• Journal of Preventive Medicine and Public Health
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• 제49권4호
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• pp.240-248
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• 2016

Objectives: Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) adversely impacts food security in households of people living with HIV/AIDS (PLWHA). Little research has focused on food insecurity among PLWHA in India. The purpose of this study was to identify the prevalence of and factors relating to food security in households of PLWHA in the Siliguri subdivision of Darjeeling, West Bengal, India. Methods: A cross-sectional community-based study was carried out among 173 PLWHA residing in Siliguri and registered at the Anti-retroviral Therapy Centre of North Bengal Medical College & Hospital. Data was collected at the household level with interviews of PLWHA using a food security survey instrument. We analyzed the associations using logistic regression. Results: The prevalence of household food security among the participants was 50.9% (88/173). Five years or more of schooling, higher socioeconomic class and males were found to be significantly associated with a higher likelihood of food security. A later stage of the disease and the presence of other family members with HIV/AIDS were significantly associated with a lower likelihood of food security. The major coping strategies to deal with food insecurity in the acute phase HIV infection included borrowing money (56.1%), followed by spousal support, loans from microfinance institutions, banks, or money lenders, borrowing food, or selling agricultural products. Conclusions: The present study revealed that only about half of households with PLWHA were food secure. Prior interventions relating to periods of food and economic crisis as well as strategies for sustaining food security and economic status are needed in this area.

• 한국환경보건학회지
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• 제43권4호
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• pp.280-297
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• 2017

Objectives: We assessed pesticide exposure levels according to cultivation and crop type and investigated agricultural factors related to exposure. Methods: The participants, 341 male and 127 female farmers, were divided into three groups by cultivation crop type: chili greenhouse, cucumber greenhouse, and orchard. We collected questionnaires, socioeconomic characteristics and agricultural factors, and spot urine. Pesticide exposure was examined using four organophosphate and four pyrethroids urinary metabolites: dimethylphosphate, dimethylthiophosphate, diethylphosphate, diethylthiophosphate, Cis and Trans-3-(2-2dichlorovinyl)-2, 2-dimethylcyclopropane carboxylic acid, 3-phenoxybenzoic acid (3-PBA), Cis-3-(2-2dibrmovinyl)-2, and 2-dimethylcyclopropane carboxylic acid. Each metabolite was summed ${\Sigma}DAP$ and ${\Sigma}PY$ according to the chemical class. Results: Urinary metabolite detection rates and concentrations were similar between the greenhouse groups, but the orchard group was different. Similar 3-PBA detection rates were found in the three groups, but the geometric mean was very high in the orchard group compared to the two greenhouse groups. 3-PBA concentration in the orchard group was $4.11{\mu}g/g$ creatinine; the chili and cucumber greenhouse groups were 1.27 and $1.16{\mu}g/g$ creatinine, respectively. ${\Sigma}DAP$ was significantly associated with cultivation crop type and seasonal variation, but ${\Sigma}PY$ was not relevant. Conclusions: Our results suggest that cultivation and crop type may be correlated with different pesticide types and exposure levels. Furthermore, seasonal factors were related as potential factors influencing the level of organophosphate metabolites, but not for pyrethroid metabolites.

• 한국실내디자인학회논문집
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• 제17권6호
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• pp.52-62
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• 2008

This research is a follow-up study of the analysis of satisfaction and preference rates in bathroom design relevant to age variable. This project examines the satisfaction and preference rates relevant to the variety a family type. Mid-sized apartments most favored by the mid-class families were selected as the objects of the research so that they represent the present conditions in Korean bathroom designs most comprehensively. In order to maintain consistency in research objects, this article limited them to the top five brand-name apartments in the metropolitan area based on the brand popularity and construction capability. The method of the research was surveys; we were able to retrieve and analyze 427 copies through internet. The data were processed by SPSS PC+ windows version 15.0 program and were analyzed using the means, crosstabs statistics, One-way ANOVA. The results are as follows: 1) The most significant factor that determines the variety a family type is the existence of senior citizens in the household. 2) The preference of families with young children is mostly determined by elements related to the safety of the children. 3) The satisfaction and preference rates are closely related to family types of each household. We sincerely hope that this article will provide guidelines for customized bathroom designs based on the ages, life cycles, and socioeconomic status of the residents so that the desings will answer to the needs of each household.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9905-9908
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• 2014

