-intervention. We examined HBV testing rates at follow-up, changes in HBV-related knowledge between baseline and follow-up, and barriers to HBV testing (that were reported to CHWs) by gender. Results: At follow-up, 15% of men and 31% of women reported they had received a HBV test (p=0.09). HBV-related knowledge levels increased significantly among both men and women. With respect to HBV testing barriers, women were more likely than men to cite knowledge deficits, and men were more likely than women to cite logistic issues. Discussion: Our study findings indicate that CHW interventions can positively impact knowledge among Cambodian American men, as well as women. They also suggest CHW interventions may be less effective in promoting the use of preventive procedures by Cambodian American men than women. Future CHW research initiatives should consider contextual factors that may differ by gender and, therefore, potentially influence the relative effectiveness of CHW interventions for men versus women.

• Clinical and Experimental Pediatrics
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• 제60권11호
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• pp.337-343
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• 2017

Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. This disorder, in addition to its main symptoms, creates significant difficulties in education, social performance, and personal relationships. Given the importance of rehabilitation for these patients to combat the above issues, the use of virtual reality (VR) technology is helpful. The aim of this study was to highlight the opportunities for VR in the rehabilitation of children with ADHD. This narrative review was conducted by searching for articles in scientific databases and e-Journals, using keywords including VR, children, and ADHD. Various studies have shown that VR capabilities in the rehabilitation of children with ADHD include providing flexibility in accordance with the patients' requirements; removing distractions and creating an effective and safe environment away from real-life dangers; saving time and money; increasing patients' incentives based on their interests; providing suitable tools to perform different behavioral tests and increase ecological validity; facilitating better understanding of individuals' cognitive deficits and improving them; helping therapists with accurate diagnosis, assessment, and rehabilitation; and improving working memory, executive function, and cognitive processes such as attention in these children. Rehabilitation of children with ADHD is based on behavior and physical patterns and is thus suitable for VR interventions. This technology, by simulating and providing a virtual environment for diagnosis, training, monitoring, assessment and treatment, is effective in providing optimal rehabilitation of children with ADHD.

• Physical Therapy Rehabilitation Science
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• 제6권2호
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• pp.59-64
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• 2017

Objective: Elderly people with dementia experience not only cognitive dysfunction but also motor function deficits, such as balance and gait impairments. Recently, transcutaneous electrical nerve stimulation (TENS) has been used to reduce pain as well as to control muscle spasm, spasticity and motor performance in various types of subjects. The purpose of this study determined the effect of a single trial TENS on balance and gait function in elderly people with dementia. Design: A randomized controlled trial. Methods: Twenty-two subjects with dementia were assigned to the TENS group (n=12) and ten subjects were assigned to the control group (n=10) randomly. Subjects were classified into two groups: the TENS group (n=12) and the placebo-TENS group (n=10). The TENS group had electrical stimulation applied on the calf muscle for 15 minutes, while the placebo-TENS group had not received real electrical stimulation. The timed up and go test (TUG) and functional reach test (FRT) were used to measure the balance function, and the 10 meters walk test (MWT) and 6MWT were used to assess gait ability. All tests were performed before and after intervention under a single-blinded condition. Results: After intervention, there were significant improvements in TUG, FRT, 10MWT, and 6MWT results in the TENS group (p<0.05), while the placebo-TENS group did not show significant changes in all outcome measurements. There were also differences in all tests between the two groups at post-measurements (p<0.05). Conclusions: This study demonstrated that a single trial TENS application on the calf may be used to improve balance and gait function in elderly people with dementia.

• 한국보건간호학회지
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• 제25권2호
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• pp.221-232
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• 2011

Purpose: The study sought to provide basic information for North Korean defectors (Sae-Tu-Min) by studying the quality of life(QoL) based on their general characteristics and health problems. Methods: The targeted subjects were 1400 North Korean settlers who were receiving settlement service by Korean National Red Cross after finishing their training at Hanawon in 2005. The data was collected from August to October in 2007. The QoL was assessed by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA and t-test with SPSS win 15.0 program. Result: The majority of the 466 subjects were female(77.9%). The average age was 36.8 years, 52.8% lived alone, and 64.0% were unemployed. The average QoL score of the group was $62.4{\pm}18.4$, which was markedly lower in terms of social, physical and mental health compared to the scores of immigrants to South Korea from other countries. The score was the highest for physical ability and the lowest for general health. Influential socio-demographic factors to QoL were gender, age, education, religion, annual salary, occupation, and life insurance. Employed in the subject group showed higher level of QoL on eight categories than unemployed. Concerning health problems that detracted from QoL, 18.5% of the subjects were aware they suffered from anemia and 8.8% of them recognized they suffered from attention deficits. Conclusion: The health conditions of the North Korean settlers had improved since they settled in South Korea, but their QoL was lower than other immigrants. Various programs to maintain and promote the health of North Korean settlers would be useful.

• 교육녹색환경연구
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• 제15권1호
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• pp.40-48
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• 2016

본 연구는 적정규모학교의 효율적인 육성을 위하여, 적정규모학교에 대한 이론적 고찰, 국내 학생수 및 학교현황 분석, 적정규모학교 육성사업 현황분석, 적정규모학교 가이드라인(안) 제안 등의 순서로 연구를 진행하였다. 적정규모학교 기준(안)은 시 도별 특성과 지역의 여건을 고려하며, 기존 선행연구들의 교육적 효과와 교육과정의 운영 효율성을 고려하여 이상적인 방향으로 제안하고자 한다. 본 연구에서는 적정규모학교의 효율적인 육성을 위하여, 적정규모학교에 대한 이론적 고찰, 국내 학생수 및 학교현황 분석, 적정규모학교 육성사업 현황분석을 통해 적정규모학교 가이드라인(안)을 제안하였다.