Background: Helicobacter pylori (H. pylori) is the most common chronic infectious agent in the stomach. Most importantly, it may lead to atrophy, metaplasia and cancer. The aim of this study was to investigate the incidence of H. pylori infection and to detect early mucosal changes that may lead to malignant degeneration in children. Materials and Methods: Children who underwent upper gastrointestinal endoscopy were included. Familial history of gastric cancer was noted. Endoscopic examinations were performed by a single pediatric gastroenterologist. A minimum of three biopsy samples were collected during endoscopy. The patients were accepted as H. pylori infected if results of biopsies and rapid urease test were both positive. Biopsies were evaluated for the presence and degree of chronic inflammation, the activity and severity of gastritis, glandular atrophy and intestinal metaplasia. Results: A total of 750 children (388 boys, 362 girls) were evaluated in our study, with a mean age of 10.1 years. A total of 390 patients (52%) were found to be infected with H. pylori. Among the H. pylori infected patients, 289 (74%) were diagnosed to have chronic superficial gastritis, 24 (6.2%) had gastric atrophy. Most strikingly, intestinal metaplasia was observed in 11 children, all were in the H. pylori positive group. There was no difference in the mean of age, gender and socioeconomic class between H. pylori infected and non-infected groups. The frequency of gastric cancer in family members (4 in number) was higher in patients with H. pylori infection. No gastric cancer case was reported from the parents of non-infected children. The worst biopsy parameters (atropy and metaplasia) were improved after H. pylori eradication on control endoscopy. Conclusions: The current study shows a higher prevalence of familial history of gastric cancer in H. pylori infected children. Intestinal metaplasia was also higher in the infected children. Eradication of H. pylori infection for this risk group may prevent subsequent development of gastric cancer.

• Journal of Nutrition and Health
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• 제21권5호
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• pp.283-294
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• 1988

To study the factors related to childhood obesity, 75 subjects were selected as an obese group and 75 subjects were selected as a control group according to their obesity index and BMI among the 583 children of 5th and 6th grade in elementary school in Seoul. For each subject, skinfold thickness was measured, information on the characteristics of family, nutrient intake and activity time of the subjects were obtained by questionnarie. The results were summarized as following: 1) Parents' obesity indices of obese group were significantly higher than those of control group(Father's Obesity Index : P<0.01, Mother's Obesity Index : P<0.05). 2) Questions about eating rate and behavior showed that subjects in obese group were significantly faster in their eating rate(p<0.05) and always more eager to eat food(p<0.001) compared to control group. 3) Dietary intake data showed that average daily intake of all the nutrients exceeded Korean recommended dietary allowances for the age group. In female children, fat intakes of obese group were significantly higher than control group(P<0.05). There was no such significant difference in male subjects. 4) Activity time record of subjects reveal that there was a trend for males to spend more time in moderate and high activity and less time in light activity compared to females. Subjects in obese group spent significantly more time for light activity(P<0.001) and significantly less time for moderate activity (P<0.001) compared to subjects in control group. The difference of activity was more pronounced in male subjects. 5) Correlation matrix of the variables showed that obesity index, BMI, and skinfold thickness of the subjects were highly correlated with each other. These indices were positively correlated to parent's obesity indices and the time spent for light activity, but negatively correlated to the time spent for moderate activity. Nutrient intakes were not significantly correlated to obesity indices. Form the results shown above, although both obese and control groups are from high socioeconomic class, obese children tended to come from family with fat parents. They eat fast and are always eager to eat. They tend to eat more fat but are very different from controls in nutrient intake. Obese children are significantly lower in their actinity compared to controls. So, for the prevention and treatment of childhood obesity, it seems to be more important to increase their activity levels.

• 재활복지공학회논문지
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• 제6권1호
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• pp.83-87
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• 2012

본 연구는 취업장애인의 보조공학기기 사용형태의 변화에 따른 잠재계층을 분류하고 그에 대한 영향요인을 탐색하는데 그 목적이 있다. 분석에는 장애인고용패널조사 1-3차년도 자료가 사용되었다. 분석방법은 준모수적 집단 중심 접근방법(semi-parametric group based approach)을 적용하였다. 분석모형은 종속변수가 보조공학기기 사용여부를 나타내는 이분형 척도(dichotomous scale)라는 특성을 고려해 로짓모형을 적용하였다. 보조공학기기 사용 변화 형태에 따라 3개의 잠재계층이 도출되었으며 이들은 보조기기 지속사용 집단, 보조기기 중간사용 집단, 보조기기 사용 급감소 집단으로 구분되었다. 다항로짓분석으로 영향요인을 검증한 결과, 학력, 장애유형, ICF, 주관적 사회경제적 지위, 일상생활만족도가 잠재계층을 결정하는 데 유의미한 변수로 나타났다. 마지막으로 분석결과에 따른 시사점을 제시하였다.

• 한국사회복지학
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• 제65권3호
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• pp.183-206
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• 2013

본 연구는 한국노동패널 1~11차년도 자료를 이용하여 가구특성별로 빈곤가구의 빈곤지속기간을 실증 분석하였다. 이를 위해 먼저 이산시간위험률모형을 통해 빈곤탈피율과 빈곤재진입률을 추정하고 이들 확률을 결합하여 빈곤진입 이후의 빈곤지속기간을 추산하였다. 연구결과 빈곤진입가구의 절반가량은 1~2년의 단기빈곤층, 1/4정도는 5년 이상의 장기빈곤층, 나머지 1/4은 3~4년의 중기 또는 반복 빈곤층으로 분류되었다. 가구특성에 따라 빈곤지속기간에는 큰 차이가 나타나는데, 여성가구주가구, 노인가구, 가구주 교육수준이 낮은 가구, 배우자 없는 가구, 가구주나 가구원이 미취업이거나 임시/일용직에 종사하는 가구에서 장기빈곤층의 비중이 높았다. 이와 같은 결과는 빈곤층이 다양한 집단으로 구성되어 있으며, 이들의 특성을 보다 구체적으로 파악하여 각각에 알맞은 빈곤정책을 수립하여야 함을 시사한다.

• 대한교통학회지
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• 제25권5호
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• pp.111-122
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• 2007

지역간 철도역을 운행하는 열차운영계획 또는 열차 정차횟수에 대한 논리는 매우 중요한 문제이다. 현재까지 철도운영회사는 지역의 민원, 통행패턴, 현재까지의 운행실적 등을 근거로 하여 필요할 때마다 열차운행계획을 수립하고 있으며, 각 지방자치단체의 추가역 설치 또는 정차횟수 증대 요구에 대하여 적절한 대응이 미흡하였다. 본 연구에서는 철도역 정차횟수 선정에 영향을 줄 수 있는 요인들에 대한 분석과 정차에 가장 큰 영향을 주는 요소인 수송수요를 근거로 하여 예정된 정차역을 대상으로 적정 정차횟수를 설정하는 방법에 대해 분석하고자 하였다. 정차의 문제는 수송수요와 밀접한 관련이 있으며, 수송수요는 여러 독립변수에 의해서 영향을 받게 된다. 즉, 역별 이용자수는 해당역의 정차빈도와도 밀접한 관련을 가지고 있으며, 역 통과에 따른 통행시간 절감으로 인해서 타 교통수단에서 전환되는 수요와 역 통과에 따른 해당역의 이용자수 감소 등이 복합적으로 발생하게 된다. 정차역 선정은 먼저 전체적인 이용자의 관점에서 예측된 수송수요를 최대한 수용하는 방향으로 정차역을 설정하는 것을 우선적으로 고려하였으며, 역별 정차횟수를 기준으로 적정 열차운행계획을 설정하고자 하였다. 향후 연구과제로는 운영자의 관점에서 수송수요를 최대화하는 전략 이외에도 운행비용을 고려하여 수익을 최대화하는 전략 방안의 연구가 필요하다고 본다.

• 동아시아식생활학회지
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• 제21권3호
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• pp.311-324
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• 2011

This study was performed to assess the nutritional status of low income elderly women aged ${\geq}$65 years residing in Gyeongnam Masan (n=124). Nutrition intakes, food intake frequency, and health-related behaviors including smoking, drinking, and exercise were investigated. Nutrition intake was calculated by the 24-hour recall method using CAN-pro (ver. 3.0). Average daily intakes of energy were $1,142.3{\pm}39$ kcal (71.4% of EER) in subjects aged 65~74 years and $1,071.0{\pm}41.7$ kcal (66.9% of EER) in subjects aged ${\geq}$75 years and the subjects consumed energy less than both 75% of estimated energy requirement (EER). The proportions of energy derived from protein, fat, and carbohydrate were 15.4:15.5:70.6 (aged 65~74 years), and 15.3:13.4:70.8 (aged ${\geq}$75). Nutrients consumed at less than estimated average requirements (EARs) were Ca (60.4%), P (98.4%), Zn (91%), vitamin E (48% of adequate intake, AI), vitamin $B_1$ (63.3%), vitamin $B_2$ (54%), niacin (87.7%), vitamin C (62.5%), and folate (50.5%). Especially, the intakes of Ca (58%), vitamin E (41% of AI), vitamin $B_1$ (60%), vitamin $B_2$ (50%), folate (46.5%), and vitamin C (54%) were 75% less than the EAR for people aged ${\geq}$75 years. According to the food intake frequency survey, the intakes of calcium, milk, fruits, and vegetables were very poor. In conclusion, this study suggests that a nutritional support program for elderly women of low socioeconomic class must be provided by the government to improve the quality of remaining life.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.592-606
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• 2015

전 연령층에 걸친 우울증 및 정신질환과 꾸준한 자살률 증가는 정부경쟁력을 크게 떨어뜨리는 심각한 사회문제이다. 정부는 정신건강을 증진시키고 자살을 예방하기 위해 다양한 정책을 실시하고 있으나 시행과정 및 연계 관리 체계 등에서 여러 문제점들이 제기된다. 본 연구는 정신건강분야에 있어 ICT 융합방안의 실태와 방향성을 파악하기 위해 국내외 사례를 살펴보았다. 미국과 영국에서는 ICT를 융합한 원격 정신치료서비스를 지역노인, 소아청소년, 취약계층 등에 제공하고 있다. 국내는 노인자살을 방지하기 위해 독거노인을 대상으로 응급알림 장치를 설치하거나 우울증과 치매 완화를 위한 기술이 개발 중에 있다. 고령화시대에 사회경제적 비용을 줄이고 보편적 복지실현을 위해 ICT 융합 정신건강관리 서비스가 필요하다. 이에 원격정신진료와 관련하여 첨예하게 갈등을 보이는 의료법과 의료기기에 대한 사회적 합의, 생애전주기에 걸쳐 이용자의 정신적 특성을 고려한 효과성 연구, 인구 밀집도와 의료접근성이 낮은 지역 중심의 특화된 정책 등이 제고되어져야한다.